Turkish Thoracic Journal
Original Article

Investigation of the Effect of Asthma on Mortality and Morbidity After Coronary Artery Bypass Surgery

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Department of Respiratory Medicine, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Research and Training Hospital, İstanbul, Turkey

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Department of Respiratory Medicine Haydarpaşa Numune Research and Training Hospital, İstanbul, Turkey

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Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Research and Training Hospital, İstanbul, Turkey

Turk Thorac J 0; 5: 0-0
DOI: 10.5152/TurkThoracJ.2019.180178
Read: 460 Downloads: 23 Published: 18 July 2019

Abstract

OBJECTIVE: No studies have been conducted specifically on asthma patients undergoing cardiac surgery to assess mortality and morbidity. Distinct effects of cardiac surgery lead to negative effects on respiratory functions putting patients with existing lung diseases under precipitated risk. We aimed to investigate whether asthma patients are under greater risk for mortality, pulmonary and non-pulmonary complications after coronary artery bypass graft (CABG) surgery.

 

MATERIAL AND METHODS: The study included patients who underwent elective CABG at our hospital between November 2014 and November 2015. Patients with a history of asthma were verified with physical examination and spirometric measurements by a single pulmonologist before placement in the asthma group. Asthma group was compared against the control group for mortality, respiratory and non-respiratory morbidities.

 

RESULTS: Asthma patients were extubated later than control patients, (p=0.028) however prolonged intubation (longer than 24 hours) was not different between groups (p > 0.05). Asthma patients required longer ICU stay. (p = 0.003). The incidence of asthma attacks is significantly lower in caseswhere asthma is under control. The incidence of postoperative sibilant rhonchi in cases where asthma is under control was lower than in partially controlled cases. (p = 0.020).

 

CONCLUSIONS: Asthma is associated with longer stay in ICU and asthma related pulmonary complications after CABG. The preoperative evaluation of asthmatic patients scheduled for CABG requires consideration of the control status of asthma. Studies with larger controls are needed to provide further evidence on the topic.

 

Cite this article as: İlhan S, Özkan S, Baştopçu M, et al. Investigation of the Effect of Asthma on Mortality and Morbidity After Coronary Artery Bypass Surgery. Turk Thorac J 2019; DOI: 10.5152/TurkThoracJ.2019.180178

EISSN 2149-2530
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