Risk factors for prolonged hospital stay after isolated coronary artery bypass grafting

Objective: Minimal invasive extracorporeal circuits (MiECC) have been associated with a significant reduction in the incidence of postoperative atrial fibrillation (AF). Nevertheless, AF remains one of the most common complications following elective primary coronary artery bypass grafting (CABG). The aim of this study was to identify the predictors of AF persisting beyond the hospital stay in elective primary CABG patients. Methods: We conducted a retrospective analysis for the predictors of AF that persisted beyond discharge between all patients who received an elective isolated CABG in our institution between 2009 and 2014. Patients with a positive history for intermittent or persistent AF were excluded from the analysis. Almost all patients were discharged to a rehabilitation facility where they stayed for 3 to 4 weeks postoperatively. At rehab approximately 91% of them received Holter monitoring at least once prior to their discharge. Results: A total of 770 patients were included in the analysis of which 763 patients survived the in-hospital stay. The incidence of AF at hospital discharge was 4.2% (32/763) while that on Holter monitor at Rehab was 1.5% (10/685). Age and the type of extracorporeal circuit (ECC) utilized were the only significant predictors for both AF at discharge ( p < 0.01 both) and on Holter monitor in rehab ( p < 0.01 and 0.02, respectively). This was also confirmed on multivariate analysis. Conclusion: Our findings show that the benefits of MiECC regarding the incidence of postoperative AF persist beyond hospital discharge. They may thus positively influence the outcomes of patients beyond the early postoperative period.

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Perioperative risk factors for new‐onset postoperative atrial fibrillation among patients after isolated coronary artery bypass grafting: A retrospective study

Journal of Advanced Nursing ◽

10.1111/jan.15045 ◽

2021 ◽

Author(s):

Hong‐Jae Choi ◽

Eun Ji Seo ◽

Jae‐Sung Choi ◽

Se Jin Oh ◽

Youn‐Jung Son

Keyword(s):

Risk Factors ◽

Atrial Fibrillation ◽

Retrospective Study ◽

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Bypass Grafting ◽

Artery Bypass Grafting ◽

New Onset

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Risk factors for the return of mitral regurgitation after coronary artery bypass grafting and mitral valve reconstruction in patients with ischemic cardiomyopathy

10.22541/au.161522486.60013565/v1 ◽

2021 ◽

Author(s):

Iuliia Kareva ◽

Vidadiue Efendiev ◽

Alexey Nesmachnyy ◽

Sardor Rakhmonov ◽

Alexander Chernyavskiy ◽

...

Keyword(s):

Risk Factors ◽

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Mitral Valve ◽

Mitral Regurgitation ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Mitral Insufficiency ◽

Bypass Grafting ◽

Artery Bypass Grafting

Background and Aim: We aimed to identify risk factors for recurrent mitral regurgitation in two surgical treatment groups: isolated coronary artery bypass grafting (CABG) and CABG combined with mitral valve (MV) repair in patients with moderate ischemic mitral regurgitation (IMR). Methods: A single-centre, prospective, randomised study, which included 76 patients with ICM and moderate mitral regurgitation (MR). Study included two groups: isolated CABG and CABG with MV repair (MVR). Isolated annuloplasty was used to correct mitral insufficiency in the CABG + MVR group. Results: Isolated CABG or CABG combined with MVR in patients with ICM does not lead to a statistically significant decreasing of MR in the long-term period compared to baseline values. However, in one year after surgery, the degree of MR after combined surgery is lower than the initial values. The identification of predictors of the progression of IMR in ICM made it possible to determine the threshold values for the effectiveness of MVR, and the assessment of echocardiographic predictors for annuloplasty helps to choose the right surgical tactic of patients. Conclusions: Coronary revascularization with surgical of IMR in patients with ICM does not increase the number of complications in the early postoperative period compared to the group of isolated CABG. In patients with ICM and moderate MR after isolated CABG, the progression of MR (MR of the 3rd degree, initially 0%, after 12 months 31%, after 36 months 71%; p <0.001) was observed even with an initially moderate expansion of the fibrous ring of the MV.

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Risk factors of using intraoperative intraaortic balloon pumping in patients undergoing isolated off-pump coronary artery bypass grafting

Journal of the Japanese Coronary Association ◽

10.7793/jcoron.22.16-00015 ◽

2016 ◽

Vol 23 (1) ◽

pp. 12-16

Author(s):

Tatsuya Seki ◽

Toshihito Yoshida

Keyword(s):

Risk Factors ◽

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Bypass Grafting ◽

Intraaortic Balloon ◽

Artery Bypass Grafting ◽

Off Pump ◽

Pump Coronary Artery Bypass

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Risk Factors for Late Stroke After Coronary Artery Bypass Grafting

ACC Current Journal Review ◽

10.1016/j.accreview.2005.11.077 ◽

2005 ◽

Vol 14 (12) ◽

pp. 48-49

Author(s):

T. Schachner ◽

A. Zimmer ◽

G. Nagele ◽

G. Laufer ◽

J. Bonatti

Keyword(s):

Risk Factors ◽

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Bypass Grafting ◽

Artery Bypass Grafting

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Prevalence of leg wound complications after coronary artery bypass grafting: determination of risk factors

American Journal of Critical Care ◽

10.4037/ajcc1999.8.3.149 ◽

1999 ◽

Vol 8 (3) ◽

pp. 149-153 ◽

Cited By ~ 22

Author(s):

MA Goldsborough ◽

MH Miller ◽

J Gibson ◽

S Creighton-Kelly ◽

CA Custer ◽

...

Keyword(s):

Risk Factors ◽

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Wound Complications ◽

Bypass Grafting ◽

Community Settings ◽

Artery Bypass Grafting

BACKGROUND: The reported prevalence of leg wound complications after coronary artery bypass grafting is 2% to 24%. Decreased length of hospital stay for patients who have this surgical procedure poses new care requirements in both acute care and community settings. OBJECTIVE: To determine the prevalence of postoperative leg wound complications in patients undergoing coronary artery bypass grafting and the risk factors associated with these complications. METHOD: In this prospective, observational study, 547 consecutive patients who had coronary artery bypass grafting alone or in combination with other cardiac surgical procedures were examined for evidence of leg wound complications each day after surgery during hospitalization. After discharge, problems were detected by home care nurses. RESULTS: The prevalence of leg wound complications was 6.8%. Factors significant by multiple logistic regression included preoperative hospitalization, use of an Ace elastic bandage in the operating room, the length of time the leg incision remained open in the operating room, and administration of nicardipine intravenously in the intensive care unit. Odds ratios were calculated for each variable. Premorbid factors such as diabetes or peripheral vascular disease were not predictive of complications. On average, most problems occurred on postoperative day 10, when many patients were at home. CONCLUSIONS: The results highlight the need to detect complications early, in both the hospital and the community settings. The determination of factors related to poor outcomes may assist clinicians in improving healthcare delivery.

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