Julio C. Durán-Pérez, Servicio de Cuidados Intensivos, Instituto Cardiovascular del Cesar, Valledupar, Cesar, Colombia
Nahir Acosta, Centro de Investigaciones Clínicas, Instituto Cardiovascular del Cesar, Valledupar, Cesar, Colombia
Luis E. Calderón, Servicio de Cirugía Cardiovascular, Instituto Cardiovascular del Cesar, Valledupar, Cesar, Colombia
Rafael Marulanda, Servicio de Cardiología, Instituto Cardiovascular del Cesar, Valledupar, Cesar, Colombia
María P. Gutiérrez, Servicio de Cardiología; Servicio de Hemodinamia. Instituto Cardiovascular del Cesar, Valledupar, Cesar, Colombia
Yojanna Anaya, Servicio de Cirugía Cardiovascular, Instituto Cardiovascular del Cesar, Valledupar, Cesar, Colombia
Objective: To describe the exp in quality indicators in the care of patients in the post-surgery period of coronary artery bypass graft without pump oxigenator. Materials and method: Descriptive observational retrospective cohort study in a single center. The information was obtained from our database of patients undergoing cardiovascular surgery. All patients over 18 years of age who underwent coronary artery bypass graft without pump oxigenator were included. The quality indicators analyzed were: number of reoperations, prolonged mechanical ventilation, cerebrovascular disease and low cardiac output syndrome in the postoperative period, acute kidney injury, atrial fibrillation, and risk-adjusted mortality. Results: During the study period from May 2015 to May 2019, 274 patients underwent coronary artery bypass graft without pump oxygenator. There was a predominance of the male gender (69.3%), age between 45 and 65 years (52.9%) and the most frequent comorbidity was arterial hypertension (76.3%). The quality indicators were: reoperation for bleeding, 4 cases (1.5%), prolonged mechanical ventilation, 20 cases (7.3%), stroke, 1 case (0.4%), low cardiac output syndrome, 10 cases (3.6%), acute kidney injury, 28 cases (10.2%) and atrial fibrillation, 29 cases (10.6%). Overall mortality in the ICU was 3 patients (1.1%). Conclusions: The results obtained show important information about quality indicators recorded in a regional cardiovascular surgery center in the postoperative period of myocardial revascularization surgery without the use of extracorporeal circulation. The creation of a national multicenter database is proposed for the registration and comparison of postoperative cardiovascular indicators.
Keywords: Cardiac surgery. Healthcare quality indicators. Extracorporeal circulation. Myocardial revascularization.
