Short-Term Outcomes and Risk Factors of In-Hospital Mortality in Patients Suffering Acute Mesenteric Ischemia after Cardiac Surgery: Role of Opioids and Lactic Acid.

cardiac surgery critical care gastrointestinal complications mesenteric ischemia opioids

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
20 Jan 2023
Historique:
received: 28 09 2022
revised: 08 12 2022
accepted: 19 01 2023
entrez: 11 2 2023
pubmed: 12 2 2023
medline: 12 2 2023
Statut: epublish

Résumé

Acute mesenteric ischemia (AMI) is associated with poor clinical results after cardiac surgery. The aim of this study was to analyse the influence of AMI on short-term outcomes and all relevant risk factors of in-hospital mortality after cardiac surgery. Moreover, we aimed to investigate the role of opioids and lactic acid in the detection and prevention of AMI. Between August 2011 and September 2015, 176 consecutive patients with gastrointestinal complications after undergoing open-heart surgery were identified and included in this study. All patients were divided into two groups: AMI group (n = 39) and non-AMI group (n = 137). In terms of comorbidities, the groups were fairly equal and showed no significant differences. Dialysis was significantly higher (

Identifiants

pubmed: 36769505
pii: jcm12030857
doi: 10.3390/jcm12030857
pmc: PMC9918177
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Ihor Krasivskyi (I)

Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany.

Ilija Djordjevic (I)

Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany.

Mahmoud Tayeh (M)

Department of Vascular Surgery, Evangelical Hospital Bergisch Gladbach, 51465 Bergisch Gladbach, Germany.

Kaveh Eghbalzadeh (K)

Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany.

Borko Ivanov (B)

Department of Cardiothoracic Surgery, Helios Hospital Siegburg, 53721 Siegburg, Germany.

Soi Avgeridou (S)

Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany.

Stephen Gerfer (S)

Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany.

Christopher Gaisendrees (C)

Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany.

Laura Suhr (L)

Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany.

Anton Sabashnikov (A)

Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany.

Christian Jörg Rustenbach (CJ)

Department of Cardiothoracic Surgery, University Hospital Tuebingen, 72016 Tuebingen, Germany.

Navid Mader (N)

Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany.

Fabian Doerr (F)

Department of Thoracic Surgery, University Medicine Essen-Ruhrlandklinik, University Duisburg-Essen, 45239 Essen, Germany.

Thorsten Wahlers (T)

Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany.

Classifications MeSH