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In-Hospital Complications of Coronary Artery Bypass Graft Surgery in Patients Older Than 70 Years.

Safaie N, Montazerghaem H, Jodati A, Maghamipour N - J Cardiovasc Thorac Res (2015)

Bottom Line: Totally, 107 patients (21.4%) had complications during hospitalization; these complications were statistically significant in male individuals.Complications included Stroke 1.6%, deep vein thrombosis 0.8%, MI 2.4%, repeat surgery 2.80%, bleeding 2.40%, and more than 48 hours mechanical ventilation in 13.4%.Need for more than 48 hours mechanical ventilation and bleeding after surgery were the most occurred complications in these patients.

View Article: PubMed Central - HTML - PubMed

Affiliation: Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

ABSTRACT

Introduction: Cardiovascular diseases contribute to mortality and morbidity in aged individuals. It is crucial to have a clear perception of coronary artery bypass graft (CABG) risks and benefits to make logical decision in aged patients. Unfortunately, cardiovascular disease researches have focused very little on the aged patients. The aim of the present study is to evaluate in-hospital complications in patients older than 70 years old following CABG operation to determine if CABG is preferred or not considering present complications.

Methods: In a cross sectional study, 500 patients older than 70 years old were randomly selected (70-75 patients for each year) from March 2004 to March 2011. Descriptive statistical methods were used for evaluating the obtained data.

Results: Overall, 70.6% of patients (353 individuals) were male and 29.4% were female (147 individuals). Totally, 107 patients (21.4%) had complications during hospitalization; these complications were statistically significant in male individuals. Complications included Stroke 1.6%, deep vein thrombosis 0.8%, MI 2.4%, repeat surgery 2.80%, bleeding 2.40%, and more than 48 hours mechanical ventilation in 13.4%.

Conclusion: Need for more than 48 hours mechanical ventilation and bleeding after surgery were the most occurred complications in these patients.

No MeSH data available.


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Mentions: Deep vein thrombosis was observed in four patients (0.8%) while 7 cases (1.4%) of intra-hospital death were reported. Accordingly, 28 patients‏ (5.6%) had myocardial infarction (MI) (9 female and 19 male subjects); 16 patients before operation and 12 patients after operation had MI; 8 patients (1.6%) had stroke during hospitalization. 14 patients (2.8%) needed second operations, 12 patients (2.4%) had bleeding during their hospital stay and 13.4% of patients (67 patients) required more than 48 hours of ventilation or reintubation (Figure 2). Bleeding in men was more frequent than women during hospitalization (P = .02). The rate of CABG complications was higher in individuals older than 70 years and with hypercholesteremia (P = .024). Also, complications had a significant correlation with the familial history of heart disease (P = .013). The rate of CABG complications was significantly higher in subjects with history of MI (P = .0001), respiratory disease (P = .000), renal disease (P = .000), stroke (P = .02) and diabetes (P = .009). There was significant relation between diabetes and death in hospital (P = .001).


In-Hospital Complications of Coronary Artery Bypass Graft Surgery in Patients Older Than 70 Years.

Safaie N, Montazerghaem H, Jodati A, Maghamipour N - J Cardiovasc Thorac Res (2015)

© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4492179&req=5

Mentions: Deep vein thrombosis was observed in four patients (0.8%) while 7 cases (1.4%) of intra-hospital death were reported. Accordingly, 28 patients‏ (5.6%) had myocardial infarction (MI) (9 female and 19 male subjects); 16 patients before operation and 12 patients after operation had MI; 8 patients (1.6%) had stroke during hospitalization. 14 patients (2.8%) needed second operations, 12 patients (2.4%) had bleeding during their hospital stay and 13.4% of patients (67 patients) required more than 48 hours of ventilation or reintubation (Figure 2). Bleeding in men was more frequent than women during hospitalization (P = .02). The rate of CABG complications was higher in individuals older than 70 years and with hypercholesteremia (P = .024). Also, complications had a significant correlation with the familial history of heart disease (P = .013). The rate of CABG complications was significantly higher in subjects with history of MI (P = .0001), respiratory disease (P = .000), renal disease (P = .000), stroke (P = .02) and diabetes (P = .009). There was significant relation between diabetes and death in hospital (P = .001).

Bottom Line: Totally, 107 patients (21.4%) had complications during hospitalization; these complications were statistically significant in male individuals.Complications included Stroke 1.6%, deep vein thrombosis 0.8%, MI 2.4%, repeat surgery 2.80%, bleeding 2.40%, and more than 48 hours mechanical ventilation in 13.4%.Need for more than 48 hours mechanical ventilation and bleeding after surgery were the most occurred complications in these patients.

View Article: PubMed Central - HTML - PubMed

Affiliation: Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

ABSTRACT

Introduction: Cardiovascular diseases contribute to mortality and morbidity in aged individuals. It is crucial to have a clear perception of coronary artery bypass graft (CABG) risks and benefits to make logical decision in aged patients. Unfortunately, cardiovascular disease researches have focused very little on the aged patients. The aim of the present study is to evaluate in-hospital complications in patients older than 70 years old following CABG operation to determine if CABG is preferred or not considering present complications.

Methods: In a cross sectional study, 500 patients older than 70 years old were randomly selected (70-75 patients for each year) from March 2004 to March 2011. Descriptive statistical methods were used for evaluating the obtained data.

Results: Overall, 70.6% of patients (353 individuals) were male and 29.4% were female (147 individuals). Totally, 107 patients (21.4%) had complications during hospitalization; these complications were statistically significant in male individuals. Complications included Stroke 1.6%, deep vein thrombosis 0.8%, MI 2.4%, repeat surgery 2.80%, bleeding 2.40%, and more than 48 hours mechanical ventilation in 13.4%.

Conclusion: Need for more than 48 hours mechanical ventilation and bleeding after surgery were the most occurred complications in these patients.

No MeSH data available.


Related in: MedlinePlus