Early Postoperative Complications and Risk Assessment in Cardiac Surgery: A Cohort Study.
Cardiac anesthesia risk evaluation risk score showed only limited-to-moderate accuracy predicting complications after cardiac surgery.
Early Postoperative Complications and Risk Assessment in Cardiac Surgery: A Cohort Study.
Early postoperative complications are major determinants of outcomes after cardiac surgery, particularly in low- and middle-income countries (low- and middle-income countries), where perioperative data remain limited.
To describe the incidence and spectrum of early postoperative complications within the first 24 hours after cardiac surgery and to characterize preoperative risk profiles using cardiac anesthesia risk evaluation (cardiac anesthesia risk evaluation) and European system for cardiac operative risk evaluation (european system for cardiac operative risk evaluation) II.
Retrospective, single-center cohort study conducted at a national referral hospital.
score poorly predicted who had complications, only moderate at best
The mean age was 50.1 ± 17.1 years, and 52.8% were women.
Early postoperative complications occurred in 47 patients (43.5%), most frequently cardiovascular (42 patients, 38.9%), followed by renal complications requiring renal replacement therapy (11, 10.2%), infectious (9, 8.3%), and respiratory complications (8, 7.4%).
European system for cardiac operative risk evaluation II was reported descriptively.
Early postoperative morbidity is common in this low- and middle-income countries cohort, with cardiovascular complications predominating.
cardiac anesthesia risk evaluation-predicted morbidity showed limited to moderate discrimination, supporting cautious interpretation and highlighting the need for improved perioperative outcome monitoring.