Colorectal complications following cardiac surgery. Six-year experience
| Autor: | Phillip J. Bendick, Paul Bove, Donald Barkel, Mario Villalba, Thomas Visser, John L. Glover |
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| Rok vydání: | 1995 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment law.invention Colonic Diseases Postoperative Complications Valve replacement law Risk Factors Cardiopulmonary bypass Medicine Humans Cardiac Surgical Procedures Aged Retrospective Studies Cardiopulmonary Bypass Chi-Square Distribution business.industry Gastroenterology General Medicine Perioperative Middle Aged Colorectal surgery Surgery Cardiac surgery Blood pressure Rectal Diseases Bypass surgery Anesthesia Female business Complication |
| Zdroj: | Diseases of the colon and rectum. 38(11) |
| ISSN: | 0012-3706 |
| Popis: | PURPOSE: This study was undertaken to assess colorectal complications following cardiopulmonary bypass surgery. METHOD: This is a retrospective review of 5,801 patients who underwent 5,801 cardiopulmonary bypass procedures from 1985 to 1991. Patients were evaluated for type of bypass procedure, postoperative colorectal complications, age, sex, bypass time, aortic cross-clamp time, electivevs.emergency cases, uses of intra-aortic balloon pump, perioperative hypotension, and use of vasopressors. Statistical analysis was performed using chi-squared analysis and Student'st-test. RESULTS: Nineteen of the 5,801 patients developed 19 colorectal complications, a prevalence of 0.3 percent for the initial hospital stay following bypass surgery. Mortality in those with complications was 37 percent (7/19). Of the 19 complications, 9 (47 percent) followed coronary artery bypass grafting, whereas 10 (53 percent) followed valve replacement or combined coronary artery bypass grafting with other cardiac procedures. Five (26 percent) of the complications followed emergency cases, whereas 14 (74 percent) followed elective cases. Average age of those with complications was 698 years, compared with 63.2 years for those without complications. Average aortic cross-clamp time for those with complications was 71 ±25 minutes; pump time was 106±34 minutes. That was significantly higher than in those without complications. Nine (47 percent) patients with complications required vasopressors during the perioperative period, whereas eight (42 percent) suffered prolonged hypotension (systolic blood pressure |
| Databáze: | OpenAIRE |
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