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

Abstract

After surgery, and with the inclusion of all the pre-, intra-, and postoperative variables into model two, the following were revealed to be prognostic factors for in-hospital mortality: a history of diabetes, hypertension, the presence of angina, CCS grades III or IV, EF -30%, absence of internal mammary artery (IMA) use, prolonged cardiopulmonary bypass (CPB) time, and prolonged ICU stay.

Letalidade e complicações da cirurgia de revascularização miocárdica no Rio de Janeiro, de 1999 a 2003

“…On the other hand, while almost 60% failure, critical preoperative status, prior revascularization, and lesion of the left main coronary artery or combined with other vessels. Prevalence of SABP was higher than that observed in similar studies 12,13 , whereas prevalences of dyslipidemia and diabetes are within those reported in literature 4,12,13 .…”

“…There are accounts that in Brazil, as well as in other countries, mortality following procedures varies among hospitals and that these variances can be regional or spatial, as well as temporal [10][11][12] . Two-thirds of the patients who underwent CABG (Table 1) were men, as has been observed before [11][12][13] . Patient preoperative profiles varied as to age distributions, and clinical characteristics, such as left ventricular dysfunction, renal (23.8%).…”

“…In a meta-analysis, Nalysnyk et al 22 observed a higher prevalence of men, lower rates of ventricular dysfunction, diabetes, and hypertension than in our study. 22 In Iran, Karimi et al 13 , from the Thoracic Surgery Society in the United States, reported on the correlation between volume and mortality of CABG: when the number of surgeries per hospital was lower than 100 procedures/year, the mortality rate was 5.0%, whereas when the number was higher, mortality was 3.2%. 24 In Brazil, from 1996 to 1998, by reviewing AIHs, Noronha et al 25 observed a CABG mortality rate of 7.2%.…”

Readmission to the intensive care unit: An indicator that reflects the potential risks of morbidity and mortality of surgical patients in the intensive care unit

“…The factors affecting the mortality and morbidity in surgery have been widely studied. 2,3 In addition, the ICU readmission during the same hospitalization, which has been identifi ed as an important indicator for the quality of care, also serves as a reliable performance indicator in intensive care. The premature discharge from the ICU (readmission <48 h) and substandard care in the general wards may also contribute to readmission.…”

Predictors and Early Outcome of Prolonged Mechanical Ventilation in Contemporary Heart valve Surgery

“…All data were prospectively entered into the database. The definitions of STS were used for all entries in the database [8]. The protocol was approved by the institutional review board ethical committee of our center.…”