Hemorrhage Related Reexploration following Open Heart Surgery: The Impact of Pre-Operative and Post-Operative Coagulation Testing
| Autor: | Jean C Sines, Timothy S. Hall, Alan J. Spotnitz |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Reoperation
medicine.medical_specialty Postoperative Hemorrhage Perioperative Care Risk Factors Coagulopathy medicine Coagulation testing Humans Radiology Nuclear Medicine and imaging Post operative Cardiac Surgical Procedures Retrospective Studies Cardiopulmonary Bypass business.industry Incidence (epidemiology) Blood Coagulation Disorders medicine.disease Pre operative Surgery Cardiac surgery medicine.anatomical_structure Logistic Models Relative risk Blood Coagulation Tests business Cardiology and Cardiovascular Medicine Artery |
| Zdroj: | Cardiovascular Surgery. 10:146-153 |
| ISSN: | 0967-2109 |
| DOI: | 10.1177/096721090201000210 |
| Popis: | Purpose: Our objective was to determine the association of pre-operative and post-operative coagulation testing abnormalities with the cause of post-operative bleeding requiring re-exploration following cardiac surgery. Methods: Retrospective chart review of post-operative bleeding and the incidence of re-exploration for hemorrhage in 2263 adult patients undergoing elective and emergency open heart surgery which included coronary artery bypass, valvular, and combined valve coronary procedures. Results: Eighty-two patients (3.6%) required re-exploration. Sixty-six percent had surgical bleeding; the remaining 34% were coagulopathic (no surgical site found). The pre-operative PT and ACT were significantly elevated in coagulopathic patients ( PConclusions: Pre-operative testing (ACT, PT) weakly correlated with post-operative coagulopathy. Post-operative coagulation abnormalities were identified with high risk ratios and good diagnostic accuracy when using testing cut-off values to assist in surgical decision making. |
| Databáze: | OpenAIRE |
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