ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
The effect of physical properties on postoperative bleeding in coronary artery bypass surgery
Ülkü Yıldız1, Özer Kandemir2, Arzum Kale 1, Benhur Can 1, Hilmi Tokmakoğlu 1, Tevfik Tezcaner 1, Yaman Zorlutuna2
1Bayındır Hastanesi Kalp ve Damar Cerrahisi Kliniği, Ankara
2Ankara Numune Eğitim ve Araştırma Hastanesi Kalp ve Damar Cerrahisi Kliniği, Ankara
Background: In the early postoperative period of open heart surgery, most common complication requiring 3-5% of exploration appears as bleeding. Bleeding in the early postoperative period is important risk factor in terms of morbidity and mortality. In this study, we investigated the effects of sex and physical properties on postoperative bleeding.

Methods: Of 525 patients undergoing coronary artery bypass grafting, 209 were randomly divided into two groups according to the amount of bleeding (group I ≥750 ml/24 h, group II <750 ml/24 h) and were retrospectively evaluated for physical characteristics, preoperative, operative, and postoperative parameters.

Results: At the end of the first day, drainage was less than 750 ml (mean 459±131.8 ml) in 174 patients (83.3%), and 750 ml or above (mean 948±188.3 ml) in 30 patients (16.6%) (p=0.0001). Bleeding indices were 528±102.7 ml/m2 and 266.0±77.7 ml/m.2 in group I and II respectively (p=0.0001). In group I, there were five females (16.6%) and 25 males (83.3%). In group II, there were 95 females (54.5%) and 79 males (45%), the number of females in group II was significantly higher (p<0.02). There were significant differences between the two groups with respect to the mean height (1.64±0.08 m in group I, 1.59±0.09 m in group II; p<0.005) and body mass index (27.1±4.0 kg/m.2 in group I, 28.6±4.1 kg/m.2 in group II; p=0.04).

Conclusion: Severe postoperative hemorrhage is associated with significant morbidity and mortality. Preoperative risk stratification may help identify subgroups of patients who has high risk for bleeding after coronary artery bypass grafting. Further studies are needed to understand the factors relevant to less hemorrhage in patients with short height and in female subjects.

Keywords : Coronary artery bypass grafting; postoperatively bleeding; blood transfusion; body mass index
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