Key result
Cardiac surgery under cardiopulmonary bypass was associated with a 51% incidence of at least one perioperative complication, most commonly cardiac rhythm disorders (34.4%).
Why the study?
Postoperative complications after cardiac surgery signal care quality, making it critical to identify complications linked to substantial postoperative morbidity and extended hospital stay.
Observational (n=151)
No
In a cohort of 151 patients undergoing cardiac surgery under cardiopulmonary bypass, 51% experienced at least one perioperative complication, most frequently cardiac rhythm disorders.
Calls for enhanced perioperative monitoring in cardiac surgery; leaves open targeted prevention strategies for prospective trials.
Introduction: Following cardiac surgery, complications such as cardiac, pulmonary, renal, and neurological diseases, infections like pneumonia or sepsis, and extended stays in the intensive care unit (ICU) and hospital are signs of both the quality of care and the quality of life. Therefore, it's critical to pinpoint the complications that put patients at risk for substantial postoperative morbidity and extended lengths of hospital stay. Aims & Objectives: To study nature and incidence of perioperative complications in patients undergoing cardiac surgery under cardiopulmonary bypass. Material & Methods: This study included 151 patients, of any age, either sex, planned for cardiac surgery under cardiopulmonary bypass (like Valve replacement, valve repairs, CABG, myxoma excision, Congenital Heart Diseases like ASD, VSD, TOF). The data regarding demographic profile and postoperative complications were collected. RESULTS; There were total of 151 patients in our study including 66 males (43.7%) and 85 females (56.3%). Age of the subjects ranged from 1 to 70 years with a mean of 26.39 ± 18.67 years (Median of 25 years). Mean age of males was 26.27 ± 20.72 years and mean age of females was 26.49 ± 17.03 years. About 51 % patients in our study had at least one of the complications. The most common complication was rhythm disorder which was present in 34.4% of all patients. ARDS developed in 1.3% of patients. Infections were present in 27 patients (17.9%). Dyselectrolytemia was present in 11 patients (7.3%). Conclusion: Cardiac surgery under cardiopulmonary bypass is associated with as cardiac, pulmonary, renal, and neurological diseases, infections like pneumonia or sepsis. The most common complication was rhythm disorder which was present in 34.4% of all patients. ARDS developed in 1.3% of patients. Infections were present in 27 patients (17.9%). Dyselectrolytemia was present in 11 patients (7.3%).
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Juwhyreeyeh et al. (2023) conducted an observational in Patients undergoing cardiac surgery under cardiopulmonary bypass (n=151). Cardiac surgery under cardiopulmonary bypass was evaluated on Incidence of any perioperative complication. Cardiac surgery under cardiopulmonary bypass was associated with a 51% incidence of at least one perioperative complication, most commonly cardiac rhythm disorders (34.4%).
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