Outcome and survival analysis of intestinal ischaemia following cardiac surgery.

Interactive Cardiovascular and Thoracic Surgery
Philip Y K PangYeow Leng Chua

Abstract

Intestinal ischaemia is an uncommon (<1%) but serious complication of cardiac surgery with a mortality rate exceeding 50%. Diagnosis of this potentially lethal condition can be difficult and requires a high index of suspicion. The purpose of this study was to analyse the outcomes and prognostic factors in patients who develop intestinal ischaemia following cardiac surgery. In a retrospective review from August 1999 to December 2010, we identified 31 out of 9925 (0.31%) consecutive patients who developed acute intestinal ischaemia following cardiac surgery at our tertiary centre. The overall mortality was 71.0%. The operative mortality was 65.4% in patients who underwent a laparotomy. Survivors of this complication had surgical intervention earlier (7.4 ± 4.9 h) compared with the non-survivors (13.9 ± 11.1 h). A total of 35 perioperative variables were analysed. A univariate analysis identified 12 variables associated with an increased risk of mortality. Logistic multivariate analysis identified the preoperative logistic EuroSCORE and the base excess at the point of diagnosis of intestinal ischaemia as significant predictors of mortality. These factors may aid prognostication in this group of patients. Despite the high mortality...Continue Reading

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Citations

Nov 30, 2013·TheScientificWorldJournal·Cuneyt ErisAhmet Ozyazıcıoglu
Jun 20, 2013·Journal of Cardiothoracic Surgery·Johan NilssonBodil Andersson
Mar 4, 2014·Asian Cardiovascular & Thoracic Annals·Richard WarwickMichael Poullis
Jan 4, 2017·European Heart Journal. Acute Cardiovascular Care·Raphael WurmChristopher Adlbrecht
Oct 4, 2019·Innovative Surgical Sciences·Daniel-Sebastian DohleHerbert de Groot
Dec 8, 2020·Singapore Medical Journal·Evangelos Papadimas, Giap Swee Kang

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