García-Jaime EA

Language: Spanish
References: 9
Page: 27-31
PDF size: 577.08 Kb.

ABSTRACT

Introduction. Coronary bypass grafting proved to reduce mortality in patients with extensive vascular disease. Patients undergoing this procedure using an extracorporeal circulation pump have a perioperative mortality of 2%. The incidence of complications such as myocardial infraction, cerebrovascular disease and acute kidney injury ranges from 5 to 7%. The presence of systemic inflammatory response syndrome (SIRS) may be a prognostic and diagnostic marker of postsurgical complications
Material y Methods. This is a prospective and descriptive study. It used association tests between systemic inflammatory response syndrome and postsurgical complications arising from coronary bypass grafting in Hospital Christus Muguerza in Monterrey, Nuevo León, Mexico, from March to October 2014.
Results. A total of 17 patients were included. Patients with one SIRS criterion registered one complication. The group of patients with four criteria registered four complications. The total number of days patients remained in UCI had a correlation coefficient of 0.71 with an internal consistence of 0.83 (p=.00042) according to the SIRS criteria.
Discussion. Revascularization surgery causes great stress to the patients and it is reflected by systemic inflammatory response syndrome. With data obtained from this study we can infer that according to the patient's response we may estimate the number of ICU days and the risk of postsurgical complications. Nevertheless, due to the short duration of this sturdy, our results are not statistically significant. Therefore we may not assure a numerical value to the existent correlation or risk.

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