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Risk score for predicting abdominal complications after coronary artery bypass grafting

Dmitry Vladimirovich Belov1, Dmitry Victorovich Garbuzenko2, Ksenia Alekseevna Abramovskikh3

  • 1Department of Hospital Surgery, Federal Center of Cardiovascular Surgery of the Ministry of Health of Russia (the city of Chelyabinsk), Chelyabinsk 454003, Russia.

World Journal of Cardiology
|November 11, 2020
PubMed

Insights

A new risk score helps predict early abdominal complications after coronary artery bypass grafting (CABG) with cardiopulmonary bypass (CPB). This tool aids in stratifying patients, improving outcomes for high-risk individuals undergoing CABG surgery.

Area of Science:

  • Cardiovascular Surgery
  • Surgical Complications
  • Risk Stratification

Background:

  • Early abdominal complications after coronary artery bypass grafting (CABG) using cardiopulmonary bypass (CPB) are infrequent but carry a high mortality rate.
  • Identifying patients at risk is crucial for proactive management and improved surgical outcomes.

Purpose of the Study:

  • To develop and validate a predictive risk score for early abdominal complications following CABG with CPB.
  • To identify key risk factors associated with the development of these complications.

Main Methods:

  • Retrospective analysis of 6586 patients undergoing CABG with CPB between 2011-2017.
  • Comparison of risk factors between patients with (n=73) and without (n=6513) early abdominal complications.
  • Identification and weighting of significant risk factors to create a predictive score.

Main Results:

  • Multifocal atherosclerosis, extracorporeal membrane oxygenation, intra-aortic balloon pump, atrial fibrillation, perioperative myocardial infarction, and resternotomy were identified as leading risk factors.
  • The developed risk score demonstrated a high classification accuracy of 98.9%.
  • Patients with a total score of 7 or more indicated the highest risk for early abdominal complications.

Conclusions:

  • The established risk score effectively predicts the likelihood of early abdominal complications after CABG with CPB.
  • This tool enables the stratification of patients into distinct risk groups, facilitating tailored clinical management.
Abstract

Keywords:
Abdominal complicationsCardiopulmonary bypassCoronary artery bypass graftingRisk factorsRisk score

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