Association of pre and intraoperative variables with postoperative complications in coronary artery bypass graft surgery
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| Format: | Artículo científico |
| Language: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2013
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| author | Camila Gimenes |
| author_facet | Camila Gimenes |
| contents | Association of pre and intraoperative variables with postoperative complications in coronary artery bypass graft surgery Camila Gimenes Silvia Regina Barrile Bruno Martinelli Carlos Fernando Ronchi Eduardo Aguilar Arca Rodrigo Gimenes Marina Politi Okoshi Katashi Okoshi Medicina Risk factors Coronary artery bypass Postoperative complications Myocardial revascularization Objective: To associate the pre- and intraoperative variables with postoperative complications of patients undergoing coronary artery bypass graft surgery. Methods: The pre- and intraoperative risk factors of individuals of both genders with diagnosis of coronary insufficiency undergoing coronary artery bypass graft have been studied. Results: Fifty-eight individuals with median age 62 ± 10 yearold were included in the study, 67% of whom were male. Fourteen (24.1%) patients were smokers, 39 (67.2%) had previous myocardial infarction history, 11 (19%) had undergone coronary angioplasty, 74% had hypertension, 27% had diabetes mellitus, 64% had dyslipidemia and 15.5% had chronic obstructive pulmonary disease. Eighteen (31%) patients presented postoperative complications, most frequent being: infection in surgical incision, difficulties in deambulation, dyspnea, urinary infection and generalized weakness. Male patients had fewer complications than females (P=0.005). Patients with chronic obstructive pulmonary disease remained hospitalized for longer time periods (P=0.019). Postoperative complications occurred in 50% of the patients with creatinine increased, while only 27.1% of the patients with normal value of creatinine had complications (P=0.049). In addition, complications occurred in 50% of the patients with diabetes mellitus, while only 23.8% of patients without diabetes mellitus had complications (P=0.032). The intraoperative factors showed no statistically significant differences. Conclusion: The preoperative factors are associated with postoperative complications in patients undergoing coronary artery bypass graft surgery. 2013 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941891017 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.4 Vol.28 |
| format | Artículo científico |
| id | redalyc_398941891017 |
| institution | Redalyc |
| language | en |
| publishDate | 2013 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Association of pre and intraoperative variables with postoperative complications in coronary artery bypass graft surgery Camila Gimenes Medicina Risk factors Coronary artery bypass Postoperative complications Myocardial revascularization Association of pre and intraoperative variables with postoperative complications in coronary artery bypass graft surgery Camila Gimenes Silvia Regina Barrile Bruno Martinelli Carlos Fernando Ronchi Eduardo Aguilar Arca Rodrigo Gimenes Marina Politi Okoshi Katashi Okoshi Medicina Risk factors Coronary artery bypass Postoperative complications Myocardial revascularization Objective: To associate the pre- and intraoperative variables with postoperative complications of patients undergoing coronary artery bypass graft surgery. Methods: The pre- and intraoperative risk factors of individuals of both genders with diagnosis of coronary insufficiency undergoing coronary artery bypass graft have been studied. Results: Fifty-eight individuals with median age 62 ± 10 yearold were included in the study, 67% of whom were male. Fourteen (24.1%) patients were smokers, 39 (67.2%) had previous myocardial infarction history, 11 (19%) had undergone coronary angioplasty, 74% had hypertension, 27% had diabetes mellitus, 64% had dyslipidemia and 15.5% had chronic obstructive pulmonary disease. Eighteen (31%) patients presented postoperative complications, most frequent being: infection in surgical incision, difficulties in deambulation, dyspnea, urinary infection and generalized weakness. Male patients had fewer complications than females (P=0.005). Patients with chronic obstructive pulmonary disease remained hospitalized for longer time periods (P=0.019). Postoperative complications occurred in 50% of the patients with creatinine increased, while only 27.1% of the patients with normal value of creatinine had complications (P=0.049). In addition, complications occurred in 50% of the patients with diabetes mellitus, while only 23.8% of patients without diabetes mellitus had complications (P=0.032). The intraoperative factors showed no statistically significant differences. Conclusion: The preoperative factors are associated with postoperative complications in patients undergoing coronary artery bypass graft surgery. 2013 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941891017 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.4 Vol.28 |
| title | Association of pre and intraoperative variables with postoperative complications in coronary artery bypass graft surgery |
| topic | Medicina Risk factors Coronary artery bypass Postoperative complications Myocardial revascularization |
| url | https://www.redalyc.org/articulo.oa?id=398941891017 |