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The Impact of Statins before High-Risk CABG on Postoperative Multiple Organ Function
Joint Authors
Zhang, Kui
Zhou, Yujie
Wang, Jiayang
Yuan, Wen
Liu, Nan
Liu, Dong
Source
Cardiology Research and Practice
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-01-14
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
The purpose of this cohort study was to investigate the independent relationship between preoperative statin therapy (PST) and postoperative severe multiorgan failure, measured by the Sequential Organ Failure Assessment (SOFA) maximum greater than 11, in high-risk patients undergoing isolated coronary artery bypass grafting (CABG).
Methods.
The present study is a perspective, single-center, cohort analysis enrolling high-risk patients undergoing CABG from Jan 1, 2018, to Dec 31, 2018, in Beijing Anzhen hospital.
Results.
Among a total of 880 high-risk patients undergoing isolated CABG included in this study, 503 (57.2%) experienced statin therapy before CABG.
The SOFA maximum was significantly lower in the PST group compared with the control group (7.8 ± 3.0 v 9.2 ± 3.4, P<0.0001).
Multivariate logistic regression analysis demonstrated the incidence of the severe multiorgan dysfunction, measured by SOFA maximum ≥11, was dramatically reduced in the PST group (OR, 0.68, 95% CI 0.50–0.92, P=0.013).
Furthermore, preoperative statin therapy (PST) might be associated with a decreased risk of postoperative major adverse cardiovascular and cerebral events and acute kidney injury, but an increased risk of postoperative hepatic inadequacy.
Conclusion.
SOFA maximum was significantly lower in the PST group compared with the control group and the incidence of the severe multiorgan dysfunction was dramatically reduced in the PST group.
The findings of this study might shed new light on questions of positive or negative effects of PST on multiple organ function after high-risk CABG, so as to ultimately improve high-risk patient in-hospital outcomes from CABG.
American Psychological Association (APA)
Wang, Jiayang& Yuan, Wen& Zhang, Kui& Liu, Nan& Liu, Dong& Zhou, Yujie. 2020. The Impact of Statins before High-Risk CABG on Postoperative Multiple Organ Function. Cardiology Research and Practice،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1152646
Modern Language Association (MLA)
Wang, Jiayang…[et al.]. The Impact of Statins before High-Risk CABG on Postoperative Multiple Organ Function. Cardiology Research and Practice No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1152646
American Medical Association (AMA)
Wang, Jiayang& Yuan, Wen& Zhang, Kui& Liu, Nan& Liu, Dong& Zhou, Yujie. The Impact of Statins before High-Risk CABG on Postoperative Multiple Organ Function. Cardiology Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1152646
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1152646