Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Sep;7(3):102-7.
doi: 10.1556/1646.7.2015.3.3. Epub 2015 Sep 28.

Predictors of in-hospital mortality following redo cardiac surgery: Single center experience

Yucel Colkesen, Isa Coskun, Murat Cayli, Oner Gulcan

Predictors of in-hospital mortality following redo cardiac surgery: Single center experience

Yucel Colkesen et al. Interv Med Appl Sci. 2015 Sep.

Abstract

Purpose: Redo cardiac operations represent one of the main challenges in heart surgery. The purpose of the study was to analyze the predictors of in-hospital mortality in patients undergoing reoperative cardiac surgery by a single surgical team.

Methods: A total of 1367 patients underwent cardiac surgical procedures and prospectively entered into a computerized database. Patients were divided into 2 groups based on the reoperative cardiac surgery (n = 109) and control group (n = 1258). Uni- and multivariate logistic regression analysis were performed to evaluate the possible predictors of hospital mortality.

Results: Mean age was 56 ± 13, and 46% were female in redo group. In-hospital mortality was 4.6 vs. 2.2%, p = 0.11. EuroSCORE (6 vs. 3; p < 0.01), cardiopulmonary bypass time (90 vs. 71 min; p < 0.01), postoperative bleeding (450 vs. 350 ml; p < 0.01), postoperative atrial fibrillation (AF) (29 vs. 16%; p < 0.01), and inotropic support (58 vs. 31%; p = 0.001) were significantly different. These variables were entered into uni- and multivariate regression analysis. Postoperative AF (OR1.76, p = 0.007) and EuroSCORE (OR 1.42, p < 0.01) were significant risk factors predicting hospital mortality.

Conclusions: Reoperative cardiac surgery can be performed under similar risks as primary operations. Postoperative AF and EuroSCORE are predictors of in-hospital mortality for redo cases.

Keywords: hospital mortality; redo cardiac surgery; risk factors.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: The authors declared no conflict of interest.

References

    1. Keeling WB, Leshnower BG, Thourani VH, Kilgo PS, Chen EP. Outcomes following redo sternotomy for aortic surgery. Interact Cardiovasc Thorac Surg. 2012 Jul;15(1):63–68. - PMC - PubMed
    1. Di Mauro M, Iacò AL, Contini M, Teodori G, Vitolla G, Pano M, Di Giammarco G, Calafiore AM. Reoperative coronary artery bypass grafting: analysis of early and late outcomes. Ann Thorac Surg. 2005 Jan;79(1):81–87. - PubMed
    1. Kappetein AP, Feldman TE, Mack MJ, Morice MC, Holmes DR, Ståhle E, Dawkins KD, Mohr FW, Serruys PW, Colombo A. Comparison of coronary bypass surgery with drug-eluting stenting for the treatment of left main and/or three-vessel disease: 3-year follow-up of the SYNTAX trial. Eur Heart J. 2011 Sep;32(17):2125–2134. - PubMed
    1. Head SJ, Mack MJ, Holmes DR, Jr., Mohr FW, Morice MC, Serruys PW, Kappetein AP. Incidence, predictors and outcomes of incomplete revascularization after percutaneous coronary intervention and coronary artery bypass grafting: a subgroup analysis of 3-year SYNTAX data. Eur J Cardiothorac Surg. 2012 Mar;41(3):535–541. - PubMed
    1. Ngaage DL, Cowen ME, Griffin S, Guvendik L, Cale AR. The impact of symptom severity on cardiac reoperative risk: early referral and reoperation is warranted. Eur J Cardiothorac Surg. 2007 Oct;32(4):623–628. - PubMed

LinkOut - more resources