Predicting Operative Mortality after Coronary Artery Bypass Surgery in Males

Daly, Louise; Lonergan, Moira; Graham, I

doi:10.1097/00132586-199410000-00028

Cited by 3 publications

(3 citation statements)

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“…Technological advances and new surgical methods have so far been insufficient to lower the high risk of mortality and morbidity in patients undergoing cardiac surgery [1][2][3]. Mortality and morbidity rates are caused by multiple factors, including left ventricular dysfunction, preoperative anemia, chronic renal failure, coronary artery diameter, advanced age, and socioeconomic status [4][5][6][7][8][9]. The risk involved with cardiac surgery can currently be estimated using certain risk estimation algorithms, the most common of which are the Society of Thoracic Surgeons (STS) score and the Euroscore [10,11].…”

Section: Introductionmentioning

confidence: 99%

Prognostic nutritional index as a marker of mortality: an observational cohort study of patients undergoing cardiac surgery

Gücü¹,

Ozluk²,

Sunbul³

et al. 2021

Rev. Cardiovasc. Med.

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Nutritional problem of the patient is a valuable stiuation in patients undergoing surgery. In this study, we aimed to investigate the relationship between prognostic nutritional index (PNI) and postoperative in-mortality in patients undergoing cardiac surgery. 1003 patients undergoing on-pump cardiac surgery in our hospital between January 2016-January 2020 were included in this study retrospectively. Patients were divided into two groups based on in-hospital mortality, as survivors (Group I, n = 934) and non-survivors (Group II, n = 69). Their preoperative nutritional status was determined using the PNI. Compared to survivors, non-survivors were found to have a significantly higher mean age (62.5 ± 10.8 vs. 67.45 ± 10.1, P < 0.001) and significantly lower mean preoperative ejection fraction (51.6 ± 0.3 vs. 44.5 ± 1.2, P < 0.001). And combined cardiac surgery rate was significantly higher in non-survivors (P = 0.009). Also nonsurvivors had a significantly lower mean PNI compared to survivors (44.76 ± 7.63 vs. 48.34 ± 6.71, P < 0.001). Multivariate analysis Model 1 revealed that age (Odds ratio (OR): 1.

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Section: Introductionmentioning

confidence: 99%

Prognostic nutritional index as a marker of mortality: an observational cohort study of patients undergoing cardiac surgery

Gücü¹,

Ozluk²,

Sunbul³

et al. 2021

Rev. Cardiovasc. Med.

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“…Daly et al [2] tried to determine the influence of five risk factors and stated that the mortality was equally higher in patients having more risk factors. The first known national system of risk stratification dealing with a detailed analysis of various risk factors and their effect on results of surgical treatment was created in the USA (United States of America) during the 1980s.…”

Section: Introductionmentioning

confidence: 99%

Correlation between EuroSCORE and intensive care unit length of stay after coronary surgery

et al. 2011

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During the last several years many authors have found that the European System for Cardiac Operative Risk Evaluation is useful in the prediction of not only postoperative mortality but also of the length of stay in the intensive care unit, complication rate and overall treatment expenses. This study included 329 patients who had undergone isolated surgical myocardial revascularization at our Department during the period from January 1st to June 6th, 2008. For the operative risk evaluation, the additive European System for Cardiac Operative Risk Evaluaion was used. In group I (low risk 0-2%) there were 144 patients (43.7%), whereas group II (medium risk 3-5%) and group III (high risk > or = 6%) included 141 (42.8%) and 44 (13.4%) patients, respectively. The length of stay in the intensive care unit was 25.56, 32.43 and 49.59 hours for groups I, II and III, respectively. The difference in the mean length of stay in the intensive care unit between the groups was highly statistically significant (p < 0.001) with a positive correlation (R = 0.193; p < 0.001). There is a positive correlation in patients who had undergone surgical myocardial revascularization in terms of operative risk expressed by the additive European System for Cardiac Operative Risk Evaluation and length of stay in the intensive care unit, total intubation period and development of early postoperative complications.

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“…Muitos estudos foram desenvolvidos para a melhor orientação de condutas para a RM 6,7 , apesar disso, não haviam critérios padronizados para a avaliação dos resultados operatórios 8,9,10 . Desde os anos 1980, buscaram-se índices para a compilação e posterior análise de resultados dos pacientes submetidos à procedimento cardíaco 11 . Entretanto, estes programas de avaliação de risco operatório não levavam em conta dados de peri-operatório e da admissão do paciente na Unidade de Terapia Intensiva (UTI).…”

Section: Introductionunclassified

Avaliação de uma escala de risco em pacientes submetidos à cirurgia de revascularização do miocárdio: análise de 400 casos

Giffhorn¹

2008

Rev. bras. ter. intensiva

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de 7 corresponderam a casos mais graves. Para a avaliação na admissão à UTI, esta classificação foi associada a valores de parâmetros < a 14 e > de 14. A morbidade foi classificada em complicações maiores e menores. Foram incluídos todos os pacientes em que foi possível obter o registro de todas as variáveis do protocolo. RESULTADOS: Foram avaliados 400 pacientes que fizeram cirurgia com e sem o uso da circulação extracorpórea (CEC). Os fatores de risco pré-operatórios mais encontrados foram a idade entre 65 e 74 anos em 111 casos (27,75%), peso abaixo de 65kg em 106 (26,5%), diabete melito em tratamento em 89 (22,25%). O tempo de CEC foi acima de 160 minutos em 13 casos (6,95%) e o balão intra-aórtico utilizado em 11 (2,75%). No quadro fisiológico de admissão à UTI, a diferença alvéolo-arterial igual ou acima de 250 mmHg foi o parâmetro mais encontrado em 334 pacientes (83,5%), o bicarbonato de sódio arterial abaixo de 21 mmol/L foi identificado em 265 pacientes (66,25%), e o desempenho cardiovascular marginal ou inadequado foi observado em 263 pacientes (65,75%). Complicações maiores ocorreram em 124 pacientes (31%) e a síndrome de baixo débito foi mais freqüente em 64 (51,61%). Foram registrados 22 óbitos (5,5%), sendo os de etiologia cardiovascular os mais freqüentes (40,9%). Em 370 pacientes (92,5%) a avaliação pré-operatória teve como resultado um parâmetro < 6; e, no momento da admissão à UTI, o parâmetro foi < a 14 em 345 casos (86,25%). Os pacientes com parâmetros maiores, tanto no pré-operatório quanto no momento da admissão à UTI, apresentaram mais complicações e maior ocorrência de óbito. CONCLUSÕES: Os parâmetros registrados no momento pré-operatório e no momento da admissão à UTI apresentaram correlação com a probabilidade de óbito e de complicações do paciente e que o parâmetro na admissão à UTI, associado ao de pré e ao peri-operatório é mais informativo tanto para o prognóstico de óbito quanto de complicações. Os modelos ajustados expressaram adequadamente as probabilidades estimadas de óbito e de complicações, em função dos parâmetros no pré-operatório, peri-operatório e na admissão à UTI.]]>

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Predicting Operative Mortality after Coronary Artery Bypass Surgery in Males

Cited by 3 publications

References 0 publications

Prognostic nutritional index as a marker of mortality: an observational cohort study of patients undergoing cardiac surgery

Prognostic nutritional index as a marker of mortality: an observational cohort study of patients undergoing cardiac surgery

Correlation between EuroSCORE and intensive care unit length of stay after coronary surgery

Avaliação de uma escala de risco em pacientes submetidos à cirurgia de revascularização do miocárdio: análise de 400 casos

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