COMORBIDITY IN CORONARY HEART DISEASE PATIENTS UNDERGOING BYPASS GRAFTING: AN EXPERIENCE OF TWO SURGERY CENTERS
Aim. To evaluate the prevalence of comorbidities in patients undergoing coronary bypass grafting (CBG) in two surgery clinics of Russia.Material and methods. Into retrospective study, done based upon the charts data of A. N. Bakulev Scientific Center for Cardiovascular Surgery (A. N. Bakulev SCC...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
«FIRMA «SILICEA» LLC
2017-03-01
|
| Series: | Российский кардиологический журнал |
| Subjects: | |
| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/1590 |
| Summary: | Aim. To evaluate the prevalence of comorbidities in patients undergoing coronary bypass grafting (CBG) in two surgery clinics of Russia.Material and methods. Into retrospective study, done based upon the charts data of A. N. Bakulev Scientific Center for Cardiovascular Surgery (A. N. Bakulev SCCVS) and Research Institute for Complex Issues of Cardiovascular Diseases, 1702 patients included (1358 males, 344 females) from Bakulev SCCVS and 1159 (895 males, 264 females) patients from RICICD, who had underwent CBG, including multiple surgeries, during 2014-2015. Comparative analysis was performed of the prevalence of comorbidity and combination pathology.Results. The main background pathology in general group of patients was arterial hypertension (AH) — 2322 (81,2%) cases. In more than a half of cases, in anamnesis there was myocardial infarction (MI) — 1719 (60,1%), of those in 250 (8,7%) patients — with left ventricle aneurysm. Lower extremities atherosclerosis was found in 13,8% cases. Stroke anamnesis had 5,6% patients. Prior carotid endarterectomy (CEE) was found in 30 (1,0%) cases, percutaneous intervention — 190 (6,6%) patients. The most common comorbidity in general group was type 2 diabetes — 505 (17,6%) cases. Chronic obstructive pulmonary disease (COPD) was found in 352 (12,3%) patients, erosions and ulceration of gastro-intestinal tract (GIT) — in 10,6% cases.Patients of RICICD were older (62,5±7,8 vs 60,8±8,5 y.o., p=0,003), had AH more commonly (83,1 vs 79,8%, p=0,02), as stroke anamnesis (7,2 vs 4,5%, p=0,002), prior MI (66,8 vs 55,5%, p<0,05), prior PCI (12,9 vs 2,4%, p<0,05), COPD (13,8 vs 11,3%, p=0,044), GIT ulceration (15,2 vs 7,5%, p<0,05) in comparison to Bakulev SCCVS. Bakulev SCCVS patients had 1,5 times more prevalently the atherosclerotic lesion of lower extremities (15,9 vs 10,6%, p<0,05), prior CEE was done 3,7 times more prevalently than in RICICD (1,5 vs 0,4%, p=0,007), more commonly the combination intervention was done: CBG with valvular correction (11,3 vs 6,7%, p<0,05).Conclusion. The prevalence of comorbidity is determined by the age of patient, as regional specifics of morbidity in population hospitalizing to one or another surgical center. |
|---|---|
| ISSN: | 1560-4071 2618-7620 |