FACTORS AFFECTING MAJOR ADVERSE EFFECTS AFTER CORONARY ARTERY BYPASS SURGERY
Journal Title: Kocatepe Medical Journal - Year 2024, Vol 25, Issue 2
Abstract
OBJECTIVE: The present study aimed to evaluate the patient population who underwent coronary artery bypass grafting (CABG) operation in terms of mortality and major adverse effects (MAE) incidence and examine the factors affecting MAE incidence. MATERIAL AND METHODS: 169 consecutive patients who underwent CABG surgery between January 2017 and December 2019 were retrospectively analyzed. Mortality, myocardial infarction, reoperation, cardiac tamponade, stroke, renal failure, sternal infection, need for extracorporeal membrane oxygenator and cardio pulmonary resuscitation were defined as MAO. RESULTS: The mean age of the patients was 63.19 ±0.72 years, the mean duration of cardiopulmonary bypass (CPB) was 106.95 ±27 minutes, and the mean duration of aortic cross-clamp was 44.87 ±1.05 minutes. Extracorporeal membrane oxygenator support was provided to 11 (6.5%) patients, 7 (4.1%) patients underwent reoperation, 5 (3%) patients experienced a postoperative stroke, 5 (3%) patients required cardiopulmonary resuscitation, and postoperative myocardial infarction was observed in 1 (0.6%) patient. In total, MAE was determined in 28 (16.6%) patients. Mortality occurred in 9 (5.3%) patients. In the univariate analysis, Euroscore, mean arterial pressure during CPB, and ultrafiltration volume were associated with MAE (p=0.004, p=0.026, and p=0.037, respectively). However, in multivariate analysis, only Euroscore (odds ratio: 1.453, 95% CI 1.166-1.811 p=0.001) and ultrafiltration volume (odds ratio:-0.002, 95% CI 0.996-1 p=0.04) were correlated to MAE. CONCLUSIONS: In our study, we observed that high Euroscore levels increased not only mortality but also the incidence of MAO, and increased ultrafiltration volumes reduced the incidence of MAO. We believe that it should be kept in mind during CABG surgery that appropriate ultrafiltration and CPB strategy can reduce the incidence of MAO.
Authors and Affiliations
Hüsnü Kamil LİMANDAL , Taha ÖZKARAhttps://doi. org/10. 18229/kocatepetip. 1315953
Keywords
Related Articles
- EP ID EP740638
- DOI -
- Views 15
- Downloads 0
INTRAOPERATIVE PATIENT CARE KNOWLEDGE LEVELS OF OPERATING ROOM NURSES: A CASE OF AFYONKARAHISAR
OBJECTIVE: Operating rooms are work environments where the risk of making mistakes is high in health care areas, as they are areas where stress is experienced at a high level and quick decision-making is required. The ab...
NON-DIPPER HYPERTENSION AND BLOOD PRESSURE VARIABILITY IN YOUNG HYPERTENSION PATIENTS
OBJECTIVE: Hypertension is a global health problem that also affects the young population and increases cardiovascular mortality. Young hypertensive patients are more prone to end-organ damage and complications from hype...
EVALUATION OF THE EFFICACY OF THE CLINICAL FRAILTY SCALE IN THE PREDICTION OF PROGNOSIS IN GERIATRIC PATIENTS PRESENTING TO THE EMERGENCY DEPARTMENT WITH ACUTE ABDOMINAL PATHOLOGIES: A PROSPECTIVE STUDY
OBJECTIVE: The CFS (Clinical Frailty Score) evaluates specific domains including function, comorbidity, and cognition to generate a frailty score ranging from 1 (very fit) to 9 (terminally ill). The aim of this study was...
COMPARISON OF NON-TRAUMATIC NEUROLOGICAL DISEASES IN THE CONTEXT OF DISABILITY GUIDES
OBJECTIVE: In Turkey, more than one regulation is used in the evaluation of people due to their anatomical and functional losses. Problems arise in the learning and implementation of more than one regulation by experts....
A RARE DIAGNOSIS IN CHILDREN: JUVENILE FIBROMYALGIA
Juvenile fibromyalgia (JFM) is a chronic pain condition in children. This extremely rare disease was first described in 1985. Although it is seen at young ages, its incidence is increasing in adolescents. Girls are more...