Body Mass Index and Hospital Mortality in Patients with Acute Coronary Syndrome Receiving Care in a University Hospital
Although obesity is a well-established cardiovascular risk factor, some controversy has arisen with regard to its effect on hospital mortality in patients admitted for acute coronary syndrome. Methods. Clinical and anthropometric variables were analyzed in patients consecutively admitted for acute c...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2012/287939 |
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| _version_ | 1832564302991589376 |
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| author | Mercedes Camprubi Sandra Cabrera Jordi Sans Georgina Vidal Teresa Salvadó Alfredo Bardají |
| author_facet | Mercedes Camprubi Sandra Cabrera Jordi Sans Georgina Vidal Teresa Salvadó Alfredo Bardají |
| author_sort | Mercedes Camprubi |
| collection | DOAJ |
| description | Although obesity is a well-established cardiovascular risk factor, some controversy has arisen with regard to its effect on hospital mortality in patients admitted for acute coronary syndrome. Methods. Clinical and anthropometric variables were analyzed in patients consecutively admitted for acute coronary syndrome to a university hospital between 2009 and 2010, and the correlation of those variables with hospital mortality was examined. Results. A total of 824 patients with a diagnosis of myocardial infarction or unstable angina were analyzed. Body mass index was an independent factor in hospital mortality (odds ratio 0.739 (IC 95%: 0.597-0.916), P=0.006). Mortality in normal weight (n=218), overweight (n=399), and obese (n=172) subjects was 6.1%, 3.1%, and 4.1%, respectively, with no statistically significant differences between the groups. Conclusions. There is something of a paradox in the relationship between body mass index and hospital mortality in patients with acute coronary syndrome in that the mortality rate decreases as body mass index increases. However, no statistically significant differences have been found in normal weight, overweight, or obese subjects. |
| format | Article |
| id | doaj-art-f4d865f851d14dadb4933840659d36fc |
| institution | Kabale University |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-f4d865f851d14dadb4933840659d36fc2025-02-03T01:11:21ZengWileyJournal of Obesity2090-07082090-07162012-01-01201210.1155/2012/287939287939Body Mass Index and Hospital Mortality in Patients with Acute Coronary Syndrome Receiving Care in a University HospitalMercedes Camprubi0Sandra Cabrera1Jordi Sans2Georgina Vidal3Teresa Salvadó4Alfredo Bardají5Cardiology Service, Joan XXIII University Hospital of Tarragona IISPV, University Rovira Virgili, Calle Dr Mallafré Guash 4, 43007 Tarragona, SpainCardiology Service, Joan XXIII University Hospital of Tarragona IISPV, University Rovira Virgili, Calle Dr Mallafré Guash 4, 43007 Tarragona, SpainCardiology Service, Joan XXIII University Hospital of Tarragona IISPV, University Rovira Virgili, Calle Dr Mallafré Guash 4, 43007 Tarragona, SpainEducation and Pathological Anatomy Units, Verge de la Cinta Hospital of Tortosa, SpainEducation and Pathological Anatomy Units, Verge de la Cinta Hospital of Tortosa, SpainCardiology Service, Joan XXIII University Hospital of Tarragona IISPV, University Rovira Virgili, Calle Dr Mallafré Guash 4, 43007 Tarragona, SpainAlthough obesity is a well-established cardiovascular risk factor, some controversy has arisen with regard to its effect on hospital mortality in patients admitted for acute coronary syndrome. Methods. Clinical and anthropometric variables were analyzed in patients consecutively admitted for acute coronary syndrome to a university hospital between 2009 and 2010, and the correlation of those variables with hospital mortality was examined. Results. A total of 824 patients with a diagnosis of myocardial infarction or unstable angina were analyzed. Body mass index was an independent factor in hospital mortality (odds ratio 0.739 (IC 95%: 0.597-0.916), P=0.006). Mortality in normal weight (n=218), overweight (n=399), and obese (n=172) subjects was 6.1%, 3.1%, and 4.1%, respectively, with no statistically significant differences between the groups. Conclusions. There is something of a paradox in the relationship between body mass index and hospital mortality in patients with acute coronary syndrome in that the mortality rate decreases as body mass index increases. However, no statistically significant differences have been found in normal weight, overweight, or obese subjects.http://dx.doi.org/10.1155/2012/287939 |
| spellingShingle | Mercedes Camprubi Sandra Cabrera Jordi Sans Georgina Vidal Teresa Salvadó Alfredo Bardají Body Mass Index and Hospital Mortality in Patients with Acute Coronary Syndrome Receiving Care in a University Hospital Journal of Obesity |
| title | Body Mass Index and Hospital Mortality in Patients with Acute Coronary Syndrome Receiving Care in a University Hospital |
| title_full | Body Mass Index and Hospital Mortality in Patients with Acute Coronary Syndrome Receiving Care in a University Hospital |
| title_fullStr | Body Mass Index and Hospital Mortality in Patients with Acute Coronary Syndrome Receiving Care in a University Hospital |
| title_full_unstemmed | Body Mass Index and Hospital Mortality in Patients with Acute Coronary Syndrome Receiving Care in a University Hospital |
| title_short | Body Mass Index and Hospital Mortality in Patients with Acute Coronary Syndrome Receiving Care in a University Hospital |
| title_sort | body mass index and hospital mortality in patients with acute coronary syndrome receiving care in a university hospital |
| url | http://dx.doi.org/10.1155/2012/287939 |
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