Incidence, risk factors, and prognostic impact of re-exploration for bleeding after cardiac surgery: A retrospective cohort study

International Journal of Surgery
Lucas B OhmesMario Gaudino

Abstract

Postoperative re-exploration for bleeding (RB) is a frequent complication following cardiac surgery. We aim to assess incidence, risk factors, and prognostic significance of RB in a large cohort of cardiac patients. We reviewed prospectively collected data for all patients who underwent cardiac surgery at our institution from 2007 to 2015. Logistic regression analysis was used to identify independent predictors of RB and specific outcomes. Propensity matching using a 1:1-ratio compared outcomes of patients who had RB with patients who did not. During the study period, 7381 patients underwent cardiac operations. Of them, 189 (2.6%) underwent RB. RB was an independent predictor of in-hospital mortality (Odds Ratio (OR):2.62 Confidence Interval (CI):1.38-4.96; p = 0.003), major adverse events (OR:3.94, CI:2.79-5.62; p < 0.001), gastrointestinal events (OR:3.54 CI:1.73-7.24), renal failure (OR:2.44, CI:1.23-4.82), prolonged ventilation (OR:3.83, CI:2.60-5.62, p < 0.001), and sepsis (OR:2.50, CI:1.03-6.04, p = 0.043). Preoperative shock (OR:3.68, CI:1.66-8.13; p = 0.001), congestive heart failure (OR:1.70 CI:1.24-2.32; p = 0.001), and urgent and emergent status (OR:2.27, CI:1.65-3.12 and OR:3.57, CI:1.89-6.75; p < 0.001 for both) we...Continue Reading

Citations

Oct 17, 2018·Interactive Cardiovascular and Thoracic Surgery·Jason M AliNarain Moorjani
Nov 7, 2019·Journal of Cardiac Surgery·Ilija DjordjevicThorsten Wahlers
Oct 2, 2020·Circulation Journal : Official Journal of the Japanese Circulation Society·Keiichiro IwasakiNorihide Fukushima
Oct 23, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jason M AliNarain Moorjani
Sep 22, 2020·The Annals of Thoracic Surgery·Jason M AliNarain Moorjani
Jun 9, 2021·Journal of Cardiothoracic Surgery·Ahmed Abdelrahman ElassalOsama Saber Eldib
Apr 21, 2021·The Annals of Thoracic Surgery·Zachary TranPeyman Benharash

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