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Table 3 Comparison of perioperative cardiovascular outcomes between prior bariatric surgery and morbid obesity in diabetes mellitus patients undergoing major noncardiac surgery based on propensity score matching analysis

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

Outcomes

Event rates (%)

Propensity score matching analysis

Prior BS

Morbid obesity

Adjusted OR (95% CI)a

P-value

MACCEs

1.01

1.49

0.65 (0.53,0.79)

< 0.0001

Death

0.46

0.84

0.50 (0.37, 0.68)

< 0.0001

Acute ischemic stroke

0.25

0.30

0.46 (0.24, 0.90)

0.0222

Acute myocardial infarction

0.33

0.45

0.63 (0.49, 0.99)

0.0431

Cardiogenic shock

0.04

0.05

0.83 (0.45, 1.52)

0.5377

Acute kidney injury

5.83

8.64

0.62 (0.57, 0.67)

< 0.0001

Acute respiratory failure

2.75

5.50

0.44 (0.40, 0.49)

< 0.0001

  1. OR odds ratio, CI confidence interval, BS bariatric surgery, MACCEs major perioperative adverse cardiovascular and cerebrovascular events
  2. 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