Outcome of coronary artery bypass grafting in a tertiary-care center in Pakistan

Sheikh, Maryam; Khan, Muhammad; Saeed, Zeb; Furnaz, Shumaila; Sharif, Hasanat

doi:10.1177/0218492314545620

Cited by 3 publications

(3 citation statements)

References 22 publications

(23 reference statements)

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“… 5 An overall mortality after CABG has been estimated to be 3.4%. 6 Secondary prevention of CHD and rehabilitation of cardiac patients after revascularization is of utmost importance in reducing the mortality associated with this disease and achieving the best possible physical, mental and social wellbeing.…”

Section: Introductionmentioning

confidence: 99%

Frequency and predictors of non-adherence to lifestyle modifications and medications after coronary artery bypass grafting: A cross-sectional study

Ali

Yasir

Sherwani

et al. 2017

Indian Heart Journal

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BackgroundNon-adherence to dietary recommendations, exercise and prescribed drug regimens, in coronary heart disease (CHD) patients following coronary artery bypass grafting (CABG), is a major health care issue worldwide.Aims and objectivesThe primary objective of this study was to investigate the frequency and predictors of non-adherence to lifestyle changes and medication among CHD patients after undergoing CABG surgery.MethodThe sample of this cross sectional descriptive study was 265 patients who underwent isolated primary CABG. Participants who met the eligibility criteria were provided with a pre-coded questionnaire 4 weeks or more after surgery. Adherence was assessed on the basis of patient's self-report. Significance of results was analyzed using Chi square test.ResultsRoughly half of the patients were non-adherent to dietary recommendations (n = 120, 45.3%) and exercise (n = 109, 41.1%) while about one third (n = 69, 26%) were non-adherent to prescribed medications. Unwillingness to adopt a new lifestyle and more than one social gathering per week, were found to be statistically significant predictors of non-adherence to diet (p-values < 0.001). Reluctance to follow exercise regimen, busy schedule, and fear that exercise will aggravate heart issues were commonly reported as reasons for non-compliance to exercise. As for non-adherence to medication, forgetfulness, affordability of drugs and too many medications to take were important predictors.ConclusionNon-adherence to lifestyle modifications and medication is an emerging problem worldwide. It is essential for medical health professionals to discuss these predictors and address them individually. Our findings highlight the need for a healthy physician and patient relationship.

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Section: Introductionmentioning

confidence: 99%

Frequency and predictors of non-adherence to lifestyle modifications and medications after coronary artery bypass grafting: A cross-sectional study

Ali

Yasir

Sherwani

et al. 2017

Indian Heart Journal

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“…But we have remained successful to prove that timely surgical intervention, adequate pre-operative management, and regular follow-up are keys to successful outcomes at a newly developed cardiac surgery institute. Institutional results are essential to enable surgeons to determine whether international data are in keeping with local findings [13]. NICVD Sukkur being first of its kind government-funded state of the art cardiac surgical facility has demonstrated impressive surgical results compared with reliable Western standards.…”

Section: Diagnosis and Procedures Frequencymentioning

confidence: 99%

An Overview of First 100 Cardiac Surgery Cases at a Newly Developed Satellite Center in Sukkur, Pakistan

Zia¹,

Mangi²,

Minhaj³

et al. 2020

Cureus

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The aim of this research is to evaluate the in-hospital and early outcomes of the first 100 adult cardiac surgeries performed at a newly developed satellite center in Sukkur, Pakistan. Methods This is an audit of the first 100 adult cardiac surgeries performed at a newly developed satellite center of the National Institute of Cardiovascular Diseases (NICVD) at Sukkur, Pakistan, from March 2018 to November 2018 with 12 months of post-operative follow-up. Patients were offered off-pump coronary artery bypass (OPCAB), on-pump coronary artery bypass (ONCAB), mitral valve replacement (MVR), aortic valve replacement (AVR), minimally invasive cardiac surgery (MICS), and congenital adult congenital heart disease (ACHD) procedures by expert faculty of NICVD with a minimum of five years of post-fellowship experience. Results The mean age was 47.11 ± 14.6 years, with a male predominance of 77%. Hypertension and smoking were the most common risk factors that were observed in 32% and 33%, respectively, followed by diabetes and dyslipidemia with a frequency of 20% and 9%, respectively. The mean EuroSCORE (European System for Cardiac Operative Risk Evaluation) II for this patient cohort was 1.165 ± 0.50, with a maximum score of 2.3 in one patient. Out of 100 procedures, 51 were ONCAB, 19 were OPCAB, 16 were MVR, three were AVR, nine were ACHD, and two were MICS. Survival status post-operative as well as after one year was 100%. The frequency of postoperative bleeding was 7%, mean post-operative mechanical ventilation time was 213 ± 273 hours, and in-hospital stay was 5.41 ± 0.165 days. Lost to follow-up at one year was 4% (four). During the follow-up assessment, 39.5% of the patients had complained of mild-to-moderate intensity retrosternal pain and 4.2% had superficial surgical site infection of the sternal wound. A significant improvement in functional class was observed in 38.5% of patients, whereas 4.2% (four) had a significant drop in functional class post-operatively. Conclusion Providing tertiary care and early cardiac surgical facility to the people of Sukkur at their doorstep, in a newly developed satellite center, has resulted in improved outcomes, early quality treatment facility, and avoidance of long travel time.

