PMID- 18793237
OWN - NLM
STAT- MEDLINE
DCOM- 20090818
LR  - 20090514
IS  - 1540-8191 (Electronic)
IS  - 0886-0440 (Linking)
VI  - 24
IP  - 3
DP  - 2009 May-Jun
TI  - Effect of different preoperative patient characteristics on coronary surgery 
      outcome: a comparative study between a developing and a developed country.
PG  - 275-80
LID - 10.1111/j.1540-8191.2008.00717.x [doi]
AB  - OBJECTIVES: To evaluate the impact of the preoperative patient characteristics on 
      the results of coronary surgery in a developing country compared with a developed 
      country. PATIENTS AND METHODS: Preoperative risk factors for coronary artery 
      disease (CAD) and intraoperative and immediate postoperative variables for 
      coronary surgery were compared. Sixty patients were operated at Ain Shams 
      University in Cairo (Egypt) between March and September 1999, compared with 60 
      patients operated at Hannover medical school (Germany) between March and 
      September 2001. By using univariate analysis and multivariate logistic 
      regression, model predictors for hospital mortality were determined. RESULTS: 
      Groups were comparable regarding a majority of risk factors except age, diabetes, 
      chronic obstructive pulmonary disease (COPD), and hypertension. Seventy percent 
      of the Egyptian patients presented in New York Heart Association (NYHA) class 
      III, whereas 50% of the German patients were in NYHA class II. Fifty percent of 
      the German patients showed left ventricular ejection fraction (LVEF) >60%, 
      whereas 52% of the Egyptian patients had LVEF between 40% and 59%. Diabetes 
      (56.6%) and COPD (43.3%) are the major predictors of hospital mortality among the 
      Egyptian patients as proved by high odds ratio (4.6 and 3.4, respectively). 
      Egyptian patients required prolonged mechanical ventilation and extended 
      intensive care unit and hospital stay. Hospital mortality was 6.7% in the 
      Egyptian versus 1.7% in the German group. CONCLUSION: Diabetes mellitus, COPD, 
      and prolonged mechanical ventilation are the major predictors of hospital 
      mortality in Egypt. This study tries to underline problems of coronary artery 
      bypass graft surgery in different populations.
FAU - Sayed, Sameh
AU  - Sayed S
AD  - Division of Cardiothoracic and Vascular Surgery, Hannover Medical School, 
      Hannover, Germany. samsayed@mailcity.com
FAU - Fischer, Stefan
AU  - Fischer S
FAU - Karck, Matthias
AU  - Karck M
FAU - Hassouna, Ahmed
AU  - Hassouna A
FAU - Haverich, Axel
AU  - Haverich A
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
DEP - 20080912
PL  - United States
TA  - J Card Surg
JT  - Journal of cardiac surgery
JID - 8908809
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - Coronary Artery Bypass/*methods
MH  - Coronary Artery Disease/*surgery
MH  - Developed Countries
MH  - Developing Countries
MH  - Diabetes Complications/complications/*epidemiology
MH  - Egypt/epidemiology
MH  - Female
MH  - Follow-Up Studies
MH  - Germany/epidemiology
MH  - Hospital Mortality
MH  - Humans
MH  - Incidence
MH  - Intraoperative Complications/*epidemiology
MH  - Length of Stay/statistics & numerical data
MH  - Male
MH  - Middle Aged
MH  - Odds Ratio
MH  - Postoperative Complications/*epidemiology
MH  - Prognosis
MH  - Pulmonary Disease, Chronic Obstructive/complications/epidemiology
MH  - Respiration, Artificial/adverse effects
MH  - Retrospective Studies
MH  - Risk Factors
EDAT- 2008/09/17 09:00
MHDA- 2009/08/19 09:00
CRDT- 2008/09/17 09:00
PHST- 2008/09/17 09:00 [pubmed]
PHST- 2009/08/19 09:00 [medline]
PHST- 2008/09/17 09:00 [entrez]
AID - JCS717 [pii]
AID - 10.1111/j.1540-8191.2008.00717.x [doi]
PST - ppublish
SO  - J Card Surg. 2009 May-Jun;24(3):275-80. doi: 10.1111/j.1540-8191.2008.00717.x. 
      Epub 2008 Sep 12.