Browsing by Author "Şahinalp, Ş."

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Comparison of Some Parameters in Estimating In-Hospital Mortality Risk in Patients Undergoing Open-Heart Surgery
(NLM (Medline), 2023) Atabey, R.D.; Şahinalp, Ş.
OBJECTIVE: Despite accumulating evidence showing the importance of various scoring systems in predicting preoperative mortality rates among patients who are undergoing open cardiac surgery, the prediction of in-hospital mortality is still limited. This study aimed to investigate the contributing factors associated with in-hospital mortality in patients who undergo cardiac surgery. PATIENTS AND METHODS: All patients, aged 19 to 80 years, who underwent cardiac surgery between February 2019 and November 2020 at our tertiary healthcare institute were analyzed retrospectively. Demographic details, transthoracic echocardiography data, operation-related details, cardiopulmonary bypass time and laboratory measurement results were retrieved from the institutional digital database. RESULTS: Data was available for a total of 311 subjects whose median age was 59 (52-67) years, and 65% of which were male. Among these 311 subjects, 296 (95%) were successfully discharged; however, in-hospital mortality was observed in 15 (5%) patients. Multiple logistic regression analysis revealed that low ejection fraction (p=0.049 and p=0.018), emergency surgery (p=0.022), low postoperative platelet (p=0.002) and high postoperative creatinine (p=0.007) were the most significant risk factors of mortality. CONCLUSIONS: In conclusion, in a population of subjects undergoing cardiac and thoracic surgery, the in-hospital mortality rate was 4.8%. Left ventricular ejection fraction (LVEF) <40%, emergency surgery, postoperative platelet count and postoperative creatinine were significant risk factors for mortality.
Results of Coronary Artery Bypass Grafting Surgery in Female Smokers and Female Patients Who Make Tandoori Who Had Chronic Obstructive Pulmonary Disease
(Yuzuncu Yil Universitesi Tip Fakultesi, 2020) Gür, A.K.; Şahinalp, Ş.; Unal, H.
Among the risk factors for coronary artery disease, the most important is smoking. Another major risk factor for coronary artery disease is the smoke from tandoor ovens, to which many rural women are exposed over a period of years. Of 856 patients who underwent elective CABG surgery in our clinic between January 2011 and January 2017, 345 female patients were investigated retrospectively. The patients were divided into two groups: Group 1 (smokers, n=47) and Group 2 (tandoor bakers, n=91). The mean age was 59.4 ± 5.2 years for Group 1 and 62.3 ± 4.2 years in Group 2. The mean duration of extubation of the patients in intensive care unit was 5.4 ± 2.1 in Group 1, and 8.2 ± 2.4 hours in Group 2 (p <0.001). The average length of stay in the intensive care unit was 2.1 ± 1.5 days for Group 1 and 4.4 ± 2.2 days for Group 2 (p <.05). Chronic obstructive pulmonary disease is an independent risk factor for CABG. Aside from smoking, which frequently results in COPD, pulmonary functions are exacerbated in people (usually women) who bake using tandoor ovens. In these patients, the duration of postoperative intubation, length of stay in the intensive care unit and in the hospital are extended, and the need for Continuous Positive Airway Pressure (CPAP) machines in the intensive care unit increases. Therefore, women who use tandoor ovens should be considered high risk patients for CABG surgery, and these patients should be managed and followed up with caution. © 2020, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Which Is More Effective in Determining the Risk of Mortality and Complications After Coronary Artery Bypass Graft Surgery; Body Mass Index or Albumin
(Yuzuncu Yil Universitesi Tip Fakultesi, 2023) Atabey, R.D.; Şahinalp, Ş.
Preoperative risk analysis is important in predicting postoperative outcomes in patients undergoing cardiac surgery.These analyzed risk factors influence both the mortality and the morbidity results of coronary artery bypass graft (CABG) surgery. The aim of this study is to emphasize that the serum albumin value is a predictor of survival during the preoperative period for the patients that we prepared for surgery, and to indicate whether body mass index (BMI) is as valuable as albumin in predicting survival and postoperative period results. This study included patients who underwent CABG surgery between 2019-2020 at the Cardiac Surgery Center. Patient’s demographic information and all laboratory data were collected. Patients were grouped according to BMI and serum albumin values. Descriptive statistics for the continuous variables were presented as Mean, Standard deviation while count and percentages for categorical variables. A total of 174 patients, who underwent CABG surgery were included in the study.While postoperative complications were seen in 3.2% of patients with high BMI (>30 kg/m2), these complications did not develop in patients with low BMI (<20 kg/m2) (P=0.034).Patients who have serum albumin levels below 2.5g/dL are 22 times more likely to exitus than patients who have normal albumin levels (p=0.001, OR=22.246) whereas patients with normal BMI, obese patients have 16 times higher risk of exitus after bypass (OR=15.952) When we compare albumin and BMI, more extensive studies are needed to determine whether low serum albumin or increased BMI can independently predict the risk factors for poor short-term surgical outcomes. © 2023, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.