Reexploration for Bleeding and Its Association With Mortality After Cardiac Surgery

摘要: Background Excessive bleeding after cardiac surgical procedures sometimes necessitates reexploration. This study described the associations between reexploration for and morbidity mortality procedures. In addition, independent predictors of were identified. Methods retrospective observational based on prospectively registered data included 5,392 consecutive operations performed from 2009 through 2013. Reexplorations within 24 hours perioperative (30-day, 90-day, 90 days until end follow-up) registered. Factors independently associated with mortality, morbidity, identified multivariable logistic or Cox regression models. Mean follow-up time was 2.4 years (range 0 to 5 years). Results this study, 320 patients (6.0%) underwent These had higher unadjusted at 30 days, more than (all p hours), stroke, renal injury, need dialysis postoperatively, prolonged mechanical ventilation (>72 postoperative circulation support. Independent risk factors low body mass index, high EuroSCORE, preoperative fibrinogen plasma concentration, long extracorporeal time, combined valve coronary artery bypass operations, dual antiplatelet therapy less preoperatively. Conclusions leading is a twofold increased early rate. Reexploration also beyond operation.