Risk factors for mortality of patients undergoing coronary artery bypass graft surgery

Coronary artery bypass grafting is a safe procedure performed worldwide with low rates of mortality and morbidity in general population. To investigate risk factors for mortality of patients undergoing coronary artery bypass grafting coronary artery bypass grafting surgery. A total of 1,628 consecut...

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Veröffentlicht in:Revista brasileira de cirurgia cardiovascular 2014, Vol.29 (4), p.513
Hauptverfasser: Santos, Carlos Alberto Dos, Oliveira, Marcos Aurélio Barboza de, Brandi, Antônio Carlos, Botelho, Paulo Henrique Husseini, Brandi, Josélia de Cássia Menin, Santos, Marcio Antônio Dos, Godoy, Moacir Fernandes de, Braile, Domingo Marcolino
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container_start_page 513
container_title Revista brasileira de cirurgia cardiovascular
container_volume 29
creator Santos, Carlos Alberto Dos
Oliveira, Marcos Aurélio Barboza de
Brandi, Antônio Carlos
Botelho, Paulo Henrique Husseini
Brandi, Josélia de Cássia Menin
Santos, Marcio Antônio Dos
Godoy, Moacir Fernandes de
Braile, Domingo Marcolino
description Coronary artery bypass grafting is a safe procedure performed worldwide with low rates of mortality and morbidity in general population. To investigate risk factors for mortality of patients undergoing coronary artery bypass grafting coronary artery bypass grafting surgery. A total of 1,628 consecutive patients undergoing on-pump coronary artery bypass grafting were retrospectively studied from December 1999 to February 2012. Data analysis involved paired Student t test, Mann-Whitney test and Fisher's exact test for the categorical data. Logistic regression, Odds Ratio and 95%CI were used for definition of risk factors for mortality. Of a total of 1,628 patients undergoing on-pump coronary artery bypass grafting, 141 (8.7%) died. The following risk factors for mortality were identified after logistic regression: dialysis (OR=7.61; 95%CI 3.58-16.20), neurologic dysfunction type I (OR=4.42; 95%CI 2.48-7.81), use of IABP (OR=3.38; 95%CI 1.98-5.79), cardiopulmonary bypass time (OR=3.09; 95%CI 2.04-4.68), serum creatinine on admission and peak values > 0.4mg/dL (OR=2.67; 95%CI 1.79-4.00), age > 65 years (OR=2.31; 95%CI 1.55-3.44), and time between hospital admission and and surgical procedure (OR=1.53; 95%CI 1.03-2.27). Dialysis, type I neurologic dysfunction, use of IABP, cardiopulmonary bypass time (> 115 minutes), serum creatinine on admission and peak values>0.4mg/dL, age > 65 years and time between hospital admission and surgical procedure were considered as risk factors for mortality in patients undergoing on-pump coronary artery bypass grafting surgery.
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To investigate risk factors for mortality of patients undergoing coronary artery bypass grafting coronary artery bypass grafting surgery. A total of 1,628 consecutive patients undergoing on-pump coronary artery bypass grafting were retrospectively studied from December 1999 to February 2012. Data analysis involved paired Student t test, Mann-Whitney test and Fisher's exact test for the categorical data. Logistic regression, Odds Ratio and 95%CI were used for definition of risk factors for mortality. Of a total of 1,628 patients undergoing on-pump coronary artery bypass grafting, 141 (8.7%) died. The following risk factors for mortality were identified after logistic regression: dialysis (OR=7.61; 95%CI 3.58-16.20), neurologic dysfunction type I (OR=4.42; 95%CI 2.48-7.81), use of IABP (OR=3.38; 95%CI 1.98-5.79), cardiopulmonary bypass time (OR=3.09; 95%CI 2.04-4.68), serum creatinine on admission and peak values &gt; 0.4mg/dL (OR=2.67; 95%CI 1.79-4.00), age &gt; 65 years (OR=2.31; 95%CI 1.55-3.44), and time between hospital admission and and surgical procedure (OR=1.53; 95%CI 1.03-2.27). 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The following risk factors for mortality were identified after logistic regression: dialysis (OR=7.61; 95%CI 3.58-16.20), neurologic dysfunction type I (OR=4.42; 95%CI 2.48-7.81), use of IABP (OR=3.38; 95%CI 1.98-5.79), cardiopulmonary bypass time (OR=3.09; 95%CI 2.04-4.68), serum creatinine on admission and peak values &gt; 0.4mg/dL (OR=2.67; 95%CI 1.79-4.00), age &gt; 65 years (OR=2.31; 95%CI 1.55-3.44), and time between hospital admission and and surgical procedure (OR=1.53; 95%CI 1.03-2.27). 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To investigate risk factors for mortality of patients undergoing coronary artery bypass grafting coronary artery bypass grafting surgery. A total of 1,628 consecutive patients undergoing on-pump coronary artery bypass grafting were retrospectively studied from December 1999 to February 2012. Data analysis involved paired Student t test, Mann-Whitney test and Fisher's exact test for the categorical data. Logistic regression, Odds Ratio and 95%CI were used for definition of risk factors for mortality. Of a total of 1,628 patients undergoing on-pump coronary artery bypass grafting, 141 (8.7%) died. The following risk factors for mortality were identified after logistic regression: dialysis (OR=7.61; 95%CI 3.58-16.20), neurologic dysfunction type I (OR=4.42; 95%CI 2.48-7.81), use of IABP (OR=3.38; 95%CI 1.98-5.79), cardiopulmonary bypass time (OR=3.09; 95%CI 2.04-4.68), serum creatinine on admission and peak values &gt; 0.4mg/dL (OR=2.67; 95%CI 1.79-4.00), age &gt; 65 years (OR=2.31; 95%CI 1.55-3.44), and time between hospital admission and and surgical procedure (OR=1.53; 95%CI 1.03-2.27). Dialysis, type I neurologic dysfunction, use of IABP, cardiopulmonary bypass time (&gt; 115 minutes), serum creatinine on admission and peak values&gt;0.4mg/dL, age &gt; 65 years and time between hospital admission and surgical procedure were considered as risk factors for mortality in patients undergoing on-pump coronary artery bypass grafting surgery.</abstract><cop>Brazil</cop><pub>Sociedade Brasileira de Cirurgia Cardiovascular</pub><pmid>25714203</pmid><doi>10.5935/1678-9741.20140073</doi><oa>free_for_read</oa></addata></record>
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subjects Adult
Age Factors
Aged
Aged, 80 and over
Brazil
Cardiology
Coronary Artery Bypass - mortality
Creatinine - blood
Epidemiologic Methods
Female
Heart surgery
Humans
Intraoperative Complications - etiology
Intraoperative Complications - mortality
Kidney Diseases - complications
Length of Stay
Lung Diseases - etiology
Male
Middle Aged
Postoperative Complications - etiology
Postoperative Complications - mortality
Sex Factors
Time Factors
Treatment Outcome
title Risk factors for mortality of patients undergoing coronary artery bypass graft surgery
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