Background: One of the most undesired complications after open heart
operations is bleeding. In our study, we set ourselves two different
goals: examining ‘Papworth, Will-Bleed, Track and Trust’ bleeding
scoring systems to determine the most predictive one among diabetic
patients undergoing isolated coronary bypass surgery, and determining
the variables that should be included in the new scoring systems to be
established for this patient group. Methods: The files of 297 diabetic
patients who underwent isolated coronary artery bypass operation between
2017-2019 were retrospectively reviewed. Patients who underwent
emergency surgery with a beating heart, those with reoperated open hart
surgery, those with ticagrelor use, and those who died within the first
24 postoperative hours were excluded from the study. Drainage from the
thorax and mediastinal tubes and blood product transfusions to the
patients within the first 24 hours were noted and analyzed according to
scoring systems. Results: Scoring systems are evaluated based on
‘European Multicenter Study on Coronary Artery Bypass Grafting Bleeding
Severity (E-CABG)’. In this study including diabetic patients only,
Papworth was better predictive of E-CABG bleeding Grade 2-3. We found
that Will-Bleed, Track, Trust, the other scoring systems we examined had
discriminatory value in terms of E-CABG bleeding Grade 2-3 in our study
group. Among the parameters in the scoring systems, we concluded that
gender, preoperative hemoglobin (or hematocrit) value, preoperative
platelet count, use of antiplatelets until less than five days prior to
the operation, and preoperative creatinine (or eGFR) values should be
included in the scoring system we aim to establish in the future, called
the “Optimum Risk Score for Bleeding (ORS).” Conclusion: Considering
the possible risks of bleeding and blood product transfusion, scoring
systems that will provide accurate results for patient blood management
will be lifesaving and increase the cost-effectiveness of the treatment.