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Titolo:
Risk factors for mortality in primary isolated coronary artery bypass grafting surgery
Autore:
Huang, CH; Lai, ST; Weng, ZG;
Indirizzi:
Nany Yang Ming Univ, Sch Med, Dept Surg, Div Cardiovasc Surg, Taipei, Taiwan Nany Yang Ming Univ Taipei Taiwan , Div Cardiovasc Surg, Taipei, Taiwan Vet Gen Hosp, Dept Surg, Div Cardiovasc Surg, Sect 2, Taipei 11217, TaiwanVet Gen Hosp Taipei Taiwan 11217 vasc Surg, Sect 2, Taipei 11217, Taiwan
Titolo Testata:
JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION
fascicolo: 5, volume: 100, anno: 2001,
pagine: 299 - 303
SICI:
0929-6646(200105)100:5<299:RFFMIP>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
MULTIVARIATE DISCRIMINANT-ANALYSIS; OPERATIVE MORTALITY; CARDIAC-SURGERY; EXPERIENCE; EVOLUTION; DISEASE;
Keywords:
coronary artery bypass grafting; hospital mortality; emergency surgery; myocardial infarction; peripheral artery occlusive disease;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Huang, CH Vet Gen Hosp, Dept Surg, Div Cardiovasc Surg, Sect 2, 201,Shih Pai Rd, Taipei 11217, Taiwan Vet Gen Hosp 201,Shih Pai Rd Taipei Taiwan 11217 11217, Taiwan
Citazione:
C.H. Huang et al., "Risk factors for mortality in primary isolated coronary artery bypass grafting surgery", J FORMOS ME, 100(5), 2001, pp. 299-303

Abstract

Background and Purpose: Identifying the risk factors for mortality in coronary artery bypass grafting (CABG) surgery is important to improve surgicalresults. The purpose of this study was to identify the risk factors for mortality in primary isolated CABG in a series of Taiwanese patients. Methods: Medical records of 914 patients who underwent primary isolated CABG surgery in Veterans General Hospital-Taipei during the period from January 1, 1991, to December 31, 1995, were reviewed. Eighteen clinical and seenoperative variables were included in the univariate and multivariate analyses to identify the determinants of mortality in CABS surgery. Results: Thirty-one patients (3.4%) died within 30 days after surgery; 41 (4.5%) died during hospitalization for the procedure. After univariate and multivariate analyses, emergency surgery, history of myocardial infarction,concomitant peripheral artery occlusive disease (PAOD), and prolonged cardiopulmonary bypass (CPB) were found to be significant determinants of mortality in primary isolated CABG. Other variables, including age, ses, angina class, NYHA class, diabetes mellitus, the number of anastomoses, aortic cross-clamp time, stenosis of the left main coronary artery, the number of stenotic coronary artel ies, history of congestive heart failure, and a left ventricular ejection fraction less than 35%, were not significant determinants of mortality. Patients undergoing emergency surgery were found to be at highest risk of mortality. Conclusions: Patients undergoing emergency surgery who had a history of myocardial infarction, concomitant PAOD, or prolonged CPB were at higher riskof mortality in CABG surgery. More comprehensive techniques in myocardial protection, surgical procedures, and post operative cal e should be used inthe treatment of high-risk patients to reduce mortality.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 04:31:29