Association of pre and intraoperative variables with postoperative complications in coronary artery bypass graft surgery / Associação de variáveis pré e intraoperatórias com complicações pós-operatórias em cirurgia de revascularização do miocárdio
Gimenes, Camila; Barrile, Silvia Regina; Martinelli, Bruno; Ronchi, Carlos Fernando; Arca, Eduardo Aguilar; Gimenes, Rodrigo; Okoshi, Marina Politi; Okoshi, Katashi.
Rev. bras. cir. cardiovasc
; 28(4): 518-523, out.-dez. 2013. tab
Artículo
en Inglés
| LILACS | ID: lil-703121
OBJECTIVE:
To associate the pre- and intraoperative variables with postoperative complications of patients undergoing coronary artery bypass graft surgery.METHODS:
The pre- and intraoperative risk factors of individuals of both genders with diagnosis of coronary insufficiency undergoing coronary artery bypass graft have been studied.RESULTS:
Fifty-eight individuals with median age 62 ± 10 year-old were included in the study, 67% of whom were male. Fourteen (24.1%) patients were smokers, 39 (67.2%) had previous myocardial infarction history, 11 (19%) had undergone coronary angioplasty, 74% had hypertension, 27% had diabetes mellitus, 64% had dyslipidemia and 15.5% had chronic obstructive pulmonary disease. Eighteen (31%) patients presented postoperative complications, most frequent being infection in surgical incision, difficulties in deambulation, dyspnea, urinary infection and generalized weakness. Male patients had fewer complications than females (P=0.005). Patients with chronic obstructive pulmonary disease remained hospitalized for longer time periods (P=0.019). Postoperative complications occurred in 50% of the patients with creatinine increased, while only 27.1% of the patients with normal value of creatinine had complications (P=0.049). In addition, complications occurred in 50% of the patients with diabetes mellitus, while only 23.8% of patients without diabetes mellitus had complications (P=0.032). The intraoperative factors showed no statistically significant differences.CONCLUSION:
The preoperative factors are associated with postoperative complications in patients undergoing coronary artery bypass graft surgery.
Biblioteca responsable:
BR1.1
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