Document Detail


Predictors of neurological morbidity after coronary artery bypass surgery.
MedLine Citation:
PMID:  10219549     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The aim of this study was to analyze the postoperative neurological complications after myocardial revascularization. METHODS: We analyzed the pre-, peri- and postoperative data of 3834 patients who underwent a primary isolated bypass grafting between January 1987 and December 1995. Postoperative neurological complications (A) were divided into mild complications (B) and major complications (C). RESULTS: The incidence of A increased, from 1.4% to 3.0%. Unifactor risk analysis identified: age > 75 years, peripheral vascular atherosclerosis, neurological pathology, aorta-pathology and perioperative myocardial infarction as risk factors for A. Perioperative myocardial infarction and neurological pathology for B; age > 75 years, peripheral vascular atherosclerosis, neurological pathology, perioperative myocardial infarction and aorta pathology for C. Multifactor risk regression analysis identified peripheral vascular atherosclerosis, neurological pathology, aorta-pathology, perioperative myocardial infarction and the time cohort 1993-1995 as independent predictors for A; perioperative myocardial infarction and the time cohort 1993-1995 for B; neurological pathology, aorta-pathology and perioperative myocardial infarction for C. CONCLUSIONS: Peripheral vascular atherosclerosis, neurological pathology, aorta-pathology, the occurrence of a perioperative myocardial infarction and the time cohort 1993-1995 are identified as independent risk factors for neurological complications.
Authors:
D P Janssen; L Noyez; J A van Druten; S H Skotnicki; L K Lacquet
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  15     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  1999 Feb 
Date Detail:
Created Date:  1999-06-16     Completed Date:  1999-06-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  166-72     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Cardiac Surgery 414, University Hospital Nijmegen, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Artery Bypass / adverse effects*
Female
Follow-Up Studies
Humans
Male
Myocardial Ischemia / surgery*
Nervous System Diseases / diagnosis,  etiology*
Prognosis
Retrospective Studies
Risk Factors
Comments/Corrections
Comment In:
Eur J Cardiothorac Surg. 1999 Sep;16(3):397-8   [PMID:  10554873 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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