Othman Yad Nuaman, Saeed Shkar Raouf, Baram Aram
Kurdistan High Council of Medical Specialties/Cardiothoracic and Vascular Surgery, Sulaimani DOH, Al Sulaymaniyah, Iraq/Kurdistan Region.
Consultant Cardiovascular Surgeon, College of Medicine, Branch of Clinical Sciences, University of Sulaimani, Head of Cardiac Surgery Department, Sulaimani Cardiac Specialty Hospital, Al Sulaymaniyah, Iraq/Kurdistan Region.
Ann Med Surg (Lond). 2025 Apr 4;87(5):2547-2554. doi: 10.1097/MS9.0000000000003212. eCollection 2025 May.
The leading cause of death worldwide is coronary artery disease. Globally, coronary artery bypass grafting is among the most frequently carried out procedures. A number of factors, including but not limited to gender, age, comorbidities, duration of cardiopulmonary bypass time, and surgical urgency, influence the short-term mortality following Coronary Artery Bypass Grafting (CABG).
220 consecutive CABG patients who underwent surgery between January 2022 and December 2022 were included in a prospective comparative analysis carried out at a single location. Convenience sampling was the approach used to obtain the data.
60.4 ± 9.4 CI (95% 36-81) years was the average age of all patients. Just 32.3% of participants were smokers. In 15.5% of cases, patients had emergent surgery. There was no discernible correlation between the pre-operative and intraoperative composite score and early morbidities. However, emergency surgery had a significant value of ( = 0.018) in relation to hospital mortality. Additionally, there was a strong correlation between in-hospital mortality and the cross-clamp time and CPB ( = 0.000 and 0.05). Our subjects underwent survival analysis using Kaplan-Meier, with a mean follow-up duration of 50.43 ± 12.36 weeks. Eleven deaths were reported in the first year's results.
Survival is significantly impacted by CABG. If at all possible, it is preferable to improve a patient's condition before surgery in order to reduce mortality. The patient's chance of survival is impacted by complications including stroke and extended intubation. In some patients, re-examination should be allowed with a low barrier because the alternative might be fatal.
全球范围内，冠状动脉疾病是主要的死亡原因。在全球，冠状动脉旁路移植术是最常实施的手术之一。包括但不限于性别、年龄、合并症、体外循环时间长短以及手术紧迫性等多种因素，会影响冠状动脉旁路移植术（CABG）后的短期死亡率。
纳入了2022年1月至2022年12月期间在单一地点进行手术的220例连续CABG患者，进行前瞻性对比分析。采用便利抽样方法获取数据。
所有患者的平均年龄为60.4 ± 9.4置信区间（95% 36 - 81）岁。仅有32.3%的参与者为吸烟者。15.5%的病例中患者接受了急诊手术。术前和术中综合评分与早期并发症之间无明显相关性。然而，急诊手术与医院死亡率具有显著的（= 0.018）相关性。此外，住院死亡率与夹闭时间和体外循环之间存在强相关性（= 0.000和0.05）。我们的研究对象采用Kaplan - Meier法进行生存分析，平均随访时长为50.43 ± 12.36周。第一年的结果报告了11例死亡。
CABG对生存有显著影响。如果可能的话，最好在手术前改善患者状况以降低死亡率。中风和延长插管等并发症会影响患者的生存机会。对于一些患者，应允许低门槛的复查，因为否则可能是致命的。
