Evidence map›Paper›PMID 33173568›Full record

ArticleWorld journal of cardiology2020

Risk score for predicting abdominal complications after coronary artery bypass grafting.

Dmitry Vladimirovich Belov, Dmitry Victorovich Garbuzenko, Ksenia Alekseevna Abramovskikh, Nikolay Olegovich Arefyev

Open access · diamondAbstract read
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Article in World journal of cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed, 0 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Dmitry Vladimirovich BelovDepartment of Hospital Surgery, Federal Center of Cardiovascular Surgery of the Ministry of Health of Russia (the city of Chelyabinsk), Chelyabinsk 454003, Russia.
Dmitry Victorovich GarbuzenkoDepartment of Faculty Surgery, South Ural State Medical University, Chelyabinsk 454092, Russia.
Ksenia Alekseevna AbramovskikhDepartment of Hospital Surgery, South Ural State Medical University, Chelyabinsk 454092, Russia.
Nikolay Olegovich ArefyevDepartment of Pathological Anatomy and Forensic Medicine, South Ural State Medical University, Chelyabinsk 454092, Russia. nikolai.arefyev@gmail.com.
Ural State Medical University · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough early abdominal complications after coronary artery bypass grafting (CABG) with cardiopulmonary bypass (CPB) are rare, the associated mortality remains high.

aimTo develop a risk score for the prediction of early abdominal complications after CABG with CPB.

methodsThis retrospective study was performed in the Federal State Budgetary Establishment "Federal Center of Cardiovascular Surgery" of the Ministry of Health of Russia (the city of Chelyabinsk) and included data of 6586 patients who underwent CABG with CPB during 2011-2017. The risk factors taken for evaluation were compared between patients with early abdominal complications (

resultsGender and the presence of postinfarction cardiosclerosis, chronic kidney disease, or diabetes in the anamnesis did not affect the occurrence of abdominal complications. The leading risk factors of the early abdominal complications after CABG with CPB were multifocal atherosclerosis, extracorporeal membrane oxygenation, intra-aortic balloon pump, atrial fibrillation, perioperative myocardial infarction, and the need for resternotomy in the postoperative period. The average value of the predicted probability was 0.087 ± 0.015 in patients with early abdominal complications after CABG with CPB and 0.0094 ± 0.0003 in patients without these complications. The percentage of correct classification turned out to be 98.9%. After calculating a score for each of the leading risk factors, we counted a total score for each particular patient. The highest risk was noted in patients with a total score of 7 or more.

conclusionThe developed score predicts the risk of early abdominal complications after CABG with CPB and makes it possible to stratify patients by risk groups.

Indexed as

Abdominal complicationsCardiopulmonary bypassCoronary artery bypass graftingRisk factorsRisk score

Identifiers

PMID33173568
PMCPMC7596419
OpenAlexW3093935082

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