心脏重做手术,并发症发生率和风险预测因素,横断面研究

Seyed Mohammad Hossein Sakhaee, K. Saberi, M. Alemohammad, Hossein Saberi, Shahnaz Sharifi
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引用次数: 0

摘要

背景:考虑心脏病及其术后并发症对患者生活质量的影响,明确术后并发症及患者临床病程的危险预测因素,有助于提高术后初级保健质量,减少并发症,提高患者术后康复。本研究旨在确定术后并发症发生率及相关风险预测因素。材料与方法:本横断面研究对2014-2021年伊玛目霍梅尼医院心脏手术室患者心脏再手术后的临床过程进行研究。在过去6个月内发生过中风、心力衰竭和EF低于25%的患者被排除在研究之外。本研究探讨了患者术前和术中情况(年龄、性别、血红蛋白、血清肌酐、血液制品输血和泵送时间)与术后并发症(死亡、AKI、出血、CVA和肺部并发症)的关系。结果:461例心脏再手术患者,平均年龄(44.54±18.35)岁。最常见的并发症分别是出血(8.24%)、死亡(8.2%)和AKI(19.65美元)。在本研究中,面对死亡和AKI的患者与无并发症的患者相比,在年龄、血红蛋白水平、肌酐水平、泵送时间和血液制品输血方面存在显著差异。术后出血患者比无并发症患者接受更多的血液制品,泵送时间更长,差异有统计学意义。结论:本研究中,心脏再手术死亡患者与无并发症患者在年龄、贫血、术前肾功能衰竭、术中血制品用量等方面存在显著差异。然而,这种差异并不一定产生因果关系;但提出了一些重做心脏手术的风险预测因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cardiac Redo operation, complication rate and risk predictors, a cross sectional study
Background: Considering the effect of heart disease and its post-surgical complications on the patient's quality of life, identifying risk predictors for complications after surgery and the patient's clinical course can help us to improve the quality of primary care after surgery, reduce complications and improve the patient's recovery after surgery. This study aims to determine postoperative complication prevalence and related risk predictors. Material and methods: In this cross-sectional study, the clinical course after cardiac reoperation of patients in the cardiac operating room of Imam Khomeini Hospital during the years 2014-2021was studied. Patients who have had a stroke in the past six months, heart failure, and EF less than 25% were excluded from the study. This study investigates the relationship between preoperative and intraoperative conditions of patients (age, sex, hemoglobin, serum creatinine, blood product transfusion, and pump time) and postoperative complications (death, AKI, bleeding, CVA, and pulmonary complication. Results: This study examined 461 cardiac reoperation patients with a mean age (44.54±18.35). The most common complications were bleeding (8.24%), death (8.2%), and AKI (19.65$), respectively. In this study, there was a significant difference in terms of age, hemoglobin level, creatinine level, pump time, and blood product transfusion in patients faced with death and AKI compared to uncomplicated patients. Patients with postoperative bleeding received more blood products and had a longer pump time than uncomplicated patients, which was statistically significant. Conclusion: In this study, there was a significant difference between deceased and uncomplicated patients after cardiac reoperation in terms of age, anemia, pre operative renal failure, and receiving more blood products during surgery. This difference, however, does not necessarily create a causal relationship; but suggests some risk predictors for redo cardiac surgery.
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