{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T20:05:53Z","timestamp":1789589153228,"version":"build-2803163510"},"reference-count":31,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002855","name":"Ministry of Science and Technology of the People's Republic of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002855","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100010096","name":"Southern Medical University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010096","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bjanaesthesia.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["British Journal of Anaesthesia"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.bja.2026.05.059","type":"journal-article","created":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T03:45:08Z","timestamp":1785555908000},"page":"997-1005","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of body mass index and computed tomography-derived body composition with postoperative cardiovascular events: a secondary analysis of two prospective cohorts"],"prefix":"10.1016","volume":"137","author":[{"given":"Shuang-Jie","family":"Cao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuang-Jiao","family":"Cao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kun","family":"Niu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Shan","family":"Xie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5671-4999","authenticated-orcid":false,"given":"Bing-Cheng","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0221-366X","authenticated-orcid":false,"given":"Ke-Xuan","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.bja.2026.05.059_bib1","doi-asserted-by":"crossref","first-page":"2383","DOI":"10.1093\/eurheartj\/ehu282","volume":"35","author":"Kristensen","year":"2014","journal-title":"Eur Heart J"},{"key":"10.1016\/j.bja.2026.05.059_bib2","doi-asserted-by":"crossref","first-page":"1642","DOI":"10.1001\/jama.2017.4360","article-title":"Association of postoperative high-sensitivity troponin levels with myocardial injury and 30-day mortality among patients undergoing noncardiac surgery","volume":"317","author":"Devereaux","year":"2017","journal-title":"JAMA"},{"key":"10.1016\/j.bja.2026.05.059_bib3","doi-asserted-by":"crossref","first-page":"523","DOI":"10.7326\/0003-4819-154-8-201104190-00003","article-title":"Characteristics and short-term prognosis of perioperative myocardial infarction in patients undergoing noncardiac surgery: a cohort study","volume":"154","author":"Devereaux","year":"2011","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.bja.2026.05.059_bib4","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1186\/1471-2458-9-88","article-title":"The incidence of co-morbidities related to obesity and overweight: a systematic review and meta-analysis","volume":"9","author":"Guh","year":"2009","journal-title":"BMC Public Health"},{"key":"10.1016\/j.bja.2026.05.059_bib5","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1186\/s13054-016-1360-z","article-title":"Increased body mass index and adjusted mortality in ICU patients with sepsis or septic shock: a systematic review and meta-analysis","volume":"20","author":"Pepper","year":"2016","journal-title":"Crit Care"},{"key":"10.1016\/j.bja.2026.05.059_bib6","doi-asserted-by":"crossref","first-page":"1193","DOI":"10.1016\/j.jvs.2016.09.032","article-title":"The effect of body mass index on major outcomes after vascular surgery","volume":"65","author":"Galyfos","year":"2017","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.bja.2026.05.059_bib7","doi-asserted-by":"crossref","first-page":"1140","DOI":"10.1007\/s00392-020-01605-0","article-title":"Obesity paradox and perioperative myocardial infarction\/injury in non-cardiac surgery","volume":"109","author":"Hidvegi","year":"2020","journal-title":"Clin Res Cardiol"},{"key":"10.1016\/j.bja.2026.05.059_bib8","doi-asserted-by":"crossref","first-page":"1312","DOI":"10.1111\/anae.16573","article-title":"The association between BMI and postoperative pulmonary complications in adults undergoing non-cardiac, non-obstetric surgery: a retrospective cohort study","volume":"80","author":"Qin","year":"2025","journal-title":"Anaesthesia"},{"key":"10.1016\/j.bja.2026.05.059_bib9","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.surge.2013.02.003","article-title":"The obesity paradox in the surgical population","volume":"11","author":"Valentijn","year":"2013","journal-title":"Surgeon"},{"key":"10.1016\/j.bja.2026.05.059_bib10","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejrad.2021.109943","article-title":"Methodology, clinical applications, and future directions of body composition analysis using computed tomography (CT) images: a review","volume":"145","author":"Tolonen","year":"2021","journal-title":"Eur J Radiol"},{"key":"10.1016\/j.bja.2026.05.059_bib11","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1097\/ALN.0000000000005073","article-title":"Preoperative N-terminal pro-B-type natriuretic peptide and high-sensitivity cardiac troponin T and outcomes after major noncardiac surgery: a prospective cohort study","volume":"141","author":"Zhao","year":"2024","journal-title":"Anesthesiology"},{"key":"10.1016\/j.bja.2026.05.059_bib12","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"370","author":"von Elm","year":"2007","journal-title":"Lancet"},{"key":"10.1016\/j.bja.2026.05.059_bib13","series-title":"Regional Office for the Western Pacific. The Asia-Pacific Perspective: Redefining Obesity and Its Treatment","first-page":"55p","year":"2000"},{"key":"10.1016\/j.bja.2026.05.059_bib14","article-title":"Comp2Comp: open-source body composition assessment on computed tomography","author":"Blankemeier","year":"2023","journal-title":"arXiv"},{"key":"10.1016\/j.bja.2026.05.059_bib15","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1016\/j.csda.2006.11.025","article-title":"Cluster-wise assessment of cluster stability","volume":"52","author":"Hennig","year":"2007","journal-title":"Comput Stat Data