Predictors and outcomes of cardiac complications following elective coronary bypass grafting
| Autor: | Joseph G. Hayes, O. W. Isom, Mary E. Charlson, Janey C. Peterson, Karl H. Krieger |
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| Rok vydání: | 1999 |
| Předmět: |
Male
medicine.medical_specialty Bypass grafting Heart Diseases Cardiac Output Low Myocardial Infarction New York Pulmonary Edema Comorbidity Logistic regression Severity of Illness Index Cohort Studies Coronary artery bypass surgery Intraoperative Period Postoperative Complications Quality of life Monitoring Intraoperative Preoperative Care medicine Humans Single-Blind Method Prospective Studies Coronary Artery Bypass Diuretics Aged Respiratory Distress Syndrome Intraoperative Care business.industry Hemodynamics Cardiovascular Agents General Medicine Middle Aged Prognosis Surgery medicine.anatomical_structure Treatment Outcome Cohort Heart Arrest Induced Functional status Female business Artery Follow-Up Studies |
| Zdroj: | Proceedings of the Association of American Physicians. 111(6) |
| ISSN: | 1081-650X |
| Popis: | Our objective was to determine the predictors of cardiac complications among a cohort of elective coronary artery bypass graft (CABG) surgery patients and to determine the relationship of such complications to subsequent quality of life and symptoms. A total of 248 patients were enrolled and 237 completed 6 month follow-up. The combined rate of both major and minor cardiac complications was 9.7% (n = 24). Patients in this study were evaluated preoperatively, monitored intraoperatively, followed immediately postoperatively and at 6 months. Major cardiac complications accounted for 3.6% (n = 9) and minor complications for 6% (n = 15). Using multivariable logistic regression analysis, the predictors of major cardiac complications were receiving diuretics preoperatively (p = .01) and increased time during cross-clamping (p = .006). At 6 months after surgery, 19% of the patients with postoperative cardiac complications experienced worsening of symptoms, in contrast to only 8% of those without cardiac complications (p = .03). We concluded that patients who were on preoperative diuretics and those who had longer cross-clamp times were at higher risk of cardiac complications. The majority of patients who had acute cardiac complications had improved function and symptoms at 6 months postoperatively. |
| Databáze: | OpenAIRE |
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