PMID- 21073534
OWN - NLM
STAT- MEDLINE
DCOM- 20110607
LR  - 20131121
IS  - 1540-8191 (Electronic)
IS  - 0886-0440 (Linking)
VI  - 26
IP  - 1
DP  - 2011 Jan
TI  - Preoperative prediction of early mortality in patients with low ejection fraction 
      undergoing coronary artery bypass grafting.
PG  - 9-15
LID - 10.1111/j.1540-8191.2010.01161.x [doi]
AB  - BACKGROUND AND AIM OF THE STUDY: Patients with low ejection fraction (EF) 
      undergoing coronary artery bypass grafting (CABG) usually have a higher incidence 
      of mortality and morbidity. In this retrospective study, we sought to detect 
      significant preoperative predictors of early mortality in these patients. 
      METHODS: Patients with an EF of </= 30% who underwent isolated CABG in Catharina 
      Hospital, Eindhoven, the Netherlands, between January 1998 and December 2008 (n = 
      413) were included in this study. All the preoperative patient-related risk 
      factors were entered into a logistic regression analysis model to detect the 
      significant predictors of early mortality. RESULTS: Patients with an EF of </= 30% 
      represent 4.1% of the whole CABG population. The overall early mortality in this 
      patient group was 9.1%. Risk factors for early mortality as identified by the 
      univariate analysis were age, chronic obstructive pulmonary disease (COPD), prior 
      CABG, New York Heart association (NYHA) class, emergency operation, preoperative 
      serum creatinine (SeCr), and preoperative hemoglobin (Hb) level. These factors 
      were entered into the multivariate analysis and were all identified as 
      independent risk factors for early mortality. CONCLUSIONS: This study confirmed 
      the impact of some well-known preoperative risk factors on early outcome in 
      patients with low EF undergoing CABG. In addition, we have shown the predictive 
      value of preoperative SeCr and hemoglobin level that have not yet been 
      described. 
CI  - (c) 2010 Wiley Periodicals, Inc.
FAU - Soliman Hamad, Mohamed A
AU  - Soliman Hamad MA
AD  - Department of Cardio-thoracic Surgery, Catharina Hospital, Brabant Medical 
      School, Eindhoven, The Netherlands. aasmsn@cze.nl
FAU - van Straten, Albert H M
AU  - van Straten AH
FAU - van Zundert, Andre A J
AU  - van Zundert AA
FAU - ter Woorst, Joost F
AU  - ter Woorst JF
FAU - Martens, Elisabeth J
AU  - Martens EJ
FAU - Penn, Olaf C K M
AU  - Penn OC
LA  - eng
PT  - Journal Article
DEP - 20101114
PL  - United States
TA  - J Card Surg
JT  - Journal of cardiac surgery
JID - 8908809
RN  - 0 (Hemoglobins)
RN  - AYI8EX34EU (Creatinine)
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - Cause of Death
MH  - Coronary Artery Bypass/*mortality
MH  - Creatinine/blood
MH  - Female
MH  - Forecasting
MH  - Hemoglobins
MH  - Humans
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Pulmonary Disease, Chronic Obstructive
MH  - Retrospective Studies
MH  - *Risk Factors
MH  - *Stroke Volume
EDAT- 2010/11/16 06:00
MHDA- 2011/06/08 06:00
CRDT- 2010/11/16 06:00
PHST- 2010/11/16 06:00 [entrez]
PHST- 2010/11/16 06:00 [pubmed]
PHST- 2011/06/08 06:00 [medline]
AID - 10.1111/j.1540-8191.2010.01161.x [doi]
PST - ppublish
SO  - J Card Surg. 2011 Jan;26(1):9-15. doi: 10.1111/j.1540-8191.2010.01161.x. Epub 
      2010 Nov 14.