Anal"},{"key":"10.1016\/j.bja.2026.05.059_bib16","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1214\/23-STS889","article-title":"Causal inference methods for combining randomized trials and observational studies: a review","volume":"39","author":"Colnet","year":"2024","journal-title":"Stat Sci"},{"key":"10.1016\/j.bja.2026.05.059_bib17","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1097\/EDE.0000000000001780","article-title":"Methods for extending inferences from observational studies: considering causal structures, identification assumptions, and estimators","volume":"35","author":"Hayes-Larson","year":"2024","journal-title":"Epidemiology"},{"key":"10.1016\/j.bja.2026.05.059_bib18","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1093\/aje\/kwn164","article-title":"Constructing inverse probability weights for marginal structural models","volume":"168","author":"Cole","year":"2008","journal-title":"Am J Epidemiol"},{"key":"10.1016\/j.bja.2026.05.059_bib19","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1002\/gepi.22418","article-title":"Inverse probability weighting is an effective method to address selection bias during the analysis of high dimensional data","volume":"45","author":"Carry","year":"2021","journal-title":"Genet Epidemiol"},{"key":"10.1016\/j.bja.2026.05.059_bib20","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2025.28875","article-title":"Body mass index and postsurgical outcomes in older adults","volume":"8","author":"Canales","year":"2025","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.bja.2026.05.059_bib21","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1161\/CIRCULATIONAHA.116.022840","article-title":"Body mass index and mortality among adults undergoing cardiac surgery: a nationwide study with a systematic review and meta-analysis","volume":"135","author":"Mariscalco","year":"2017","journal-title":"Circulation"},{"key":"10.1016\/j.bja.2026.05.059_bib22","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1016\/j.amjmed.2022.12.033","article-title":"Frailty assessment and perioperative major adverse cardiovascular events after noncardiac surgery","volume":"136","author":"Siddiqui","year":"2023","journal-title":"Am J Med"},{"key":"10.1016\/j.bja.2026.05.059_bib23","doi-asserted-by":"crossref","DOI":"10.1097\/AS9.0000000000000531","article-title":"The obesity paradox revisited: is obesity still a protective factor for patients with high comorbidity burden or high-complexity procedures?","volume":"5","author":"Son","year":"2024","journal-title":"Ann Surg Open"},{"key":"10.1016\/j.bja.2026.05.059_bib24","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1016\/j.bjae.2023.05.006","article-title":"Hypoxaemia during one lung ventilation","volume":"23","author":"Shum","year":"2023","journal-title":"BJA Educ"},{"key":"10.1016\/j.bja.2026.05.059_bib25","doi-asserted-by":"crossref","first-page":"e287","DOI":"10.1161\/CIR.0000000000001024","article-title":"Diagnosis and management of patients with myocardial injury after noncardiac surgery: a scientific statement from the American Heart Association","volume":"144","author":"Ruetzler","year":"2021","journal-title":"Circulation"},{"key":"10.1016\/j.bja.2026.05.059_bib26","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1053\/j.jvca.2019.08.014","article-title":"Myocardial injury after noncardiac surgery: incidence, predictive factors, and outcome in high-risk patients undergoing thoracic surgery: an observational study","volume":"34","author":"Gonz\u00e1lez-Tallada","year":"2020","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"10.1016\/j.bja.2026.05.059_bib27","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1007\/s13679-024-00580-1","article-title":"Strengths and limitations of BMI in the diagnosis of obesity: what is the path forward?","volume":"13","author":"Sweatt","year":"2024","journal-title":"Curr Obes Rep"},{"key":"10.1016\/j.bja.2026.05.059_bib28","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1001\/jamasurg.2024.0628","article-title":"Automated CT analysis of body composition as a frailty biomarker in abdominal surgery","volume":"159","author":"Fumagalli","year":"2024","journal-title":"JAMA Surg"},{"key":"10.1016\/j.bja.2026.05.059_bib29","doi-asserted-by":"crossref","DOI":"10.1148\/radiol.222008","article-title":"AI-based CT body composition identifies Myosteatosis as key mortality predictor in asymptomatic adults","volume":"307","author":"Nachit","year":"2023","journal-title":"Radiology"},{"key":"10.1016\/j.bja.2026.05.059_bib30","doi-asserted-by":"crossref","first-page":"3826","DOI":"10.1093\/eurheartj\/ehac270","article-title":"2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery","volume":"43","author":"Halvorsen","year":"2022","journal-title":"Eur Heart J"},{"key":"10.1016\/j.bja.2026.05.059_bib31","doi-asserted-by":"crossref","first-page":"1690","DOI":"10.1093\/eurheartj\/ehac798","article-title":"Long-term outcomes of perioperative myocardial infarction\/injury after non-cardiac surgery","volume":"44","author":"Puelacher","year":"2023","journal-title":"Eur Heart J"}],"container-title":["British Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0007091226005003?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0007091226005003?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T19:36:04Z","timestamp":1789587364000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0007091226005003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":31,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["S0007091226005003"],"URL":"https:\/\/doi.org\/10.1016\/j.bja.2026.05.059","relation":{},"ISSN":["0007-0912"],"issn-type":[{"value":"0007-0912","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Association of body mass index and computed tomography-derived body composition with postoperative cardiovascular events: a secondary analysis of two prospective cohorts","name":"articletitle","label":"Article Title"},{"value":"British Journal of Anaesthesia","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bja.2026.05.059","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}