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
Observational Study
. 2020 Nov;48(11):300060520971445.
doi: 10.1177/0300060520971445.

Risk factors for acute pulmonary embolism in patients with off-pump coronary artery bypass grafting: implications for nursing

Jinli Zhou  1 , Xiuhong Cao  2 , Yeping Du  2 , Yan Shi  2 , Weiwei Pan  2 , Suhong Jia  2
Affiliations
Observational Study

Risk factors for acute pulmonary embolism in patients with off-pump coronary artery bypass grafting: implications for nursing

Jinli Zhou et al. J Int Med Res. 2020 Nov.

Abstract

Objective: Acute pulmonary embolism (APE) is a serious complication after off-pump coronary artery bypass grafting (OPCABG). We aimed to analyze the risk factors for APE in patients with OPCABG.

Methods: In this retrospective, observational study, patients with OPCABG who were treated in our hospital from 1 January 2018 to 31 March 2020 were included. The basic characteristics of patients and results of preoperative laboratory examinations were collected and analyzed.

Results: A total of 707 patients with OPCABG were included and the incidence of APE was 3.21%. Left ventricular ejection fraction (LVEF), a history of smoking, number of bypass grafting, duration of surgery, and age were significant risk factors for APE in patients with OPCABG. The areas under the curves of LVEF, number of bypass grafting, duration of surgery, and age were 0.773, 0.759, 0.738, and 0.723, respectively. The cutoff values of LVEF, number of bypass grafting, duration of surgery, and age were 59.84, 3.18, 237.42, and 73.28, respectively.

Conclusions: LVEF, a history of smoking, number of bypass grafting, duration of surgery, and age may be risk factors for APE in patients with OPCABG. Early measures should be taken to target these risks to prevent APE.

Keywords: Acute pulmonary embolism; coronary artery bypass grafting; left ventricular ejection fraction; older age; operation time; smoking history.

PubMed Disclaimer

Conflict of interest statement

Declaration of conflicting interest: The authors declare that there is no conflict of interest.

Figures

Figure 1.
Figure 1.
Receiver operating curve of relevant risk factors for acute pulmonary embolism in patients with off-pump coronary artery bypass grafting. LVEF, left ventricular ejection fraction.
See this image and copyright information in PMC

References

    1. Peltzer S, Hellstern M, Genske A, et al. Health literacy in persons at risk of and patients with coronary heart disease: A systematic review. Soc Sci Med 2020; 245: 112711. - PubMed
    1. Shao C, Wang J, Tian J, et al. Coronary Artery Disease: From Mechanism to Clinical Practice. Adv Exp Med Biol 2020; 1177: 1–36. - PubMed
    1. Lacey MJ, Raza S, Rehman H, et al. Coronary Embolism: A Systematic Review. Cardiovasc Revasc Med 2020; 21: 367–374. - PubMed
    1. Su JJ, Yu DSF, Paguio JT. Effect of eHealth cardiac rehabilitation on health outcomes of coronary heart disease patients: A systematic review and meta-analysis. J Adv Nurs 2020; 76: 754–772. - PubMed
    1. Khan FM, Hameed I, Milojevic M, et al. Quality metrics in coronary artery bypass grafting. Int J Surg 2019; 65: 7–12. - PubMed

Publication types