Risk Factor for Postoperative Pneumonia after Coronary Artery Bypass Grafting
Background: Postoperative pneumonia (POP) is a common infectious complication of coronary artery bypass grafting (CABG), leading to significant morbidity, mortality, and increased healthcare costs. This study found that the prevalence of POP was nearly double that reported in previous studies, unde...
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| Format: | Article |
| Language: | English |
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Indonesian Heart Association
2025-01-01
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| Series: | Majalah Kardiologi Indonesia |
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| Online Access: | https://ijconline.id/index.php/ijc/article/view/1789 |
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| _version_ | 1841546542179155968 |
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| author | Vita Karima Fadhilah Chaerul Achmad Rien Afrianti Prayudi Santoso |
| author_facet | Vita Karima Fadhilah Chaerul Achmad Rien Afrianti Prayudi Santoso |
| author_sort | Vita Karima Fadhilah |
| collection | DOAJ |
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Background: Postoperative pneumonia (POP) is a common infectious complication of coronary artery bypass grafting (CABG), leading to significant morbidity, mortality, and increased healthcare costs. This study found that the prevalence of POP was nearly double that reported in previous studies, underscoring the urgent need to identify specific risk factors. These findings emphasize the importance of local data in refining preventive strategies and improving clinical outcomes in CABG patients.
Material and Methods: This is a retrospective cohort study. The subjects comprised patients who underwent CABG procedures at a single institution between June 2020 and June 2024. A logistic regression analysis model for evaluating the risk of POP was established.
Results: This study observed a POP rate of 41.7%, significantly exceeding the 2–24% range reported in previous studies. Key risk factors included elevated creatinine levels, eGFR <60 ml/min/1.73 m², and low early postoperative albumin. POP strongly correlated with prolonged hospitalization, with an odds ratio of 13.043 (95% CI: 6.130–27.751, p < 0.0001), underscoring its substantial impact on patient outcomes.
Conclusions: The present study delineates renal impairment and hypoalbuminemia postoperative as pivotal risk factors for POP following CABG. It emphasizes the importance of tailored interventions, structured institutional practices, and continuous research to enhance preventive strategies and patient outcomes.
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| format | Article |
| id | doaj-art-e94c74f6bbd04d1db0b3133fc6d2ffc7 |
| institution | Kabale University |
| issn | 0126-3773 2620-4762 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Indonesian Heart Association |
| record_format | Article |
| series | Majalah Kardiologi Indonesia |
| spelling | doaj-art-e94c74f6bbd04d1db0b3133fc6d2ffc72025-01-10T16:38:12ZengIndonesian Heart AssociationMajalah Kardiologi Indonesia0126-37732620-47622025-01-0146110.30701/ijc.1789Risk Factor for Postoperative Pneumonia after Coronary Artery Bypass GraftingVita Karima Fadhilah0Chaerul Achmad1Rien Afrianti2Prayudi Santoso3Department of Cardiology and Vascular Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, IndonesiaDepartment of Cardiology and Vascular Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, IndonesiaDepartment of Cardiology and Vascular Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, IndonesiaDivision of Respiratory and Critical Care Medicine, Department of Internal Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia Background: Postoperative pneumonia (POP) is a common infectious complication of coronary artery bypass grafting (CABG), leading to significant morbidity, mortality, and increased healthcare costs. This study found that the prevalence of POP was nearly double that reported in previous studies, underscoring the urgent need to identify specific risk factors. These findings emphasize the importance of local data in refining preventive strategies and improving clinical outcomes in CABG patients. Material and Methods: This is a retrospective cohort study. The subjects comprised patients who underwent CABG procedures at a single institution between June 2020 and June 2024. A logistic regression analysis model for evaluating the risk of POP was established. Results: This study observed a POP rate of 41.7%, significantly exceeding the 2–24% range reported in previous studies. Key risk factors included elevated creatinine levels, eGFR <60 ml/min/1.73 m², and low early postoperative albumin. POP strongly correlated with prolonged hospitalization, with an odds ratio of 13.043 (95% CI: 6.130–27.751, p < 0.0001), underscoring its substantial impact on patient outcomes. Conclusions: The present study delineates renal impairment and hypoalbuminemia postoperative as pivotal risk factors for POP following CABG. It emphasizes the importance of tailored interventions, structured institutional practices, and continuous research to enhance preventive strategies and patient outcomes. https://ijconline.id/index.php/ijc/article/view/1789coronary artery bypass grafting; postoperative pneumonia; risk factor |
| spellingShingle | Vita Karima Fadhilah Chaerul Achmad Rien Afrianti Prayudi Santoso Risk Factor for Postoperative Pneumonia after Coronary Artery Bypass Grafting Majalah Kardiologi Indonesia coronary artery bypass grafting; postoperative pneumonia; risk factor |
| title | Risk Factor for Postoperative Pneumonia after Coronary Artery Bypass Grafting |
| title_full | Risk Factor for Postoperative Pneumonia after Coronary Artery Bypass Grafting |
| title_fullStr | Risk Factor for Postoperative Pneumonia after Coronary Artery Bypass Grafting |
| title_full_unstemmed | Risk Factor for Postoperative Pneumonia after Coronary Artery Bypass Grafting |
| title_short | Risk Factor for Postoperative Pneumonia after Coronary Artery Bypass Grafting |
| title_sort | risk factor for postoperative pneumonia after coronary artery bypass grafting |
| topic | coronary artery bypass grafting; postoperative pneumonia; risk factor |
| url | https://ijconline.id/index.php/ijc/article/view/1789 |
| work_keys_str_mv | AT vitakarimafadhilah riskfactorforpostoperativepneumoniaaftercoronaryarterybypassgrafting AT chaerulachmad riskfactorforpostoperativepneumoniaaftercoronaryarterybypassgrafting AT rienafrianti riskfactorforpostoperativepneumoniaaftercoronaryarterybypassgrafting AT prayudisantoso riskfactorforpostoperativepneumoniaaftercoronaryarterybypassgrafting |