OPERATIVE MORTALITY OF CORONARY ARTERY BYPASS GRAFTING IN PATIENTS WITH LOW SERUM ALBUMIN AFTER NUTRITIONAL SUPPORT

Objectives: The aim of this study was to determine the frequency of operative mortality in patients who had low serum albumin on admission and were undergoing coronary artery bypass grafting (CABG) after nutritional support at a tertiary care cardiac center in Karachi, Pakistan. Methodology: A retrospective study was conducted at an adult cardiac surgery department of the largest tertiary care cardiac center in Karachi, Pakistan. Patients who had undergone isolated CABG during January to December 2019 admitted with low serum albumin (less than 3.5mg/dl) and received nutritional treatment before surgery were included in the study. Patients were monitored for a month to measure the 30 day mortality. Results: There were 82.4% male patients and the mean age was 55.49±8.52 years. Preoperative mean serum haemoglobin, serum creatinine, and serum albumin levels were 12.225±1.19 mg/dl, 1.05±0.21 mg/dl, and 2.825±0.39 mg/dl respectively. Postoperative mortality was recorded in 1.7% of the total patients. Conclusion: In patients with low serum albumin levels and had undergone isolated CABG after nutritional pre-treatment, mortality was mainly associated with peri-operative myocardial infarction. While, the incidence of delayed wound healing and atrial fibrillation were found to be high in these patients.

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Faculty Opinions recommendation of Operative mortality in women and men undergoing coronary artery bypass grafting (from the California Coronary Artery Bypass Grafting Outcomes Reporting Program).

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.2082963.1671061 ◽

2010 ◽

Author(s):

Nanette Wenger ◽

Robbie Williams

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Coronary Artery Bypass ◽

Operative Mortality ◽

Artery Bypass ◽

Bypass Grafting ◽

Artery Bypass Grafting ◽

Grafting From

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Within-Hospital Racial Disparities in Operative Mortality Following Coronary Artery Bypass Grafting

Surgical Innovation ◽

10.1177/15533506211059902 ◽

2021 ◽

pp. 155335062110599

Author(s):

Sitara Murali ◽

Addison Shay ◽

Lillian Y. Lai ◽

Khadijah Breathett ◽

Brahmajee K. Nallamothu ◽

...

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Racial Disparities ◽

Coronary Artery Bypass ◽

Operative Mortality ◽

Artery Bypass ◽

Bypass Grafting ◽

Artery Bypass Grafting

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Trends in per-operative parameters and postoperative complications associated with coronary artery bypass graft surgery (CABG); A four-year retrospective study

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.37.7.4315 ◽

2021 ◽

Vol 37 (7) ◽

Author(s):

Azam Jan ◽

Muhammad Khizar Hayat ◽

Mohammad Ahmed Arsalan Khan ◽

Rafi Ullah

Keyword(s):

Retrospective Study ◽

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Postoperative Complications ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Bypass Graft ◽

Tertiary Care ◽

Bypass Grafting ◽

Artery Bypass Graft

Objective: To determine the patterns of per-operative parameters and early outcomes of patients that underwent CABG surgery during a four-year period. Methods: This is a cross-sectional descriptive study conducted in a tertiary care of hospital from November 2020 to January 2021. All the patients that underwent the isolated coronary artery bypass grafting (CABG) procedure were included in the study from June 2017 till June 2020. Data was collected on a data extraction form and stored in SPSS format which was analyzed for qualitative statistics keeping p<0.05 as significant. All the results were represented in the form of tables. Results: A total of 1,613 patients were operated upon for Coronary Artery Bypass Grafting (CABG) procedure during the study period with 1,222 (75.8%) males and 391 (24.2%) females. Dyslipidemia (71.8%) was the most common risk factor. The average perfusion time decreased only slightly (~1 minute) from 96.01 minutes to 95.07 minutes (2017 to 2020). This change however was not significant (p=0.301). The rate of Left Internal Mammary Artery (LIMA) use stayed relatively stable over the 4-year period fluctuating between 88.7% and 92.9% (p=0.360). The average initial ICU stay (in hours), drain at 12 hours and 24 hours stays almost the same. The rate of mortality peaked in 2018 (4.76%) and subsequently fell to 3.57% by 2020. Conclusion: More males underwent CABG surgery at this tertiary care hospital and the overall complication rate and per-operative parameters improved over the years. The non-risk stratified mortality in this study was found to be higher than developed nations. doi: https://doi.org/10.12669/pjms.37.7.4315 How to cite this:Jan A, Hayat MK, Khan MAA, Ullah R. Trends in per-operative parameters and postoperative complications associated with coronary artery bypass graft surgery (CABG); A four-year retrospective study. Pak J Med Sci. 2021;37(7):---------. doi: https://doi.org/10.12669/pjms.37.7.4315 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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