Evaluation of 100 Cases of Mortality after Cardiac Surgery: A Single-Center Experience in Bangladesh

• 作者: Md. Rezwanul Hoque
• 来源期刊: 心血管外科国际期刊(英文)
• 学科: 医学
• 关键词: Cardiac Surgery MORBIDITY MORTALITY EVALUATION
• 年，卷（期）: xxgwkgjqkyw_2020,（7）
• 页码范围: 131-141
• 页数: 11页
• 分类号: R73

摘要

<p style="text-align:justify;background:white;"> <b><span style="font-family:Verdana;">Background: </span></b><span style="font-family:Verdana;">Vigilance ensures safety in cardiac surgery. Performance in cardi</span><span style="font-family:Verdana;">ac surgery</span><span style="font-family:""><span style="font-family:Verdana;"> is often measured by short-term mortality. Several risk factors like advanced age, female gender, higher body mass index, decreased left ventricular function, emergent, and redo operations have appeared recurrently as poor prognostic variables. Evaluation of postoperative mortality is crucial to find loopholes to provide proper care and reduce preventable mortality after cardiac surgery in developing countries with limited infrastructures and resources. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">This is a retrospective study conducted in the Department of C</span><span style="font-family:Verdana;">ardiac Surgery, Bangabandhu Sheikh Mujib Medical University. P</span><span style="font-family:Verdana;">erioperative data of 100 cases of mortality after cardiac surgery performed from </span><span style="font-family:Verdana;">1 January 2014 to 30 May 2018 were collected from the university medical </span><span style="font-family:Verdana;">record. The data on age, gender, body mass index, preoperative investigations, </span><span style="font-family:Verdana;">diagnoses, types of operations, details of cardiopulmonary bypass, and postoperative period of the study populations were evaluated. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">During the study period, about 1627 cases of cardiac surgery were done with an overall mortality rate of 6.15%. The mean age was 41.05 ± 20.19 (0 - 68) years, and 6</span><span style="font-family:Verdana;">6% of patients were male. Preoperative ejection fraction (EF) of the study </span><span style="font-family:Verdana;">population was an average 56.63%