The effect of body mass index on complications in cardiac implantable electronic device surgery

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dc.authoridGUZEL, TUNCAY/0000-0001-8470-1928
dc.authoridKILIC, RAIF/0000-0002-8338-4948
dc.authoridDemir, Muhammed/0000-0002-9049-7123
dc.contributor.authorGuzel, Tuncay
dc.contributor.authorDemir, Muhammed
dc.contributor.authorAktan, Adem
dc.contributor.authorKilic, Raif
dc.contributor.authorArslan, Bayram
dc.contributor.authorGunlu, Serhat
dc.contributor.authorAltintas, Bernas
dc.date.accessioned2025-01-21T16:45:02Z
dc.date.available2025-01-21T16:45:02Z
dc.date.issued2024
dc.departmentKırıkkale Üniversitesi
dc.description.abstractBackground Cardiac implantable electronic device (CIED) procedures are prone to complications. In our study, we investigated the effect of body mass index (BMI) on CIED-related complications.Methods1676 patients who had undergone CIED surgery (de novo implantation, system upgrade, generator change, pocket revision or lead replacement) at two heart centers in Turkey and met the study criteria were included in our study. For analysis of primary and secondary endpoints, patients were classified as non-obese (BMI < 25 kg/m(2)), overweight (25 <= BMI < 30 kg/m(2)), and obese (BMI >= 30 kg/m(2)). The primary endpoint was accepted as cumulative events, including the composite of clinically significant hematoma (CSH), pericardial effusion or tamponade, pneumothorax, and infection related to the device system. Secondary outcomes included each component of cumulative events.Results The rate of cumulative events, defined as primary outcome, was higher in the obese patient group, and we found a significant difference between the groups (3.0%, 4.3%, 8.9%, p = .001). CSH and pneumothorax rates were significantly higher in the obese patient group (0.3%, 0.9%, 1.9%, p = .04; 1.0%, 1.4%, 3.3%, p = .04, respectively). According to our multivariate model analysis; gender (OR:1.882, 95%CI:1.156-3.064, p = .01), hypertension (OR:4.768, 95%CI:2.470-9.204, p < .001), BMI (OR:1.069, 95%CI:1.012-1.129, p = .01) were independent predictors of cumulative events rates.Conclusions Periprocedural complications associated with CIED (especially hematoma and pneumothorax) are more common in the group with high BMI.
dc.identifier.doi10.1111/pace.14903
dc.identifier.endpage299
dc.identifier.issn0147-8389
dc.identifier.issn1540-8159
dc.identifier.issue2
dc.identifier.pmid38078545
dc.identifier.scopus2-s2.0-85179335876
dc.identifier.scopusqualityQ3
dc.identifier.startpage292
dc.identifier.urihttps://doi.org/10.1111/pace.14903
dc.identifier.urihttps://hdl.handle.net/20.500.12587/25576
dc.identifier.volume47
dc.identifier.wosWOS:001121970500001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofPace-Pacing and Clinical Electrophysiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241229
dc.subjectbody mass index; cardiovascular implantable electronic devices; complication; pacemaker
dc.titleThe effect of body mass index on complications in cardiac implantable electronic device surgery
dc.typeArticle

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