Study on the Risk Factors of Postoperative Hypoxemia in Patients Undergoing Coronary Artery Bypass Grafting
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概要
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Background To investigate 576 patients undergoing coronary artery bypass grafting (CABG) and to evaluate independent high risk factors of postoperative hypoxemia following CABG. Methods and Results The pre-, intra-, and post-operative materials in patients who had CABG performed on them from March 2004 to March 2008 in our hospital were analyzed retrospectively. The relative factors of postoperative hypoxemia were tested through descriptive analysis and logistic regression, and the independent risk factors were obtained. Among the 576 patients investigated, 156 cases suffered from postoperative hypoxemia, and the incidence rate of postoperative hypoxemia was 27.08%. Through descriptive analysis and logistic regression, the independent risk factors of postoperative hypoxemia were as follows: preoperative chronic pulmonary diseases (odds ratio (OR)=8.531, 95% confidence interval (CI) 3.136-23.210), preoperative acute myocardial infarction (OR=3.351, 95% CI 1.539-7.296), and preoperative diabetes (OR=3.108, 95% CI 1.439-6.713). Preoperative acute myocardial infarction (OR=2.091, 95% CI 1.520-4.416) is the independent risk factor during assisted ventilation after surgery, and preoperative chronic pulmonary diseases (OR=7.19, 95% CI 2.807-18.413), pre-operative diabetes (OR=3.605, 95% CI 1.631-7.967), and preoperative acute myocardial infarction (OR=3.604, 95% CI 1.518-8.543) are the 3 independent risk factors after decannulation following CABG. Conclusions Preoperative chronic pulmonary diseases, preoperative acute myocardial infarction, and preoperative diabetes are 3 independent risk factors of postoperative hypoxemia following CABG.
- 社団法人日本循環器学会の論文
- 2008-11-20
著者
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Hu Dayi
中華人民共和国
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Ji Qiang
Department of Thoracic Cardiovascular Surgery, Tongji Hospital, Tongji University
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Mei Yunqing
Department of Thoracic Cardiovascular Surgery, Tongji Hospital, Tongji University
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Wang Xisheng
Department of Thoracic Cardiovascular Surgery, Tongji Hospital, Tongji University
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Feng Jing
Department of Thoracic Cardiovascular Surgery, Tongji Hospital, Tongji University
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Cai Jiangzhi
Department of Thoracic Cardiovascular Surgery, Tongji Hospital, Tongji University
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Sun Yifeng
Department of Thoracic Cardiovascular Surgery, Tongji Hospital, Tongji University
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Xie Shiliang
Department of Thoracic Cardiovascular Surgery, Tongji Hospital, Tongji University Medical School
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FENG Jing
Heart-Lung-Blood Vessel Center of Tongji Universty, Institute of Heart-Lung-Blood Vessel Disease of
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HU Dayi
Heart-Lung-Blood Vessel Center of Tongji University, Institute of Heart-Lung-Blood Vessel Disease of
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Hu Dayi
Heart-lung-blood Vessel Center Of Tongji University Institute Of Heart-lung-blood Vessel Disease Of
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Hu Dayi
Department Of Cardiology People's Hospital Peking University
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Hu Dayi
Heart Center People's Hospital Of Peking University People's Republic Of China
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Mei Yun
Department Of Thoracic Cardiovascular Surgery Tongji Hospital
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Ji Qiang
Department Of Thoracic Cardiovascular Surgery Tongji Hospital
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Cai Jiangzhi
Department Of Thoracic Cardiovascular Surgery Tongji Hospital
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Xie Shiliang
Department Of Thoracic Cardiovascular Surgery Tongji Hospital
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Wang Xisheng
Department Of Thoracic Cardiovascular Surgery Tongji Hospital
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Feng Jing
Department Of Thoracic Cardiovascular Surgery Tongji Hospital
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Sun Yifeng
Department Of Thoracic Cardiovascular Surgery Tongji Hospital
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Li Dawen
Department of Thoracic Cardiovascular Surgery of Tongji Hospital of Tongji University
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Li Dawen
Department Of Thoracic Cardiovascular Surgery Of Tongji Hospital Tongji University
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Hu Dayi
The College Of Medicine Tongji University
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