TITLE:
Evaluation of 100 Cases of Mortality after Cardiac Surgery: A Single-Center Experience in Bangladesh
AUTHORS:
Dharmendra Joshi, Mayank Acharya, Niraj Bhattarai, Md. Abir Tazim Chowdhury, Md. Alauddin, Md. Rezwanul Hoque
KEYWORDS:
Cardiac Surgery, Morbidity, Mortality, Evaluation
JOURNAL NAME:
World Journal of Cardiovascular Surgery,
Vol.10 No.7,
July
17,
2020
ABSTRACT:
Background: Vigilance ensures safety in
cardiac surgery. Performance in cardiac
surgery is often measured by short-term mortality. Several
risk factors like advanced age, female gender, higher body mass index,
decreased left ventricular function, emergent, and redo operations have
appeared recurrently as poor prognostic variables. Evaluation of postoperative
mortality is crucial to find loopholes to provide proper care and reduce
preventable mortality after cardiac surgery in developing countries with
limited infrastructures and resources. Methods: This is a retrospective
study conducted in the Department of Cardiac
Surgery, Bangabandhu Sheikh Mujib Medical University. Perioperative data
of 100 cases of mortality after cardiac surgery performed from 1 January 2014 to 30 May 2018 were collected from
the university medical record. The
data on age, gender, body mass index, preoperative investigations, diagnoses,
types of operations, details of cardiopulmonary bypass, and postoperative
period of the study populations were evaluated. Results: During the
study period, about 1627 cases of cardiac surgery were done with an overall
mortality rate of 6.15%. The mean age was 41.05 ± 20.19 (0 - 68) years, and 66% of patients were male. Preoperative ejection
fraction (EF) of the study population
was an average 56.63% ± 11.85%; 9% of the patients had EF ery
was done among 65% of the study population with a mean cross-clamp time and
bypass time of 32.56 ± 11.55 minutes and 80.57 ± 18.09 minutes, respectively. Most
of the mortality was found in the first two weeks after surgery. Conclusion: Mortality after cardiac
surgery is multifactorial. A large-scale prospective study with
comparative groups is required to find out preventable measures of mortality
after cardiac surgery which will improve the quality of services provided to
the patients in developing countries.