Early Postoperative Complications of Open-Heart Surgery

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DOI: 10.21522/TIJPH.2013.13.04.Art009

Authors : Tameem Thamir

Abstract:

Cardiovascular illnesses continue to be the primary cause of worldwide death. Heart transplantation is regarded as the only treatment intervention recognized as the gold standard for managing end-stage heart failure. Nonetheless, the persistent postoperative problems adversely affect both the survival rate and quality of life in heart transplant patients. This study aimed to detect the earliest complications after open-heart surgery at the Mosul center, using a prospective cohort design during the period from 1st May to 1st June 2025. The study includes 47 patients who had undergone CABG and valve replacement for the first time in intensive care units and wards, in Mosul Open Heart Center. Descriptive statistics were used to summarize baseline characteristics and complication rates. Comparative analyses: Chi-square tests for categorical variables and t-tests for continuous variables will be used to assess differences in complications across demographic factors, comorbidities, and surgical variables. The study shows that approximately 59.5% of the patients are experiencing moderate pain. Low urine output occurred in (40%) according to gender. Acute renal dysfunctions occurred in (27.6%), gastrointestinal dysfunctions occurred in (57.4%), according to age. Respiratory dysfunctions, acute renal dysfunctions, and low urine output had a significant relationship in the patients according to the chronic diseases. The study concluded that several complications occurred in open-heart surgery patients at the Mosul Surgery Center, including pain, respiratory distress, renal, and gastrointestinal problems. The results indicated that there is a statistically significant relationship between patients' age and kidney dysfunction and lack of gastrointestinal function, as well as a relationship between chronic diseases, kidney dysfunction, and gastrointestinal dysfunction. It also showed a relationship between most of the variables and the occurrence of complications in terms of the type of operation (CABG).

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