Determinants of operative mortality following primary coronary artery bypass surgery

Sadeghi, Navid; Sadeghi, Sarmad; Mood, Zhoobin A.; Karimi, Abbasali

doi:10.1016/s1010-7940(01)01108-3

Cited by 24 publications

(22 citation statements)

References 25 publications

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“…During the time period of our study increasingly older patients with more comorbidities were referred for CABG in accordance with findings in other reports [14][15][16]. Despite documented increase of patients' risk factors over time others and we have observed a progressively declining hospital mortality [15][16][17][18][19].…”

Section: Discussionsupporting

confidence: 90%

Left main coronary artery stenosis no longer a risk factor for early and late death after coronary artery bypass surgery — an experience covering three decades

Jönsson

Hammar

Nordquist³

et al. 2006

European Journal of Cardio-Thoracic Surgery

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During 1970-1999 there was a decrease of early and five-year mortality in patients with LMCA stenosis after CABG despite increase of patient age and risk factors. There were gender differences so that the risk of death in patients with compared with in those without LMCA stenosis was neutralised in males during 1985-1994 and in females during 1994-1999. The continuous decline of mortality during three decades most likely reflects improvement of the peri- and postoperative management of patients undergoing CABG during this period.

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Section: Discussionsupporting

confidence: 90%

Left main coronary artery stenosis no longer a risk factor for early and late death after coronary artery bypass surgery — an experience covering three decades

Jönsson

Hammar

Nordquist³

et al. 2006

European Journal of Cardio-Thoracic Surgery

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“…1,19 The absence of such variables as age and sex may seem surprising, but these fi ndings are echoed by other studies. 1,19,20 It is noteworthy that Ivanov et al reported a remarkable decline in the operative mortality of elderly patients despite an increase in the prevalence and severity of their risk profi le. 20 Other studies in agreement or disagreement with our results are listed in Tables 4 and 5.…”

Section: Discussionmentioning

confidence: 91%

“…Tremendous efforts have been made to develop risk stratifi cation models for a more accurate risk prediction of the mortality of patients undergoing CABG, [1][2][3] which is now the most commonly performed major operation in the world. However, these risk models must be applied with caution and only after careful study and calibration for any specifi c population.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting postoperative morbidity and mortality in isolated coronary artery bypass graft surgery

et al. 2008

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“…Although some authors have reported that LCOS is a rare event after cardiac surgery using cardiopulmonary bypass with incidence rates reaching 0.1 to 2% [11,12], these numbers may be considerably higher in patients undergoing CABG surgery. Regarding the Brazilian data about LCOS after CABG, few studies have been published.…”

Section: Discussionmentioning

confidence: 93%

Risk factors for low cardiac output syndrome after coronary artery bypass grafting surgery

Sá¹,

Nogueira²,

Ferraz³

et al. 2012

Rev Bras Cir Cardiovasc

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Fatores de risco para síndrome de baixo débito cardíaco após cirurgia de revascularização miocárdicaRisk factors for low cardiac output syndrome after coronary artery bypass grafting surgery Abstract Objectives: Low cardiac output syndrome (LCOS) is a serious complication after cardiac surgery and is associated with significant morbidity and mortality. The aim of this study is to identify risk factors for LCOS in patients undergoing coronary artery bypass grafting (CABG) in the Division of Cardiovascular Surgery of Pronto Socorro Cardiológico de Pernambuco -PROCAPE (Recife, PE, Brazil).Methods: A historical prospective study comprising 605 consecutive patients operated between May 2007 and December 2010. We evaluated 12 preoperative and 7 intraoperative variables. We applied univariate and multivariate logistic regression analysis.Results: The incidence of LCOS was 14.7% (n = 89), with a lethality rate of 52.8% (n = 47). In multivariate analysis by logistic regression, four variables remained as independent risk factors: age ≥ 60 years (OR 2.00, 95% CI 1.20 to 6.14, P = 0.009), on-pump CABG (OR 2.16, 95% CI 1.40 to 7.08, P = 0.006), emergency surgery (OR 4.71, 95% CI 1.34 to 26.55, P = 0.028), incomplete revascularization (OR 2.62, 95% CI 1.32 to 5.86, P = 0.003), and ejection fraction <50%.Conclusions: This study identified the following independent risk factors for LCOS after CABG: age ≥ 60 years of off-pump CABG, emergency surgery, incomplete CABG and ejection fraction <50%. Rev Bras Cir Cardiovasc 2012;27(2):217-23

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Determinants of operative mortality following primary coronary artery bypass surgery

Cited by 24 publications

References 25 publications

Left main coronary artery stenosis no longer a risk factor for early and late death after coronary artery bypass surgery — an experience covering three decades

Left main coronary artery stenosis no longer a risk factor for early and late death after coronary artery bypass surgery — an experience covering three decades

Factors affecting postoperative morbidity and mortality in isolated coronary artery bypass graft surgery

Risk factors for low cardiac output syndrome after coronary artery bypass grafting surgery

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