“FREQUENCY OF RE-EXPLORATION DUE TO EXCESSIVE BLEEDING AND ITS RELATION TO BODY MASS INDEX IN POST-OPERATIVE CORONARY ARTERY BYPASS GRAFTING AT A TERTIARY CARE HOSPITAL KARACHI”
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Keywords
Bleeding, Body Mass Index, CABG, Re-exploration
Abstract
Objectives: To determine the frequency of re-exploration due to excessive bleeding in post-operative coronary artery bypass graft patients at a tertiary care hospital in Karachi.
To compare the frequency of re-exploration with body mass index in postoperative coronary artery bypass graft patients at a tertiary care hospital in Karachi
Study design and setting: A descriptive cross-sectional study was carried out at the Cardiac Surgery Unit, NICVD, Karachi, Pakistan, during the period Oct: 2022 to Dec 2023.
Materials and Methods: All participants who fulfilled the inclusion criteria and attended NICVD, Karachi, were included in the study. After outlining the protocol, risks, and advantages of the study, informed written consent was attained. All patient in our study was sent to a specialized intensive care unit (ICU). and kept under close observation during their post-surgery hospital stay, and re-exploration due to bleeding was recorded. Data was collected in Proform, and the SPSS-18 version was applied for analysis.
Results: Patients' ages varied from 30 to 70 years old, with a median age of 55. In the distribution of gender, 151 (75.1%) were male, while 50 (24.9%) were female. Re-exploration was found in 8 (4%) patients, whereas in comparison, re-exploration was noted in 5 (2.5%) vs. 3 (1.5%) patients between body mass index 19--30 vs. >30 kg/m2 patients, with a non-significant P-value (P = 0.432).
Conclusion: In conclusion, the low rate of re-exploration was noted due to excessive bleeding in post-operative coronary artery bypass surgery.
Patients with non-significant differences in body mass index. It is advised that further extensive research be done to validate the present findings.
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Dr. Commando Talreja
Senior Resident National Institute of National Institute of Cardiovascular Diseases (NICVD) Karachi, Pakistan
Dr Hammad Hassan
Cardiac Surgery Senior Resident National Institute of National Institute of Cardiovascular Diseases (NICVD) Karachi, Pakistan
Dr Aamir Ali Kalhoro
Cardiac Surgery Senior Resident National Institute of National Institute of Cardiovascular Diseases (NICVD) Karachi, Pakistan
Dr Tousif Ahmed
Cardiac Surgery Senior Resident National Institute of National Institute of Cardiovascular Diseases (NICVD) Karachi, Pakistan
Dr Karan Kumar
Cardiac Surgery Senior Resident National Institute of National Institute of Cardiovascular Diseases (NICVD) Karachi, Pakistan
Dr Mohammad Ali Naper
MBBS, FCPS Assistant Professor Department of Surgery CMCH, SMBBMU, Larkana, Pakistan
Dr Vinay Kumar Gemnani
MBBS, House Officer CMC (SMBBMU) Larkana, Pakistan