Bifari Anas E, Sulaimani Rakan K, Khojah Yaser S, Almaghrabi Osama S, AlShaikh Hesham A, Al-Ebrahim Khalid E
Medicine, College of Medicine, King Abdulaziz University, Jeddah, SAU.
Surgery, King Abdulaziz University, Jeddah, SAU.
Cureus. 2020 Sep 21;12(9):e10561. doi: 10.7759/cureus.10561.
Background Information showing risk factor trends in patients undergoing coronary artery bypass graft in Saudi Arabia is scarce. Thus, we aimed to compare cardiovascular risk factors among coronary artery bypass graft patients between two periods: 2012 and 2018. Methods This was a cross-sectional study based on hospital records at a tertiary center in Saudi Arabia. The medical records of 72 patients in 2012 and 111 patients in 2018 were reviewed. The study included all patients who underwent coronary artery bypass grafting for the first time. The chi-square test and independent t-test were used for statistical analysis; P-values less than 0.05 were considered statistically significant. Results The mean (SD) of the patient age was 61.21 (9.74) years in the first period and 58.01 (11.14) years in the second period. The number of patients who smoked was significantly higher in the second period of the study (14.3% in the first period; 27.0% in the second period; P < 0.001). The study also showed an increase in hypertension and diabetes mellitus in the second period compared to the first (70% vs 71.2% and 68.6% vs 72.1%, respectively), and a reduction in the percentage of patients with hypercholesterolemia (18.3% vs 17.1%). However, these findings were non-significant. Conclusions The percentage of smokers was significantly higher in the second period of this research as a consequence of cultural variation and because of the popularity of water-pipe smoking in the society. We recommend the need for increased awareness regarding smoking and the implementation of smoking-cessation programs.
背景信息显示,沙特阿拉伯接受冠状动脉搭桥手术患者的风险因素趋势数据匮乏。因此,我们旨在比较2012年至2018年两个时间段冠状动脉搭桥手术患者的心血管风险因素。方法这是一项基于沙特阿拉伯一家三级中心医院记录的横断面研究。回顾了2012年72例患者和2018年111例患者的病历。该研究纳入了所有首次接受冠状动脉搭桥手术的患者。采用卡方检验和独立t检验进行统计分析;P值小于0.05被认为具有统计学意义。结果第一阶段患者的平均(标准差)年龄为61.21(9.74)岁,第二阶段为58.01(11.14)岁。在研究的第二阶段,吸烟患者的数量显著更高(第一阶段为14.3%;第二阶段为27.0%;P<0.001)。该研究还显示,与第一阶段相比,第二阶段高血压和糖尿病患者有所增加(分别为70%对71.2%和68.6%对72.1%),高胆固醇血症患者的百分比有所下降(18.3%对17.1%)。然而,这些结果无统计学意义。结论由于文化差异以及水烟在社会中的流行,本研究第二阶段吸烟者的百分比显著更高。我们建议提高对吸烟的认识,并实施戒烟计划。