The impact of comorbidities and age on the nosocomial outcomes of patients undergoing coronary artery bypass grafting
Aim. To assess the incidence of unfavorable in-hospital outcomes (fatal and non-fatal complications) following coronary artery bypass grafting (CABG), depending on the age of the patient and the presence of comorbidities.Material and methods. In the period from 2011 to 2012 we included in the study...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
«SILICEA-POLIGRAF» LLC
2019-04-01
|
| Series: | Кардиоваскулярная терапия и профилактика |
| Subjects: | |
| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/735 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849249973202321408 |
|---|---|
| author | O. L. Barbarash I. I. Zhidkova I. A. Shibanova S. V. Ivanov A. N. Sumin I. V. Samorodskaya L. S. Barbarash |
| author_facet | O. L. Barbarash I. I. Zhidkova I. A. Shibanova S. V. Ivanov A. N. Sumin I. V. Samorodskaya L. S. Barbarash |
| author_sort | O. L. Barbarash |
| collection | DOAJ |
| description | Aim. To assess the incidence of unfavorable in-hospital outcomes (fatal and non-fatal complications) following coronary artery bypass grafting (CABG), depending on the age of the patient and the presence of comorbidities.Material and methods. In the period from 2011 to 2012 we included in the study 680 patients for elective CABG (single-site, register, prospective study). Combined clinical endpoint (CCE) included the presence of myocardial infarction (MI), multiple organ dysfunction syndrome (MODS), heart failure (HF), new atrial fibrillation (AF) after CABG, repeat mediastinotomy (of one or more complications) and/or deaths.Results. There is a high prevalence of comorbidities among the patients referred to CABG. One hundred fifty two (22,40%) patients reached the CCEs. The highest rate of the CCEs was recorded in the group of patients undergoing concomitant CABG, compared to the group of patients after isolated CABG. Patients’ age was associated with the development of CCE in the early postoperative period. The highest number of CCEs was registered in the group of patients with combined surgical interventions.Conclusion. Factors associated with the probable development of unfavorable nosocomial outcomes either fatal or non-fatal following is the age of patients 61 years and older, concomitant CABG, and the extracorporeal circulation. |
| format | Article |
| id | doaj-art-142c8a8b6d23432cb83d6d0afdb3fc8a |
| institution | Kabale University |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| publishDate | 2019-04-01 |
| publisher | «SILICEA-POLIGRAF» LLC |
| record_format | Article |
| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj-art-142c8a8b6d23432cb83d6d0afdb3fc8a2025-08-20T03:57:23Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252019-04-01182586410.15829/1728-8800-2019-2-58-641908The impact of comorbidities and age on the nosocomial outcomes of patients undergoing coronary artery bypass graftingO. L. Barbarash0I. I. Zhidkova1I. A. Shibanova2S. V. Ivanov3A. N. Sumin4I. V. Samorodskaya5L. S. Barbarash6Research Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesL.S. Barbarash Kemerovo Regional Clinical Cardiology DispensaryResearch Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesNational Medical Research Center for Preventive MedicineResearch Institute for Complex Issues of Cardiovascular DiseasesAim. To assess the incidence of unfavorable in-hospital outcomes (fatal and non-fatal complications) following coronary artery bypass grafting (CABG), depending on the age of the patient and the presence of comorbidities.Material and methods. In the period from 2011 to 2012 we included in the study 680 patients for elective CABG (single-site, register, prospective study). Combined clinical endpoint (CCE) included the presence of myocardial infarction (MI), multiple organ dysfunction syndrome (MODS), heart failure (HF), new atrial fibrillation (AF) after CABG, repeat mediastinotomy (of one or more complications) and/or deaths.Results. There is a high prevalence of comorbidities among the patients referred to CABG. One hundred fifty two (22,40%) patients reached the CCEs. The highest rate of the CCEs was recorded in the group of patients undergoing concomitant CABG, compared to the group of patients after isolated CABG. Patients’ age was associated with the development of CCE in the early postoperative period. The highest number of CCEs was registered in the group of patients with combined surgical interventions.Conclusion. Factors associated with the probable development of unfavorable nosocomial outcomes either fatal or non-fatal following is the age of patients 61 years and older, concomitant CABG, and the extracorporeal circulation.https://cardiovascular.elpub.ru/jour/article/view/735comorbiditiescoronary artery bypass graftingunfavorable in-hospital outcomes |
| spellingShingle | O. L. Barbarash I. I. Zhidkova I. A. Shibanova S. V. Ivanov A. N. Sumin I. V. Samorodskaya L. S. Barbarash The impact of comorbidities and age on the nosocomial outcomes of patients undergoing coronary artery bypass grafting Кардиоваскулярная терапия и профилактика comorbidities coronary artery bypass grafting unfavorable in-hospital outcomes |
| title | The impact of comorbidities and age on the nosocomial outcomes of patients undergoing coronary artery bypass grafting |
| title_full | The impact of comorbidities and age on the nosocomial outcomes of patients undergoing coronary artery bypass grafting |
| title_fullStr | The impact of comorbidities and age on the nosocomial outcomes of patients undergoing coronary artery bypass grafting |
| title_full_unstemmed | The impact of comorbidities and age on the nosocomial outcomes of patients undergoing coronary artery bypass grafting |
| title_short | The impact of comorbidities and age on the nosocomial outcomes of patients undergoing coronary artery bypass grafting |
| title_sort | impact of comorbidities and age on the nosocomial outcomes of patients undergoing coronary artery bypass grafting |
| topic | comorbidities coronary artery bypass grafting unfavorable in-hospital outcomes |
| url | https://cardiovascular.elpub.ru/jour/article/view/735 |
| work_keys_str_mv | AT olbarbarash theimpactofcomorbiditiesandageonthenosocomialoutcomesofpatientsundergoingcoronaryarterybypassgrafting AT iizhidkova theimpactofcomorbiditiesandageonthenosocomialoutcomesofpatientsundergoingcoronaryarterybypassgrafting AT iashibanova theimpactofcomorbiditiesandageonthenosocomialoutcomesofpatientsundergoingcoronaryarterybypassgrafting AT svivanov theimpactofcomorbiditiesandageonthenosocomialoutcomesofpatientsundergoingcoronaryarterybypassgrafting AT ansumin theimpactofcomorbiditiesandageonthenosocomialoutcomesofpatientsundergoingcoronaryarterybypassgrafting AT ivsamorodskaya theimpactofcomorbiditiesandageonthenosocomialoutcomesofpatientsundergoingcoronaryarterybypassgrafting AT lsbarbarash theimpactofcomorbiditiesandageonthenosocomialoutcomesofpatientsundergoingcoronaryarterybypassgrafting AT olbarbarash impactofcomorbiditiesandageonthenosocomialoutcomesofpatientsundergoingcoronaryarterybypassgrafting AT iizhidkova impactofcomorbiditiesandageonthenosocomialoutcomesofpatientsundergoingcoronaryarterybypassgrafting AT iashibanova impactofcomorbiditiesandageonthenosocomialoutcomesofpatientsundergoingcoronaryarterybypassgrafting AT svivanov impactofcomorbiditiesandageonthenosocomialoutcomesofpatientsundergoingcoronaryarterybypassgrafting AT ansumin impactofcomorbiditiesandageonthenosocomialoutcomesofpatientsundergoingcoronaryarterybypassgrafting AT ivsamorodskaya impactofcomorbiditiesandageonthenosocomialoutcomesofpatientsundergoingcoronaryarterybypassgrafting AT lsbarbarash impactofcomorbiditiesandageonthenosocomialoutcomesofpatientsundergoingcoronaryarterybypassgrafting |