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Coronary artery bypass: predictors of 30-day operative mortality in Jordanians

Nizar AlWaqfi1, Yousef Khader, Khaled Ibrahim

  • 1Princess Muna Heart Center, Department of General Surgery, Jordan University of Science and Technology and King Abdullah University Hospital, Irbid, Jordan. nizarwaqfi@hotmail.com

Asian Cardiovascular & Thoracic Annals
|June 22, 2012
PubMed

Insights

This study identified key risk factors for 30-day operative mortality in Jordanian patients after coronary artery bypass surgery. The mortality rate was 5.9%, comparable to international benchmarks.

Area of Science:

  • Cardiovascular Surgery
  • Public Health
  • Clinical Outcomes Research

Background:

  • Coronary artery bypass surgery (CABG) is a critical intervention for ischemic heart disease.
  • Understanding operative mortality risk factors is essential for improving patient outcomes.

Purpose of the Study:

  • To determine the 30-day operative mortality rate and identify associated risk factors in Jordanian patients undergoing isolated CABG.

Main Methods:

  • Retrospective review of 1,046 consecutive patients undergoing isolated CABG between January 2005 and July 2009.
  • Analysis of demographic and perioperative data using univariate and multivariate statistical methods.

Main Results:

  • The 30-day operative mortality rate was 5.9%.
  • Independent predictors of mortality included advanced age (>65 years), female sex, heart failure, low ejection fraction (≤35%), prolonged inotropic support, extended mechanical ventilation (>12 hours), postoperative pneumonia, and stroke.

Conclusions:

  • The 30-day operative mortality rate for isolated CABG in Jordan is comparable to international rates.
  • Identifying and managing specific risk factors can potentially reduce mortality in this patient population.

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