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Risk indicators for cerebrovascular complications after coronary artery bypass grafting
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1997 (English)In: The thoracic and cardiovascular surgeon, ISSN 0171-6425, E-ISSN 1439-1902, Vol. 46, no 1, 20-24 p.Article in journal (Refereed) Published
Abstract [en]

All patients from western Sweden were retrospectively studied in whom CABG was performed between June 1, 1988 and June 1, 1991 without simultaneous valve surgery. The aim was to detect clinical factors prior to and at the time of coronary artery bypass grafting (CABG) which were associated with the risk of neurological complications during the postoperative hospital stay. A neurological complication during the hospital stay was registered if a neurological consultation was made and if this consultation diagnosed a neurological deficit. In all, there were 2121 patients in the study, of whom 81 (3.8%) had a neurological complication. 23 of the latter (28%) died before discharge. Among preoperative factors the following appeared as significant independent predictors of a neurological complication: a history of cerebrovascular disease (p < 0.001), diabetes mellitus (p < 0.01), hypertension (p < 0.05), degree of urgency of the operation (p < 0.01), and age (p < 0.01). Among pre- and post-operative events the following predicted a neurological complication: intensive care unit treatment for more than two days (p < 0.001) and respirator required for more than 24 hours (p < 0.001).

Place, publisher, year, edition, pages
Georg Thieme Verlag , 1997. Vol. 46, no 1, 20-24 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hb:diva-7822Local ID: 2320/8690OAI: oai:DiVA.org:hb-7822DiVA: diva2:888704
Available from: 2015-12-22 Created: 2015-12-22 Last updated: 2017-03-22Bibliographically approved

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