Association of pre and intraoperative variables with postoperative complications in coronary artery bypass graft surgery
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.5935/1678-9741.20130084 http://hdl.handle.net/11449/140473 |
Resumo: | 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 yearold 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. |
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Association of pre and intraoperative variables with postoperative complications in coronary artery bypass graft surgeryAssociação de variáveis pré e intraoperatórias com complicações pós-operatórias em cirurgia de revascularização do miocárdioMyocardial revascularizationCoronary artery bypassPostoperative complicationsRisk factorsRevascularização miocárdicaPonte de artéria coronáriaComplicações pós-operatóriasFatores de riscoObjective: 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 yearold 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.Objetivo: Associar variáveis pré e intraoperatórias com as complicações pós-operatórias de pacientes submetidos à cirurgia de revascularização miocárdica. Métodos: Foram estudados os fatores de risco pré e intraoperatórios de indivíduos de ambos os sexos, com diagnóstico de insuficiência coronariana, submetidos à cirurgia de revascularização do miocárdio. Resultados: Participaram do estudo 58 indivíduos, com idade média de 62 ± 10 anos e 67% eram do sexo masculino. Catorze (24,1%) pacientes eram fumantes, 39 (67,2%) apresentavam história de infarto do miocárdio prévia, 11 (19%) tinham realizado angioplastia coronariana, 74% apresentavam hipertensão arterial, 27% diabetes mellitus, 64% dislipidemia e 15,5% doença pulmonar obstrutiva crônica. Dezoito (31%) pacientes apresentaram complicações no pós-operatório e as mais frequentes foram infecção na incisão cirúrgica, dificuldades na deambulação, dispneia, infecção urinária e fraqueza generalizada. Pacientes do sexo masculino apresentaram menos complicações que os do sexo feminino (P=0,005). Pacientes com diagnóstico de doença pulmonar obstrutiva crônica permaneceram maior tempo hospitalizados (P=0,019). Complicações pós-operatórias ocorreram em 50% dos pacientes com creatinina aumentada, enquanto que apenas 27,1% dos pacientes com valor normal de creatinina apresentaram complicações (P=0,049). Ocorreram também complicações em 50% dos pacientes com diabetes mellitus, enquanto que apenas 23,8% dos pacientes sem diabetes mellitus tiveram complicações (P=0,032). Os fatores intraoperatórios não apresentaram diferenças significativas estatisticamente. Conclusão: Os fatores pré-operatórios estão associados com complicações pós-operatórias em pacientes submetidos à cirurgia de revascularização miocárdica.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Universidade Sagrado Coração (USC), Bauru, SP, BrasilUniversidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Faculdade de Medicina de Botucatu (FMB), Departamento de Clínica Médica, Botucatu, SP, BrasilUniversidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Faculdade de Medicina de Botucatu (FMB), Departamento de Clínica Médica, Botucatu, SP, BrasilUniversidade Sagrado Coração (USC)Universidade Estadual Paulista (Unesp)Gimenes, CamilaBarrile, Silvia ReginaMartinelli, BrunoRonchi, Carlos FernandoArca, Eduardo AguilarGimenes, Rodrigo [UNESP]Okoshi, Marina Politi [UNESP]Okoshi, Katashi [UNESP]2016-07-07T12:34:00Z2016-07-07T12:34:00Z2013info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article518-523application/pdfhttp://dx.doi.org/10.5935/1678-9741.20130084Revista Brasileira de Cirurgia Cardiovascular, v. 28, n. 4, p. 518-523, 2013.0102-7638http://hdl.handle.net/11449/14047310.5935/1678-9741.20130084S0102-76382013000400017S0102-76382013000400017.pdf15909715763094204463138671998432159097157630942015909715763094200000-0001-8980-8839Currículo Lattesreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengRevista Brasileira de Cirurgia Cardiovascular0.8050,231info:eu-repo/semantics/openAccess2024-08-14T17:22:48Zoai:repositorio.unesp.br:11449/140473Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T17:22:48Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
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 |
title |
Association of pre and intraoperative variables with postoperative complications in coronary artery bypass graft surgery |
spellingShingle |
Association of pre and intraoperative variables with postoperative complications in coronary artery bypass graft surgery Gimenes, Camila Myocardial revascularization Coronary artery bypass Postoperative complications Risk factors Revascularização miocárdica Ponte de artéria coronária Complicações pós-operatórias Fatores de risco |
title_short |
Association of pre and intraoperative variables with postoperative complications in coronary artery bypass graft surgery |
title_full |
Association of pre and intraoperative variables with postoperative complications in coronary artery bypass graft surgery |
title_fullStr |
Association of pre and intraoperative variables with postoperative complications in coronary artery bypass graft surgery |
title_full_unstemmed |
Association of pre and intraoperative variables with postoperative complications in coronary artery bypass graft surgery |
title_sort |
Association of pre and intraoperative variables with postoperative complications in coronary artery bypass graft surgery |
author |
Gimenes, Camila |
author_facet |
Gimenes, Camila Barrile, Silvia Regina Martinelli, Bruno Ronchi, Carlos Fernando Arca, Eduardo Aguilar Gimenes, Rodrigo [UNESP] Okoshi, Marina Politi [UNESP] Okoshi, Katashi [UNESP] |
author_role |
author |
author2 |
Barrile, Silvia Regina Martinelli, Bruno Ronchi, Carlos Fernando Arca, Eduardo Aguilar Gimenes, Rodrigo [UNESP] Okoshi, Marina Politi [UNESP] Okoshi, Katashi [UNESP] |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Sagrado Coração (USC) Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Gimenes, Camila Barrile, Silvia Regina Martinelli, Bruno Ronchi, Carlos Fernando Arca, Eduardo Aguilar Gimenes, Rodrigo [UNESP] Okoshi, Marina Politi [UNESP] Okoshi, Katashi [UNESP] |
dc.subject.por.fl_str_mv |
Myocardial revascularization Coronary artery bypass Postoperative complications Risk factors Revascularização miocárdica Ponte de artéria coronária Complicações pós-operatórias Fatores de risco |
topic |
Myocardial revascularization Coronary artery bypass Postoperative complications Risk factors Revascularização miocárdica Ponte de artéria coronária Complicações pós-operatórias Fatores de risco |
description |
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 yearold 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. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013 2016-07-07T12:34:00Z 2016-07-07T12:34:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.5935/1678-9741.20130084 Revista Brasileira de Cirurgia Cardiovascular, v. 28, n. 4, p. 518-523, 2013. 0102-7638 http://hdl.handle.net/11449/140473 10.5935/1678-9741.20130084 S0102-76382013000400017 S0102-76382013000400017.pdf 1590971576309420 4463138671998432 1590971576309420 1590971576309420 0000-0001-8980-8839 |
url |
http://dx.doi.org/10.5935/1678-9741.20130084 http://hdl.handle.net/11449/140473 |
identifier_str_mv |
Revista Brasileira de Cirurgia Cardiovascular, v. 28, n. 4, p. 518-523, 2013. 0102-7638 10.5935/1678-9741.20130084 S0102-76382013000400017 S0102-76382013000400017.pdf 1590971576309420 4463138671998432 0000-0001-8980-8839 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Revista Brasileira de Cirurgia Cardiovascular 0.805 0,231 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
518-523 application/pdf |
dc.source.none.fl_str_mv |
Currículo Lattes reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1808128135641694208 |