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“…(4) CABG was allocated to the American and European Guidelines as a Class-1A indication for multi-ship revascularization. (5) An overall CABG death rate of 3.4 percent was estimated (6) Secondary prevention of CHD and cardiac rehabilitation Patients who have been revascularized are highly necessary to minimize their mortality, and maintain the best possible physical, mental and social well-being.Growing literature has shown that interventions to life style, beneficial modifications to the risk factor and selective use of prophylactic medication scans have decreased the risk of non-fatal and fatal in CHD patients. (7) The importance of dietary improvement, exercise and prophylactic drug therapies is clearly illustrated in existing guidelines.…”

Section: Introductionmentioning

confidence: 99%

To Assess the Effectiveness of Video-Assisted Teaching on Knowledge Regarding Lifestyle Modifications and Drug Regimen in Postoperative Coronary Artery Bypass Graft (CABG) Patients Attending OPD

Savita Pohekar,

Seema Singh,

Samruddhi Gujar

2021

Indian Journal of Forensic Medicine & Toxicology

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Background:In patients suffering from coronary heart disease ( CHD) after coronary artery bypass grafting (CABG), non-adherence to dietary guidelines, exercise, and prescription medication regimens is a major health care concern worldwide. Aim of the Study:To assess the effectiveness of video-assisted teaching on adherence to lifestyle modifications and drug regimen among postoperative coronary artery bypass graft (CABG) patients attending the outpatient department. Objectives:1. Assess the knowledge regarding lifestyle modifications and drugregimen among post-operative CABG patients attending OPD.2. Evaluate the effectiveness of video-assisted teaching on knowledge regarding lifestyle modifications and drugregimen among post-operative CABG patients attending cardiac and medicine OPD.3. Associate post-test knowledge score with selected demographic variables of CABG patients. Material and Methods: A hospital-based interventional study was used one group pre-test and post-test study design with a Quantitative research approach. This study was conducted among 100postoperative CABGattending outpatient departments of the age group from 55 years to 70 and above in Wardha city of Maharashtra state. The demographic data such asage, sex, educational status, monthly income, dietary pattern and duration after CABGalong with 30 knowledge questionnaire regarding lifestyle modifications and drugregimen in postoperativecoronary artery bypass graftwas obtained using a structured pre-tested questionnaire.Data collected were entered into the Microsoft Excel sheet. The statistical analysis was done using SPSS software. Frequencies and percentages were presented for categorical variables. Result: The pre-test findings show that 0-20%had a poor level of knowledge,21-40%had average knowledge,41-60% had good knowledge,61-80 % had very good knowledge. Aftervideo-assistedteaching the post-test scorewas26-50%had average knowledge,51-75% had good knowledgeand76-100 %had very good knowledge, thus it shows that after post-test the knowledge score was increased, applied to find the efficacy of video-assisted teaching't' test was applied and't' value was calculated, The post-test score was considerably higher at 0.05 level than that of pretest score. Hence it indicates that video-assistedefficient teaching. Conclusion:In general, knowledge of lifestyle changes and drug regimen in post-operative patients (CABG) has been average in the pretest and after video-assisted knowledge of adherence to drug regimen and regulation of lifestyle factors like high fat, high cholesterol diet, obesity, smoking and lack of regular exercise has been increased and understanding of the disease dimension has therefore been generated.

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Outcome of coronary artery bypass grafting in a tertiary-care center in Pakistan

Cited by 3 publications

References 22 publications

Frequency and predictors of non-adherence to lifestyle modifications and medications after coronary artery bypass grafting: A cross-sectional study

Frequency and predictors of non-adherence to lifestyle modifications and medications after coronary artery bypass grafting: A cross-sectional study

An Overview of First 100 Cardiac Surgery Cases at a Newly Developed Satellite Center in Sukkur, Pakistan

To Assess the Effectiveness of Video-Assisted Teaching on Knowledge Regarding Lifestyle Modifications and Drug Regimen in Postoperative Coronary Artery Bypass Graft (CABG) Patients Attending OPD

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