Costs of excessive postoperative hemorrhage in cardiac surgery

Christensen, Michael Cronquist; Krapf, Stephan; Kempel, Angela; Heymann, Christian von

doi:10.1016/j.jtcvs.2009.02.021

Cited by 139 publications

(112 citation statements)

References 20 publications

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“…Christensen et al (2009) reported in a study of OPCAB surgery with haematocrit 41.86±8.35%, platelet count 206852±76272/cu mm. These findings were nearly similar to our study.…”

Section: Discussionmentioning

confidence: 91%

“…In 1975, the incidence of IHD in Bangladesh was reported to be 3.3 per thousand (Christensen et al, 2009) and that in 1985 was 14 per thousand (Brown et al, 2007). According to the latest WHO data published in April 2011 Coronary Heart Disease Deaths in Bangladesh reached 163,769 or 17.11% of total deaths and Bangladesh ranks 25 th position in the world in respect to cause of death due to coronary artery disease (Hartmann et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

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Clinico-demographic Characteristics of Coronary Artery Bypass Surgery Patients: Experience of 60 Cases at Referral Cardiac Surgery Hospital in Bangladesh

et al. 2017

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Background: Coronary artery bypass surgery is needed in different group of patients.Objective: This study was undertaken to see the different socio-demographic characteristics of patients undergone coronary artery bypass surgery. Methodology: This cross-sectional study was conducted in the Department of Cardiac Surgery at National Institute of Cardiovascular Diseases (NICVD), Dhaka, Bangladesh during January 2014 to December 2015 for a period of two (2) years. Patients' undergone CABG after fulfilling the inclusion and exclusion criteria was recruited for this study. The details sociodemographic characteristics of the study population were recorded. Result: A total number of 60 patients were recruited for this study after fulfilling the inclusion and exclusion criteria. The age of the patients undergoing OPCAB surgery ranges from 37 years to 70 years. But most of the patients were in the range of 41 to 60 years which was 50(83.3%). There was an overall male dominance among the patients which was 91.67%. the ratio of male and female was 11.0:1. NYHA class I was in 32(53.3%) cases and class II was 28(46.47%) cases. Hypertension was present in 37(63.3%) cases. Diabetes mellitus and dyslipidemia were present in 50(83.3%) cases and 37(61.7%) cases respectively. Obesity was present in 40(66.7%) cases. Smoking habit was present in 34(56.7%) cases. Conclusion: In conclusion the efficacy of topical tranexamic acid is helpful for reducing postoperative bleeding after OPCAB surgery.

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“…Christensen et al (2009) reported in a study of OPCAB surgery with haematocrit 41.86±8.35%, platelet count 206852±76272/cu mm. These findings were nearly similar to our study.…”

Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Clinico-demographic Characteristics of Coronary Artery Bypass Surgery Patients: Experience of 60 Cases at Referral Cardiac Surgery Hospital in Bangladesh

et al. 2017

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“…There was also increased morbidity and 30 day morality was statistically notable in patients with higher output, degree of blood and blood product requirements [21,22]. …”

Section: Resultsmentioning

confidence: 99%

Open Heart Surgery: Management of Nonsurgical Bleeding in the Peri-Operative Period; 31/2-Years Institutional Experienc

Ia¹,

Nwafor²,

Eze³

et al. 2017

Int J Vasc Surg Med

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Background: Excessive perioperative bleeding remains a major complication following open heart surgery, resulting in increased morbidity and mortality of some patients in our institution. A study of the principal causes of excessive nonsurgical haemostatic perioperative bleeding, clinical evaluation, treatment and preventive strategies is justifi ed.Objective/Aim: To characterize the causes of bleeding in patients with hemorrhage that did not require re-exploration and assess the impact on the patient outcomes from different causes of nonsurgical bleeding preoperatively. Materials and Methods:For a period of 3 1/2 years (March 2013 -February 2016, the National Cardiothoracic Center of Excellence, UNTH, Ituku/Ozalla, Enugu, Nigeria, partnered with different foreign cardiac missions (USA, UK and India) for the performance of open heart surgery. The case fi les of the patients managed in the envisaged period were retrieved and analyzed using SPSS, version 4.0. The data analyzed were patients' demographics, the total number of open heart surgery cases, the number that had perioperative nonsurgical bleeding, clinical detection strategies, treatment and preventive modalities as well as the outcome.Results: During the period, a total number of 78 cases of open heart surgery (OHS) were done. There were 43 males and 35 females, with a ratio of approximately 4:3. The youngest age was 5 months and the oldest was 74 years, with a mean of 1.0. Out of these 78 cases, a total of 7 patients had perioperative nonsurgical bleeding, giving a percentage of 9%. 3 patients were noticed intraoperatively in the operating room (OR) while 4 were noticed postoperatively in the intensive care unit (ICU). Treatment included preoperative preventive strategies, the use of tranexemic acid or aprotinin, fresh frozen plasma (FFP) or fresh whole blood, platelet concentrate and additional doses of protamine, when incomplete reversal of heparin was the cause. Conclusion:Detection of the cause(s) of nonsurgical bleeding without Thromboelastography or platelet function analyzer can be quite challenging in our environment. Applying appropriate pharmacologic agents among other interventions can reduce allogenic blood requirements with their attendant complications. Research ArticleOpen Heart Surgery: Management

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“…Кроме того, пере-ливание компонентов донорской крови является незави-симым фактором риска увеличения заболеваемости, смертности и послеоперационных затрат лечебного уч-реждения [24]. Послеоперационное кровотечение досто-верно увеличивает 30-дневную летальность [14] и значи-тельно ухудшает течение послеоперационного периода у кардиохирургических пациентов [15,32]. Говоря об эко-номической составляющей, следует отметить, что, по дан-ным литературы, послеоперационное кровотечение уве-личивает сроки госпитализации в среднем на 3 дня, а сто-имость лечения в среднем на 20% [47].…”

Section: кровотечение как фактор риска возникновения стернальной инфеunclassified

Infections in cardiac surgery

Chernyavsky

Таркова

Рузматов

et al. 2016

Khir. Z. im. N.I. Pirogova

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Costs of excessive postoperative hemorrhage in cardiac surgery

Cited by 139 publications

References 20 publications

Clinico-demographic Characteristics of Coronary Artery Bypass Surgery Patients: Experience of 60 Cases at Referral Cardiac Surgery Hospital in Bangladesh

Clinico-demographic Characteristics of Coronary Artery Bypass Surgery Patients: Experience of 60 Cases at Referral Cardiac Surgery Hospital in Bangladesh

Open Heart Surgery: Management of Nonsurgical Bleeding in the Peri-Operative Period; 31/2-Years Institutional Experienc

Infections in cardiac surgery

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