Postoperative Period of Myocardial Revascularization Surgery: Retrospective Cohort Study of a Single Center.

Artifical Respiration Body Mass Index Coronary Artery Byspass Length of Stay Mortality Off-Pump Renal Dialysis Ventilator Associated Pneumonia

Journal

Brazilian journal of cardiovascular surgery
ISSN: 1678-9741
Titre abrégé: Braz J Cardiovasc Surg
Pays: Brazil
ID NLM: 101677045

Informations de publication

Date de publication:
04 08 2023
Historique:
medline: 7 8 2023
pubmed: 4 8 2023
entrez: 4 8 2023
Statut: epublish

Résumé

Risk factors and postoperative complications can worsen the condition of patients undergoing coronary artery bypass grafting; some of these factors and complications are closely related to mortality rate. To describe clinical factors and outcomes related to mortality of patients undergoing coronary artery bypass grafting and on invasive mechanical ventilation. This is a single-center retrospective data analysis of patients who underwent coronary artery bypass grafting on invasive mechanical ventilation between 2013 and 2019. Data regarding clinical characteristics, postoperative complications, intensive care unit and mechanical ventilation time, and their relationship with mortality were analyzed. Four hundred seventy-two patients who underwent coronary artery bypass grafting entered the study. Their mean age was 62.3 years, and mean body mass index was 27.3. The mortality rate was 4%. Fifty percent of the patients who had ventilator-associated pneumonia died. Considering the patients who underwent hemotherapy and hemodialysis, 20% and 33% died, respectively. Days of intensive care unit stay and high Acute Physiology and Chronic Health Evaluation score and Simplified Acute Physiology Score were significantly related to death. Factors and clinical conditions such as the patients' age, associated comorbidities, the occurrence of ventilator-associated pneumonia, length of stay in the intensive care unit, and mechanical ventilation time are related to higher mortality in patients undergoing coronary artery bypass grafting.

Identifiants

pubmed: 37540601
doi: 10.21470/1678-9741-2022-0332
pmc: PMC10399580
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e20220332

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Auteurs

Ana Carolina Longui Macedo (ACL)

Postgraduate Program in Sciences of Surgery, Department of Internal Medicine, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil.

Antônio Luís Eiras Falcão (ALE)

Intensive Care Unit, Department of Sciences of Surgery, Faculdade de Ciências Médicas, Hospital de Clínicas da Universidade Estudual de Campinas, Campinas, São Paulo, Brazil.

Luiz Claudio Martins (LC)

Discipline of Internal Medicine and Semiology, Postgraduate Program in Sciences of Surgery, Department of Internal Medicine, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil.

Orlando Petrucci (O)

Cardiac Surgery Division, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil.

Marcos Mello Moreira (MM)

Discipline of Pneumology, Postgraduate Program in Sciences of Surgery, Department of Internal Medicine, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil.

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Classifications MeSH