Comparison of risk factors in surgically treated patients with coronary artery disease and obstructive peripheral arterial disease [Cerrahi yöntemle tedavi Edilen koroner arter ve tikayici periferik arter hastalarinda risk faktörlerinin karşilaştirilmasi]
Küçük Resim Yok
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Duzce University Medical School
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Aim: Due to increase in life expectancy, quality of life and alteration of life style; deaths by cardiovascular reasons are also increasing. In this era, cardiovascular diseases are the most important mortality and morbidity causes of especially aging population. Atherosclerosis is the major cause of cardiovascular diseases and its clinical reflections are diseases like coronary artery disease (CAD) and peripheral arterial disease (PAD). Choices in treatment of cardiovascular diseases are medical, peripheral vascular interventions and surgical interventions. There are many predisposing factors like age, hyperlipidemia, smoking, diabetes mellitus and hypertension for CAD and PAD. These risk factors also cause morbidity after surgical interventions and increase total length of hospital stay. Methods: In this study, we retrospectively investigated 868 CAD and 268 PAD patients who were treated with surgical intervention between January 2007 and December 2010 for development of acute renal injury after surgery and effects of risk factors over intensive care unit and total length of hospital stay. Results: Blood transfusion rates were higher in patients with acute renal injury at both CAD and PAD groups. This was consistent with literature. In addition, postoperative acute renal injury incidences were higher in patients with hypertension and preoperative low hematocrit levels. Intensive care unit stay was longer in CAD patients with chronic obstructive pulmonary disease. Blood transfusion rates were higher, length of intensive care unit and hospital stay was longer in smoking PAD patients. Significantly, length of hospital stay of CAD patients with high LDL levels was longer. Conclusion: We believe that, postoperative morbidity rates may be lowered and intensive care unit and hospital stay lengths may be shortened in CAD and PAD patients by a careful examination of preoperative risk factors and planning of perioperative medical treatment. © 2015 Düzce Medical Journal.
Açıklama
Anahtar Kelimeler
Acute renal injury, Blood transfusion, Coronary artery disease, Hyperlipidemia, Peripheral arterial disease
Kaynak
Duzce Medical Journal
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
17
Sayı
3
