Sousa Alexandre Gonçalves de, Fichino Maria Zenaide Soares, Silva Gilmara Silveira da, Bastos Flávia Cortez Colosimo, Piotto Raquel Ferrari
Brazilian Cardiology Society, São Paulo, SP, Brazil.
Hospital Beneficência Portuguesa, São Paulo, SP, Brazil.
Rev Bras Cir Cardiovasc. 2015 Jan-Mar;30(1):33-9. doi: 10.5935/1678-9741.20140062.
The knowledge of the prevalence of risk factors and comorbidities, as well as the evolution and complications in patients undergoing coronary artery bypass graft allows comparison between institutions and evidence of changes in the profile of patients and postoperative evolution over time.
To profile (risk factors and comorbidities) and clinical outcome (complications) in patients undergoing coronary artery bypass graft in a national institution of great surgical volume.
A retrospective cohort study of patients undergoing coronary artery bypass graft in the hospital Beneficência Portuguesa de São Paulo, from July 2009 to July 2010.
We included 3,010 patients, mean age of 62.2 years and 69.9% male. 83.8% of patients were hypertensive, 36.6% diabetic, 44.5% had dyslipidemia, 15.3% were smokers, 65.7% were overweight/obese, 29.3% had a family history of coronary heart disease. The expected mortality calculated by logistic EuroSCORE was 2.7%. The isolated CABG occurred in 89.3% and 11.9% surgery was performed without cardiopulmonary bypass. The most common complication was cardiac arrhythmia (18.7%), especially acute atrial fibrillation (14.3%). Pneumonia occurred in 6.2% of patients, acute renal failure in 4.4%, mediastinites in 2.1%, stroke in 1.8% and AMI in 1.2%. The in-hospital mortality was 5.4% and in isolated coronary artery bypass graft was 3.5%. The average hospital stay was 11 days with a median of eight days (3-244 days).
The profile of patients undergoing coronary artery bypass graft surgery in this study is similar to other published studies.
了解冠状动脉搭桥手术患者的危险因素和合并症的患病率，以及疾病进展和并发症情况，有助于机构间的比较，并为患者特征变化及术后随时间的演变提供证据。
分析一家大型国立外科机构中接受冠状动脉搭桥手术患者的特征（危险因素和合并症）及临床结局（并发症）。
对圣保罗葡萄牙慈善医院2009年7月至2010年7月期间接受冠状动脉搭桥手术的患者进行回顾性队列研究。
我们纳入了3010例患者，平均年龄62.2岁，男性占69.9%。83.8%的患者患有高血压，36.6%患有糖尿病，44.5%患有血脂异常，15.3%为吸烟者，65.7%超重/肥胖，29.3%有冠心病家族史。根据逻辑欧洲心脏手术风险评估系统计算的预期死亡率为2.7%。单纯冠状动脉搭桥手术占89.3%，11.9%的手术在非体外循环下进行。最常见的并发症是心律失常（18.7%），尤其是急性房颤（14.3%）。6.2%的患者发生肺炎，4.4%发生急性肾衰竭，2.1%发生纵隔炎，1.8%发生中风，1.2%发生急性心肌梗死。住院死亡率为5.4%，单纯冠状动脉搭桥手术的死亡率为3.5%。平均住院时间为11天，中位数为8天（3 - 244天）。
本研究中接受冠状动脉搭桥手术患者的特征与其他已发表研究相似。
