Prior bariatric surgery and perioperative cardiovascular outcomes following noncardiac surgery in patients with type 2 diabetes mellitus: hint from National Inpatient Sample Database

Table 2 Comparison of perioperative cardiovascular outcomes between prior bariatric surgery and morbid obesity in diabetes mellitus patients undergoing major noncardiac surgery

Outcomes	Event rates (%)		Logistic regression analysis
Outcomes	Prior BS	Morbid obesity	Unadjusted OR (95% CI)	P-value	Adjusted OR (95% CI)^a	P-value
MACCEs	1.01	3.25	0.52 (0.46, 0.60)	< 0.0001	0.71 (0.62, 0.81)	< 0.0001
Death	0.46	1.52	0.50 (0.41, 0.61)	< 0.0001	0.64 (0.52, 0.78)	< 0.0001
Acute ischemic stroke	0.25	0.90	0.56 (0.43, 0.72)	< 0.0001	0.78 (0.60, 1.01)	0.0559
Acute myocardial infarction	0.33	1.13	0.49 (0.39, 0.61)	< 0.0001	0.71 (0.57, 0.89)	0.0030
Cardiogenic shock	0.04	0.12	0.41 (0.21, 0.79)	0.0077	0.65 (0.33, 1.27)	0.2055
Acute kidney injury	5.83	9.63	0.52 (0.49, 0.55)	< 0.0001	0.66 (0.62, 0.70)	< 0.0001
Acute respiratory failure	2.75	4.69	0.40 (0.37, 0.43)	< 0.0001	0.46 (0.42, 0.50)	< 0.0001

OR odds ratio, CI confidence interval, BS bariatric surgery, MACCEs major perioperative adverse cardiovascular and cerebrovascular events
^aAdjusted for age, sex, race, elective surgery, smoking, alcohol abuse, drug abuse, dyslipidemia, hypertension, coronary artery disease, end stage renal disease, congestive heart failure, chronic lung disease, chronic liver disease, peripheral vascular disorders, malignancy, anemia, valvular disease, prior venous thromboembolism, prior transient ischemic attack/stroke, prior myocardial infarction, prior percutaneous coronary intervention, prior coronary artery bypass grafting, uncontrolled diabetes mellitus and surgery type

ISSN: 1475-2840