Jiangsu College of Nursing, Jiangsu, China.
Department of Critical Care Medicine, The Affiliated Huai'an Hospital of Xuzhou Medical University and The Second People's Hospital of Huai'an, Huai'an, Jiangsu, China.
J Int Med Res. 2020 Nov;48(11):300060520971445. doi: 10.1177/0300060520971445.
Acute pulmonary embolism (APE) is a serious complication after off-pump coronary artery bypass grafting (OPCABG). We aimed to analyze the risk factors for APE in patients with OPCABG.
In this retrospective, observational study, patients with OPCABG who were treated in our hospital from 1 January 2018 to 31 March 2020 were included. The basic characteristics of patients and results of preoperative laboratory examinations were collected and analyzed.
A total of 707 patients with OPCABG were included and the incidence of APE was 3.21%. Left ventricular ejection fraction (LVEF), a history of smoking, number of bypass grafting, duration of surgery, and age were significant risk factors for APE in patients with OPCABG. The areas under the curves of LVEF, number of bypass grafting, duration of surgery, and age were 0.773, 0.759, 0.738, and 0.723, respectively. The cutoff values of LVEF, number of bypass grafting, duration of surgery, and age were 59.84, 3.18, 237.42, and 73.28, respectively.
LVEF, a history of smoking, number of bypass grafting, duration of surgery, and age may be risk factors for APE in patients with OPCABG. Early measures should be taken to target these risks to prevent APE.
非体外循环冠状动脉旁路移植术（OPCABG）后急性肺栓塞（APE）是一种严重的并发症。本研究旨在分析 OPCABG 患者发生 APE 的危险因素。
本回顾性观察性研究纳入了 2018 年 1 月 1 日至 2020 年 3 月 31 日在我院接受 OPCABG 治疗的患者。收集并分析了患者的基本特征和术前实验室检查结果。
共纳入 707 例行 OPCABG 患者，APE 发生率为 3.21%。左心室射血分数（LVEF）、吸烟史、旁路移植数量、手术持续时间和年龄是 OPCABG 患者发生 APE 的显著危险因素。LVEF、旁路移植数量、手术持续时间和年龄的曲线下面积分别为 0.773、0.759、0.738 和 0.723。LVEF、旁路移植数量、手术持续时间和年龄的截断值分别为 59.84、3.18、237.42 和 73.28。
LVEF、吸烟史、旁路移植数量、手术持续时间和年龄可能是 OPCABG 患者发生 APE 的危险因素。应针对这些风险采取早期措施，以预防 APE 的发生。
