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- Title
The Relationship of Post-Operative FIB-4 Index Value with Morbidity and Early Mortality in Cardiac Surgery: A Retrospective Study.
- Authors
Ak, Hülya Yılmaz; Özşahin, Yasemin; Yeşiltaş, Mehmet Ali; Erkalp, Kerem; Salihoğlu, Ziya; Sandal, Barış
- Abstract
Objectives: Hepatic injury is seen in 10% of patients who underwent cardiopulmonary bypass (CPB). The fibrosis-4 (FIB-4) index is a non-invasive scoring method for detecting liver failure and liver fibrosis. We aimed to examine the effect of FIB-4 index value changes, which is measured in the early post-operative period, on morbidity and early mortality in cardiac surgery patients. Methods: All patients had undergone elective coronary artery bypass graft surgery with standard sternotomy in the 2 years and were included in the study. In our study, the change in the pre- and post-operative period of the FIB-4 index, which was calculated in the pre-operative and post-operative period, was examined. Patients’ demographic values, perioperative complications, amount of bleeding, total amount of fluid administered, and blood gas during cardiovascular bypass values were recorded. Results: Patients were divided into two groups as those with FIB-4 index below 3.25 (Group 1) and above (Group 2). Group 1 consisted of 41 (27.2%) patients and Group 2 consisted of 110 (72.8%) patients. Although the mean time to intubate was higher in Group 2, no significant difference was found between the groups. The length of stay in the intensive care unit was significantly higher in Group 2 (p=0.033). When the 30-day mortality was compared, no difference was found between the groups (p=0.684). Conclusion: It was observed that patients with high FIB-4 index have longer intensive care unit stay, which is an important morbidity criterion for cardiac surgery. We think that the post-operative period FIB-4 index may be effective in estimating morbidity in cardiac surgery patients.
- Subjects
CARDIOPULMONARY bypass; CORONARY artery bypass; CARDIAC surgery; PREOPERATIVE period; HEPATIC fibrosis; POSTOPERATIVE period
- Publication
Journal of the Society of Thoracic Carido-Vascular Anaesthesia & Intensive Care, 2022, Vol 28, Issue 1, p1
- ISSN
1305-5550
- Publication type
Article
- DOI
10.14744/GKDAD.2022.34735