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Surgical coronary revascularization in patients with COVID-19; complications and outcomes: A retrospective cohort study.
Ayati, Aryan; Hosseini, Kaveh; Hadizadeh, Alireza; Jalali, Arash; Lotfi-Tokaldany, Masoumeh; Milan, Nesa; Bagheri, Jamshid; Ahmadi Tafti, Seyed Hossein.
  • Ayati A; Tehran Heart Center Research Institute, Tehran Heart Center Tehran University of Medical Sciences Tehran Iran.
  • Hosseini K; Research Center for Advanced Technologies in Cardiovascular Medicine, Tehran Heart Center Tehran University of Medical Sciences Tehran Iran.
  • Hadizadeh A; Tehran Heart Center Research Institute, Tehran Heart Center Tehran University of Medical Sciences Tehran Iran.
  • Jalali A; Research Center for Advanced Technologies in Cardiovascular Medicine, Tehran Heart Center Tehran University of Medical Sciences Tehran Iran.
  • Lotfi-Tokaldany M; Tehran Heart Center Research Institute, Tehran Heart Center Tehran University of Medical Sciences Tehran Iran.
  • Milan N; Tehran Heart Center Research Institute, Tehran Heart Center Tehran University of Medical Sciences Tehran Iran.
  • Bagheri J; Tehran Heart Center Research Institute, Tehran Heart Center Tehran University of Medical Sciences Tehran Iran.
  • Ahmadi Tafti SH; Research Center for Advanced Technologies in Cardiovascular Medicine, Tehran Heart Center Tehran University of Medical Sciences Tehran Iran.
Health Sci Rep ; 5(5): e751, 2022 Sep.
Article in English | MEDLINE | ID: covidwho-1976719
ABSTRACT
Background and

Aims:

Coronary artery disease is high-risk comorbidity of COVID-19 infection. Nonelective coronary artery revascularization in COVID-19 patients carries substantial risk. Therefore, it is essential to understand the risk factors and outcomes fully. This study aims to evaluate the prognosis of coronary artery bypass grafting (CABG) surgery in patients with COVID-19.

Methods:

This retrospective cohort study assesses 171 patients who underwent urgent and emergent CABG in Tehran Heart Center from March 2020 to September 2021. The patients were allocated to cases and controls based on COVID-19 infection status. Demographic and clinical features, alongside the complications and outcomes, were compared between the two groups.

Results:

According to diagnostic criteria, 62 patients were diagnosed with COVID-19 (Case) and 109 patients had no COVID diagnosis (Control). Regarding the demographics and risk factors, hypertension was more prevalent among patients with COVID-19 (64.5% compared to 43.1% p= 0.007). Length of hospital stay, ventilation time, and intensive care unit (ICU) stay time were significantly higher in patients infected with COVID-19. Postoperative complications, including stroke, atrial fibrillation, pleural effusion, blood transfusion, and Inotrope use, were significantly higher in the case group. Mortality rates were also higher in COVID-19 patients with an odds ratio of 1.53; however, this difference is not statistically significant (p 0.44, 95% CI = 0.50-4.01).

Conclusion:

COVID-19 is associated with a significantly higher hospital stay, ventilation time, and ICU stay. Mortality rates are also higher, albeit insignificantly. Various postoperative complications are also higher with COVID-19.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Language: English Journal: Health Sci Rep Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Language: English Journal: Health Sci Rep Year: 2022 Document Type: Article