Factors associated with mortality in patients undergoing coronary artery bypass grafting1 1 Supported by Fundação de Amparo à Pesquisa e Inovação do Estado de Santa Catarina, FAPESC, Brazil, process # 1459/2012.

Cintia Koerich Gabriela Marcellino de Melo Lanzoni Alacoque Lorenzini Erdmann About the authors

ABSTRACT

Objective:

to investigate the factors associated with mortality in patients undergoing coronary artery bypass grafting in a cardiovascular referral hospital in Santa Catarina.

Method:

quantitative, exploratory, descriptive and retrospective study. The medical records of 1447 patients, from 2005 to 2013, were analyzed for statistically related variables, these being: profile, hospitalization diagnosis, risk factors for coronary artery disease, complications recorded during the hospitalization, length of hospitalization and cause of death.

Results:

the mortality rate was 5.3% during the study period. Death was more common in females and those of black skin color, with a mean age of 65 years. Acute myocardial infarction was the most common hospitalization diagnosis. The majority of the complications recorded during hospitalization were characterized by changes in the cardiovascular system, with longer hospitalization periods being directly related to death from septic shock.

Conclusion:

the data provide subsidies for nursing work with preventive measures and early detection of complications associated with coronary artery bypass grafting. This reinforces the importance of using the data as quality indicators, aiming to guarantee care guided by reliable information to guide managers in planning patient care and high complexity health services.

Descriptors:
Mortality; Health Management; Thoracic Surgery; Hospitals

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