Evidence map›Paper›PMID 33505869›Full record

ArticleWorld journal of critical care medicine2021

Intensive care outcome of left main stem disease surgery: A single center three years' experience.

Amr S Omar, Samy Hanoura, Yasser Shouman, Praveen C Sivadasan, Suraj Sudarsanan, Hany Osman, Abdul Rasheed Pattath, Rajvir Singh, Abdulaziz AlKhulaifi

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Article in World journal of critical care medicine, 2021. 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Amr S OmarDepartment of Cardiothoracic Surgery/Cardiac Anaesthesia and Intensive Care Unit, Hamad Medical Corporation, Doha 3050, DA, Qatar.
Samy HanouraDepartment of Cardiothoracic Surgery, Hamad Medical Corporation, Doha 3050, DA, Qatar.
Yasser ShoumanDepartment of Cardiothoracic Surgery, Hamad Medical Corporation, Doha 3050, DA, Qatar.
Praveen C SivadasanDepartment of Cardiothoracic Surgery/Intensive Care Unit Section, Hamad Medical Corporation, Doha 3050, DA, Qatar.
Suraj SudarsananDepartment of Cardiothoracic Surgery, Hamad Medical Corporation, Doha 3050, DA, Qatar.
Hany OsmanDepartment of Cardiothoracic Surgery, Hamad Medical Corporation, Doha 3050, DA, Qatar.
Abdul Rasheed PattathDepartment of Cardiothoracic Surgery, Hamad Medical Corporation, Doha 3050, DA, Qatar.
Rajvir SinghDepartment of Medical Research, Hamad Medical Corporation, Doha 3050, DA, Qatar.
Abdulaziz AlKhulaifiDepartment of Cardiothoracic Surgery, Hamad Medical Corporation, Doha 3050, DA, Qatar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeft main coronary artery (LMCA) supplies more than 80% of the left ventricle, and significant disease of this artery carries a high mortality unless intervened surgically. However, the influence of coronary artery bypass grafting (CABG) surgery on patients with LMCA disease on morbidity intensive care unit (ICU) outcomes needs to be explored. However, the impact of CABG surgery on the morbidity of the ICU population with LMCA disease is worth exploring.

aimTo determine whether LMCA disease is a definitive risk factor of prolonged ICU stay as a primary outcome and early morbidity within the ICU stay as secondary outcome.

methodsRetrospective descriptive study with purposive sampling analyzing 399 patients who underwent isolated urgent or elective CABG. Patients were divided into 2 groups; those with LMCA disease as group 1 (75 patients) and those without LMCA disease as group 2 (324 patients). We correlated ICU outcome parameters including ICU length of stay, post-operative atrial fibrillation, acute kidney injury, re-exploration, perioperative myocardial infarction, post-operative bleeding in both groups.

resultsPatients with LMCA disease had a significantly higher prevalence of diabetes (43.3%

conclusionPost-operative performance of Patients with LMCA disease who underwent CABG were comparable to those without LMCA involvement. Diabetes was more prevalent in patients with LMCA disease. These findings may help in guiding decision making for future practice and stratifying the patients' care.

Indexed as

Cardiac outputCardiac surgeryCoronary graftCritical careLeft main diseaseOutcome

Identifiers

PMID33505869
PMCPMC7805253

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.