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 |
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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. |
doi_str_mv | 10.5935/1678-9741.20140073 |
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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 > 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.</description><identifier>ISSN: 0102-7638</identifier><identifier>EISSN: 1678-9741</identifier><identifier>DOI: 10.5935/1678-9741.20140073</identifier><identifier>PMID: 25714203</identifier><language>eng</language><publisher>Brazil: Sociedade Brasileira de Cirurgia Cardiovascular</publisher><subject>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</subject><ispartof>Revista brasileira de cirurgia cardiovascular, 2014, Vol.29 (4), p.513</ispartof><rights>Copyright Sociedade Brasileira de Cirurgia Cardiovascular 2014</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c500t-66e21b713b61b8bbf5ba8b08541cefdda4acae89766e747893f737aad3f9e81e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25714203$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Santos, Carlos Alberto Dos</creatorcontrib><creatorcontrib>Oliveira, Marcos Aurélio Barboza de</creatorcontrib><creatorcontrib>Brandi, Antônio Carlos</creatorcontrib><creatorcontrib>Botelho, Paulo Henrique Husseini</creatorcontrib><creatorcontrib>Brandi, Josélia de Cássia Menin</creatorcontrib><creatorcontrib>Santos, Marcio Antônio Dos</creatorcontrib><creatorcontrib>Godoy, Moacir Fernandes de</creatorcontrib><creatorcontrib>Braile, Domingo Marcolino</creatorcontrib><title>Risk factors for mortality of patients undergoing coronary artery bypass graft surgery</title><title>Revista brasileira de cirurgia cardiovascular</title><addtitle>Rev Bras Cir Cardiovasc</addtitle><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.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Brazil</subject><subject>Cardiology</subject><subject>Coronary Artery Bypass - mortality</subject><subject>Creatinine - blood</subject><subject>Epidemiologic Methods</subject><subject>Female</subject><subject>Heart surgery</subject><subject>Humans</subject><subject>Intraoperative Complications - etiology</subject><subject>Intraoperative Complications - mortality</subject><subject>Kidney Diseases - complications</subject><subject>Length of Stay</subject><subject>Lung Diseases - etiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - mortality</subject><subject>Sex Factors</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0102-7638</issn><issn>1678-9741</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNo9kF9LwzAUxYMobk6_gA8S8LkzN2ma9FGGU2EgiPoakjYpnVtTk_Rh396O_Xk6cDjnXO4PoXsgc14y_gSFkFkpcphTAjkhgl2g6dm8RFMChGaiYHKCbmJcE0IFk-QaTSgXkFPCpujns42_2Okq-RCx8wFvfUh606Yd9g73OrW2SxEPXW1D49uuwZUPvtNhh3VIdhSz63WMuAnaJRyH0IzmLbpyehPt3VFn6Hv58rV4y1Yfr--L51VWcUJSVhSWghHATAFGGuO40dIQyXOorKtrnetKW1mKMShyIUvmBBNa18yVVoJlM_R42O2D_xtsTGrth9CNJxUIQYEDZ-WYoodUFXyMwTrVh3Y7vqCAqD1Ktaem9tTUCeVYejhOD2Zr63PlxI79A-AhcCA</recordid><startdate>2014</startdate><enddate>2014</enddate><creator>Santos, Carlos Alberto Dos</creator><creator>Oliveira, Marcos Aurélio Barboza de</creator><creator>Brandi, Antônio Carlos</creator><creator>Botelho, Paulo Henrique Husseini</creator><creator>Brandi, Josélia de Cássia Menin</creator><creator>Santos, Marcio Antônio Dos</creator><creator>Godoy, Moacir Fernandes de</creator><creator>Braile, Domingo Marcolino</creator><general>Sociedade Brasileira de Cirurgia Cardiovascular</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PADUT</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope></search><sort><creationdate>2014</creationdate><title>Risk factors for mortality of patients undergoing coronary artery bypass graft surgery</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c500t-66e21b713b61b8bbf5ba8b08541cefdda4acae89766e747893f737aad3f9e81e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Brazil</topic><topic>Cardiology</topic><topic>Coronary Artery Bypass - mortality</topic><topic>Creatinine - blood</topic><topic>Epidemiologic Methods</topic><topic>Female</topic><topic>Heart surgery</topic><topic>Humans</topic><topic>Intraoperative Complications - etiology</topic><topic>Intraoperative Complications - mortality</topic><topic>Kidney Diseases - complications</topic><topic>Length of Stay</topic><topic>Lung Diseases - etiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - mortality</topic><topic>Sex Factors</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>Santos, Carlos Alberto Dos</creatorcontrib><creatorcontrib>Oliveira, Marcos Aurélio Barboza de</creatorcontrib><creatorcontrib>Brandi, Antônio Carlos</creatorcontrib><creatorcontrib>Botelho, Paulo Henrique Husseini</creatorcontrib><creatorcontrib>Brandi, Josélia de Cássia Menin</creatorcontrib><creatorcontrib>Santos, Marcio Antônio Dos</creatorcontrib><creatorcontrib>Godoy, Moacir Fernandes de</creatorcontrib><creatorcontrib>Braile, Domingo Marcolino</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Research Library China</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><jtitle>Revista brasileira de cirurgia cardiovascular</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Santos, Carlos Alberto Dos</au><au>Oliveira, Marcos Aurélio Barboza de</au><au>Brandi, Antônio Carlos</au><au>Botelho, Paulo Henrique Husseini</au><au>Brandi, Josélia de Cássia Menin</au><au>Santos, Marcio Antônio Dos</au><au>Godoy, Moacir Fernandes de</au><au>Braile, Domingo Marcolino</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for mortality of patients undergoing coronary artery bypass graft surgery</atitle><jtitle>Revista brasileira de cirurgia cardiovascular</jtitle><addtitle>Rev Bras Cir Cardiovasc</addtitle><date>2014</date><risdate>2014</risdate><volume>29</volume><issue>4</issue><spage>513</spage><pages>513-</pages><issn>0102-7638</issn><eissn>1678-9741</eissn><abstract>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.</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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