To investigate the postoperative complications and mortality after reoperative cardiac surgery: an analysis of 146 cases
10.3760/cma.j.cn112434-20220419-00121
- VernacularTitle:146例二次心脏开胸手术后并发症及病死率分析
- Author:
Li YIN
1
;
Wen CHEN
;
Ganyi CHEN
;
Cunhua SU
;
Zhibing QIU
;
Fei XIANG
Author Information
1. 南京医科大学附属南京医院 南京市第一医院胸心血管外科，南京 210006
- Keywords:
Cardiac reoperation;
Postoperative complications;
In-hospital mortality;
Propensity score analysis
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2023;39(1):21-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the postoperative complications and in-hospital mortality of reoperative cardiac surgery, and to explore the feasibility and safety of reoperative cardiac surgery.Methods:The baseline data and clinical information of patients undergoing cardiac surgery in Nanjing First Hospital from November 2012 to November 2021 were retrospectively conducted, and they were divided into the reoperative cardiac surgery group and the primary surgery group according to whether they underwent reoperative cardiac surgery using a propensity score analysis. The intraoperative indicators, postoperative complications and in-hospital mortality were compared between the two groups after matching.Results:After propensity score analysis, 146 cases were included in each of the group. In terms of intraoperative indicators, the cardiopulmonary bypass time [(141.48±47.88)min vs.(105.31±33.56)min], aortic occlusion time [87.0(70.5, 113.3)min vs. 71.5(53.0, 92.0)min], ICU stay time[2( 1, 4)days vs. 2(1, 2)days], postoperative drainage volume [750(460, 1300)ml vs. 610(410, 840)ml], postoperative transfusion of red blood cells [0(0, 3.5)U vs. 0(0, 2)U], the reoperative cardiac surgery group increased with statistically significant differences( P<0.05). Postoperative complications, the two groups had postoperative hypoxemia [15(10.3%) vs. 6(4.1%)], acute kidney injury [10(6.8%) vs. 0(0)], postoperative infection [24(16.4%) vs. 4(2.7%)], cerebral complications [7(4.8%) vs. 1(0.7%)] )], the incidence rate in the reoperative cardiac surgery group was higher with statistically significant differences( P<0.05). There was no significant difference in in-hospital mortality[7(4.8%) vs. 4(2.8%)]( P>0.05). Conclusion:The time of reoperative cardiac surgeryis is longer, postoperative recovery is slower, and postoperative complication rate is higher, but does not increase in-hospital mortality.
