Angka Mortalitas pada Pasien yang Menjalani Bedah Pintas Koroner berdasar Usia, Jenis Kelamin, Left Ventricular Ejection Fraction, Cross Clamp Time, Cardio Pulmonary Bypass Time, dan Penyakit Penyerta

Geeta Maharani Ariaty, Reza Widianto Sudjud, Ruli Herman Sitanggang

Abstract


Penyakit jantung koroner (PJK) adalah salah satu penyakit pada sistem kardiovaskular  yang  sering  terjadi  dan  merupakan  problema  kesehatan  utama  di  negara maju. Bedah pintas koroner merupakan salah satu penanganan intervensi PJK. Beberapa faktor risiko berhubungan dengan peningkatan mortalitas pascabedah pintas koroner. Tujuan penelitian ini adalah mengetahui angka mortalitas pada pasien yang menjalani bedah pintas koroner berdasar atas usia, jenis kelamin, left ventricular ejection fraction, cross clamp time, cardio pulmonary bypass time, dan penyakit penyerta di RSUP Dr. Hasan Sadikin Bandung tahun 2014−2016. Metode yang digunakan pada penelitian ini adalah deskriptif observasional dengan pendekatan retrospektif berdasar atas data rekam medis yang dilakukan bulan April 2017. Dari penelitian diperoleh hasil angka mortalitas pascabedah pintas koroner sebesar 15,15%. Angka mortalitas pasien yang menjalani bedah pintas koroner dipengaruhi beberapa faktor diantaranya usia, jenis kelamin, left ventricular ejection fraction, cross clamp time, cardio pulmonary bypass time dan penyakit penyerta.

 

Mortality Rate of Patients Underwent Coronary Artery Bypass Graft Surgery based on Age, Gender, Left Ventricular Ejection Fraction, Cross Clamp Time, Cardiopulmonary Bypass Time, and Coexisting Disease

Coronary heart disease (CHD) is one of the most common cardiovascular diseases and is a major health problem in developed countries. Coronary artery bypass graft surgery (CABG) is one of the intervention treatments of CHD. Several risk factors are associated with increased postoperative CABG mortality. The purpose of this study was to determine the mortality rate of patients undergoing coronary bypass surgery based on age, gender, left ventricular ejection fraction, cross clamp time, cardio pulmonary bypass time, and coexisting disease at Dr. Hasan Sadikin Bandung General Hospital during 2014-2016. This study was an analytical descriptive study using retrospective approach based on medical record data during April 2017. It was shown that the mortality rate for post-coronary bypass was 30 patients (15.15%). Hence, themortality rate of patients undergoing coronary bypass surgery is affected by several factors including age, gender, left ventricular ejection fraction, cross clamp time, cardio pulmonary bypass time, and coexisting disease.

 


Keywords


Bedah pintas koroner, cross clamp time, cardio pulmonary bypass time, jenis kelamin, left ventricular ejection fraction, mortalitas, usia

Full Text:

PDF

References


Gomar FS, Quilis CP, Leischik R, Lucia A. Epidemiology of coronary heart disease and acute coronary syndrome. Ann Transl Med. 2016;4(13):256.

Tyroler HA. Coronary heart disease epidemiology in the 21st century. Epidemiol Rev. 2000;22(1):7–13.

Santos CA, Oliviera MA, Brandi C. Risk factors for mortality of patients under going coronary artery bypass graft surgery. Rev Bras Cir Cardiovasc. 2014;29(4):513─20.

Alexander PK, Anstrom JK, Muhlbaier HL. Outcomes of cardiac surgery in patient age ≥80 years: Result from the national cardiovascular network. Am College Cardiol J. 2000;35(3):731─5.

Safaie N, Montazerghaem H, Jodati A, Maghamipour N. In-hospital complication of coronary artery bypass graft surgery in patients older than 70 years. J Cardiovasc Thorac Res. 2015;7(2):60–2.

Wang TKM, Ramanathan T, Stewart R, Gamble G, White H. High mortality in women undergoing coronary bypass grafting. New Zealand Med Assoc J. 2013;2013(126):25–32.

Maraschini A, Seccarecia F, Errigo P. Role of gender and age on early mortality after coronary artery bypass graft in different hospital: data from a national administrative database. Interactive Cardiovasc Thorac Surg. 2010;(11):537–42.

Hamad MA, Straten AH, Schonberger J. Preoperative ejection fraction as a predictor of survival after coronary artery bypass grafting: comparison with a matched general population. J Cardiothorac Surg. 2010;2010(5):29.

Davoodi S, Karimi A, Ahmadi SH. Early outcome of coronary artery bypass grafting in patients with severe left ventricular dysfunction. J Teheran Univ Heart Ctr. 2007;2007(3):167─72.

Al-Sarraf N, Thalib L, Hughes A, Houlidan M, Tolan M, Young V, dkk. Cross-clamp time is an independent predictor of mortality and morbidity in low-and high-risk cardiac. Intern J Surg. 2011;9(1):104-9.

Doenst T, Borger MA, Weisel RD, Yau TM, Maganti M, Rao V. Relation between aortic cross-clamp time and mortality not as straightforward as expected. Eur J Cardio-thoracic Surg. 2008;33(4):660–5.

Tashnize MA, Manshady HH, Zirak N, Maleki MH, Hojaty YS. Predicted operative factors for early mortality after offpump coronary artery bypass grafting surgery (CABG). Iranian J Cardiac Surg. 2012;3(4):3–6.

Salis S, Mazzanti VV, Merli G, Salvi L, Tedesco CC, Veglia F, dkk. Cardiopulmonary bypass duration is an independent predictor of morbidity and mortality after cardiac surgery. J Cardiothoracic Vasc Anesth. 2008;22(1):814─22.

Mostaghi N, Shirzad M, Karimi A. Outcomes of coronary artery bypass surgery in diabetic and non-diabetic patients: a comparative, retrospective study. J Diabetol. 2010;3(2):1─8.

Aronson S, Boisvert D, Lapp W. Isolated systolic hypertension is associated with adverse outcomes from coronary artery bypass grafting surgery. Anesth Analg. 2002;94:1079─84.




DOI: https://doi.org/10.15851/Jap.v5n3.1167

Article Metrics

Abstract view : 1403 times
PDF - 16429 times



 

This Journal indexed by

                   

           


 
Creative Commons License
JAP is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

 



View My Stats