Prognostic impact of body mass index on in-hospital bleeding complications after ST-segment elevation myocardial infarction

doi:10.4330/wjc.v12.i1.44

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World Journal of Cardiology

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1949-8462

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Cardiol. Jan 26, 2020; 12(1): 44-54
Published online Jan 26, 2020. doi: 10.4330/wjc.v12.i1.44

Table 2 In-hospital and one-year events

	Total	BMI < 25 kg/m²	25 ≤ BMI < 30 kg/m²	BMI ≥ 30 kg/m²	P value
	n = 1998	n = 705	n = 877	n = 416	P value
In-hospital events
Duration of hospitalisation in intensive care (d)	5 (3-7)	5 (4-7)	5 (3-7)	5 (3-6)	0.21
Heart failure	417 (20.9)	153 (21.7)	176 (20.1)	89 (21.5)	0.56
Stent thrombosis	38 (1.9)	19 (2.5)	11 (1.3)	8 (1.9)	0.16
Atrial fibrillation	196 (9.8)	75 (10.6)	92 (10.5)	29 (7.0)	0.06
Stroke	39 (2.0)	14 (2)	19 (2.2)	6 (1.4)	0.65
Tamponade	22 (1.1)	10 (1.4)	7 (0.8)	5 (1.2)	0.56
Mortality	115 (5.8)	54 (7.6)^a^e	43 (4.9)^a	18 (4.3)^e	0.018
Cardiovascular mortality	112 (5.6)	54 (7.6)^a^e	40 (4.6)^a	18 (4.3)^e	0.013
In-hospital bleeding events
Input Haemoglobin (g/dL)	14.4 (13.3-15.5)	14.1 (13-15.3)^a^e	14.6 (13.5-15.6)^a	14.7 (13.5-15.7)^e	< 0.001
Haemoglobin drop (g/dL)	1.9 (0.9-2.9)	2 (1-3.2)^a^e	1.7 (0.8-2.9)^a	1.8 (0.9-2.7)^e	0.016
Input haematocrit (%)	42.6 (39.6-45.5)	42 (38.9-44.9)^a^e	42.8 (40-45.8)^a	43.3 (40.2-45.6)^e	< 0.001
Haematocrit drop (%)	5.3 (2.8-8.4)	6.1 (3.1-9.3)^a^e	5 (2.6-8.1)^a	4.9 (2.8-7.8)^e	< 0.001
Haemorrhagic stroke	9 (0.5)	6 (0.8)	3 (0.3)	0 (0.0)	0.07
Gastrointestinal bleeding	25 (1.3)	12 (1.7)	8 (0.9)	5 (1.2)	0.45
Haematoma at the puncture site	138 (6.9)	56 (7.9)	58 (6.6)	24 (5.8)	0.22
Surgical repair of the haematoma	9 (0.5)	3 (0.4)	4 (0.5)	2 (0.5)	0.98
Use of amines in bleeding	33 (1.7)	18 (2.5)	10 (1.1)	6 (1.4)	0.13
Transfusion	82 (4.1)	42 (5.9)^a	25 (2.9)^a	15 (3.6)	0.011
Fatal bleeding (BARC 5)	9 (0.5)	6 (0.8)	2 (0.2)	1 (0.2)	0.17
BARC 3 or 5	146 (7.3)	67 (9.5)^a^e	54 (6.2)^a	26 (6.2)^e	0.031
One-year events
Mortality	198 (9.9)	93 (13.1)^a^e	82 (9.4)^a^c	23 (5.5)^c^e	< 0.001
CV mortality	160 (8.0)	76 (10.8)^a^e	62 (7.1)^a	22 (5.3)^e	0.001

^aP < 0.05 to compare body mass index (BMI) < 25 kg/m² with BMI between 25 kg/m² and 30 kg/m²;

^cP < 0.05 to compare BMI between 25 kg/m² and 30 kg/m² with BMI ≥ 30 kg/m²;

^eP < 0.05 to compare BMI < 25 kg/m² with BMI ≥ 30 kg/m². BARC: Bleeding Academic Research Consortium; BMI: Body mass index; CV: Cardiovascular.

Citation: Ingremeau D, Grall S, Valliet F, Desprets L, Prunier F, Furber A, Bière L. Prognostic impact of body mass index on in-hospital bleeding complications after ST-segment elevation myocardial infarction. World J Cardiol 2020; 12(1): 44-54
URL: https://www.wjgnet.com/1949-8462/full/v12/i1/44.htm
DOI: https://dx.doi.org/10.4330/wjc.v12.i1.44