Why the study?
Despite advances lowering mortality below 2% for elective cases, postoperative complications after surgical myocardial revascularization remain over 10%, warranting identification of high-risk patients based on coagulation and haemostasis disorders.
Do disorders of coagulation status and haemostasis predict postoperative complications in patients undergoing surgical myocardial revascularization?
Observational (n=28)
No
Do disorders of coagulation status and haemostasis predict postoperative complications in patients undergoing surgical myocardial revascularization?
Odds Ratio: 2.87 (95% CI 1.141–7.22)
p-value: p=0.025
Surgical myocardial revascularization is one of the most commonly performed surgical procedures in the world. Over time, with the development of technology and modern diagnostic procedures, as well as the advancement of surgical techniques, the mortality rate for elective uncomplicated cases has fallen to below 2%. Nevertheless, despite the exceptional development of the surgical techiniques, the rate of postoperative complications, that can compromise the patients, is over 10%. The aim of this study was to define a group of patients with an increased risk of postoperative complications depending on the disorders of coagulation status and haemostasis.
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Milić et al. (2019) conducted an observational in Coronary artery disease requiring surgical myocardial revascularization (n=28). Difference in APTT values (preoperatively vs end of follow-up) vs. Smaller difference in APTT values was evaluated on Risk of postoperative bleeding (OR 2.87, 95% CI 1.141-7.22, p=0.025).
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