OPERATIVE MORTALITY OF CORONARY ARTERY BYPASS GRAFTING IN PATIENTS WITH LOW SERUM ALBUMIN AFTER NUTRITIONAL SUPPORT

Authors

  • Syed Minhaj Hussain
  • Kashif Zia National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan
  • Ali Raza Mangi
  • Zara Shirazi National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan
  • Aftab Ahmed
  • Kamal Kumar National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan
  • Khuzaima Tariq National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan
  • Musa Karim National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan

DOI:

https://doi.org/10.47144/phj.v54i3.2161

Abstract

Objectives: The aim of this study was to determine the frequency of operative mortality in patients who had low serum albumin on admission and were undergoing coronary artery bypass grafting (CABG) after nutritional support at a tertiary care cardiac center in Karachi, Pakistan.

Methodology: A retrospective study was conducted at an adult cardiac surgery department of the largest tertiary care cardiac center in Karachi, Pakistan. Patients who had undergone isolated CABG during January to December 2019 admitted with low serum albumin (less than 3.5mg/dl) and received nutritional treatment before surgery were included in the study. Patients were monitored for a month to measure the 30 day mortality.

Results: There were 82.4% male patients and the mean age was 55.49±8.52 years. Preoperative mean serum haemoglobin, serum creatinine, and serum albumin levels were 12.225±1.19 mg/dl, 1.05±0.21 mg/dl, and 2.825±0.39 mg/dl respectively. Postoperative mortality was recorded in 1.7% of the total patients.

Conclusion: In patients with low serum albumin levels and had undergone isolated CABG after nutritional pre-treatment, mortality was mainly associated with peri-operative myocardial infarction. While, the incidence of delayed wound healing and atrial fibrillation were found to be high in these patients.

Downloads

Download data is not yet available.

Downloads

Published

2021-09-30

How to Cite

1.
Hussain SM, Zia K, Mangi AR, Shirazi Z, Ahmed A, Kumar K, Tariq K, Karim M. OPERATIVE MORTALITY OF CORONARY ARTERY BYPASS GRAFTING IN PATIENTS WITH LOW SERUM ALBUMIN AFTER NUTRITIONAL SUPPORT. Pak Heart J [Internet]. 2021Sep.30 [cited 2024Nov.24];54(3):235-8. Available from: https://pakheartjournal1.pcs.org.pk/index.php/pk/article/view/2161

Issue

Vol. 54 No. 3 (2021): Pakistan Heart Journal

Section

Original Article

License

When an article is accepted for publication in the print format, the author will be required to transfer exclusive copyright to the PHJ and retain the rights to use and share their published article with others. However, re-submission of the full article or any part for publication by a third party would require prior permission of the PHJ.

Online publication will allow the author to retain the copyright and share the article under the agreement described in the licensing rights with creative commons, with appropriate attribution to PHJ. Creative Commons attribution license CC BY 4.0 is applied to articles published in PHJ https://creativecommons.org/licenses/by/4.0/