Ali Kord VALESHABAD, Jamshid BAGHERİ, Amin BAGHERİ, Mahmoud Reza SARZAEEM, Mohammad Hussein MANDEGAR

Cinsiyetin izole koroner arter baypas greftlemenin erken cerrahi sonuçları üzerine etkisi

Amaç: Bu çalışmada cinsiyetin izole koroner arter baypas greftlemenin (KABG) erken cerrahi sonuçları üzerindeki muhtemel etkileri araştırıldı.Çalışma planı: Kalp hastalarını kapsayan mevcut veri tabanının retrospektif incelemesine, Ağustos 2007 ve Mart 2011 tarihleri arasında İran, Tahran Shariati Hastanesi'nde izole KABG yapılan 1390 ardışık olgu (393 erkek, 997 kadın; ort. yaş 58.7±10.1 yıl; dağılım 23-87 yıl) alındı. Erkek ve kadın cinsiyetleri ameliyat öncesi özellikler açısından karşılaştırıldı. Cinsiyetin ameliyat sonrası mortalite ve morbidite üzerindeki muhtemel etkilerini değerlendirmek üzere basamaklı çok değişkenli lojistik regresyon analizi yapıldı.Bul gu lar: Kadın hastaların yaşı daha ileriydi ve diabetes mellitus, hipertansiyon, hiperkolesterolemi ve hiperlipidemi prevalansı daha yüksekti. Mortalite oranı, erkeklere kıyasla, kadınlarda anlamlı düzeyde daha yüksekti (%2.3'e kıyasla %6.9; p

Effect of sex on early surgical outcomes of isolated coronary artery bypass grafting

Background: In this study, we investigated possible effects of sex on early surgical outcomes of isolated coronary artery bypass grafting (CABG). Methods: In this retrospective review of existing database including patients with heart disease, 1,390 consecutive cases (393 males, 997 females; mean age 58.7±10.1 years; range 23 to 87 years) who underwent isolated CABG in Shariati Hospital, Tehran Iran between August 2007 and March 2011 were recruited. Male and female sexes were compared for preoperative characteristics. A stepwise multivariate logistic regression analysis was performed to evaluate possible effects of sex on postoperative mortality and morbidity. Results: Female patients were older with a higher prevalence of diabetes mellitus, hypertension, hypercholesterolemia and hyperlipidemia. The mortality rate was significantly higher in women compared to men (6.9% vs. 2.3%; p

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