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  • Marteinsson, Steinthor A.Landspitali Univ Hosp, Dept Cardiothorac Surg, Reykjavik, Iceland. (författare)

Reoperation for bleeding following coronary artery bypass surgery with special focus on long-term outcomes

  • Artikel/kapitelEngelska2020

Förlag, utgivningsår, omfång ...

  • 2020-04-30
  • TAYLOR & FRANCIS LTD,2020
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-450768
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-450768URI
  • https://doi.org/10.1080/14017431.2020.1751265DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Objectives: We studied the incidence and risk factors of reoperation for bleeding following CABG in a nationwide cohort with focus on long-term complications and survival.Design: A retrospective study on 2060 consecutive, isolated CABG patients operated 2001-2016. Outcome of reoperated patients (n = 130) were compared to non-reoperated ones (n = 1930), including major adverse cardiac and cerebrovascular events (MACCE) and overall survival. Risk factors for reoperation were determined using multivariate logistic regression and a Cox proportional hazards model to assess prognostic factors of long-term survival. Median follow-up was 7.6 years.Results: One hundred thirty patients (6.3%) were reoperated with an annual decrease of 4.1% per year over the study period (p=.04). Major complications (18.5 vs. 9.6%) and 30-day mortality (8.5 vs. 1.9%,) were higher in the reoperation group (p<.001). The use of clopidogrel preoperatively (OR 3.62, 95% CI: 1.90-6.57) and reduced left ventricular ejection fraction (OR 2.23, 95% CI: 1.25-3.77) were the strongest predictors of reoperation, whereas off-pump surgery was associated with a lower reoperation risk (OR 0.44, 95% CI: 0.22-0.85). After exluding patients that died within 30 days postoperatively, no difference in long-term survival or freedom from MACCE was found between groups, and reoperation was not an independent risk factor for long-term mortality in multivariate analysis.Conclusions: The reoperation rate in this study was relatively high but decreased significantly over time. Reoperation was associated with twofold increased risk for major complications and fourfold 30-day mortality, but comparable long-term MACCE and survival rates. This implies that if patients survive the first 30 days following reoperation, their long-term outcome is comparable to non-reoperated patients.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Heimisdottir, Alexandra A.Landspitali Univ Hosp, Dept Cardiothorac Surg, Reykjavik, Iceland. (författare)
  • Axelsson, Tomas A.Landspitali Univ Hosp, Dept Cardiothorac Surg, Reykjavik, Iceland. (författare)
  • Johannesdottir, HeraLandspitali Univ Hosp, Dept Cardiothorac Surg, Reykjavik, Iceland. (författare)
  • Arnadottir, Linda O.Landspitali Univ Hosp, Dept Cardiothorac Surg, Reykjavik, Iceland. (författare)
  • Gardarsdottir, Helga R.Landspitali Univ Hosp, Dept Cardiothorac Surg, Reykjavik, Iceland. (författare)
  • Johnsen, ArniLandspitali Univ Hosp, Dept Cardiothorac Surg, Reykjavik, Iceland. (författare)
  • Sigurdsson, Martin, ILandspitali Univ Hosp, Dept Anesthesia & Intens Care, Reykjavik, Iceland.;Univ Iceland, Fac Med, Reykjavik, Iceland. (författare)
  • Helgadottir, SolveigUppsala universitet,Anestesiologi och intensivvård(Swepub:uu)solhe498 (författare)
  • Gudbjartsson, TomasLandspitali Univ Hosp, Dept Cardiothorac Surg, Reykjavik, Iceland.;Univ Iceland, Fac Med, Reykjavik, Iceland. (författare)
  • Landspitali Univ Hosp, Dept Cardiothorac Surg, Reykjavik, Iceland.Landspitali Univ Hosp, Dept Anesthesia & Intens Care, Reykjavik, Iceland.;Univ Iceland, Fac Med, Reykjavik, Iceland. (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Scandinavian Cardiovascular Journal: TAYLOR & FRANCIS LTD54:4, s. 265-2731401-74311651-2006

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