دورية أكاديمية
Female Gender in Cardiac Surgery: Is it Still a Significant Risk? A Retrospective Study in Saudi Arabia.
| العنوان: | Female Gender in Cardiac Surgery: Is it Still a Significant Risk? A Retrospective Study in Saudi Arabia. |
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| المؤلفون: | Al-Ebrahim KE; Cardiac Surgery Unit, Department of Surgery, King Abdulaziz University Hospital, King Abdulaziz University, 21589 Jeddah, Saudi Arabia. Dr.k.ebrahim@gail.com., Baghaffar AH; Cardiac Surgery Unit, Department of Surgery, King Abdulaziz University Hospital, King Abdulaziz University, 21589 Jeddah, Saudi Arabia. ahbaghaffar@kau.edu.sa., Fatani MA; Cardiac Surgery Unit, Department of Surgery, King Abdulaziz University Hospital, King Abdulaziz University, 21589 Jeddah, Saudi Arabia. mazin.fatani@yahoo.com., Alassiri LA; Cardiac Surgery Unit, Department of Surgery, King Abdulaziz University Hospital, King Abdulaziz University, 21589 Jeddah, Saudi Arabia. lamislza334@gamail.com., Albishri SA; Cardiac Surgery Unit, Department of Surgery, King Abdulaziz University Hospital, King Abdulaziz University, 21589 Jeddah, Saudi Arabia. shomosh717@gmail.com., Althaqafi AM; Cardiac Surgery Unit, Department of Surgery, King Abdulaziz University Hospital, King Abdulaziz University, 21589 Jeddah, Saudi Arabia. aabdullahalthaqafi@stu.kau.edu.sa., Alghamdi RA; Cardiac Surgery Unit, Department of Surgery, King Abdulaziz University Hospital, King Abdulaziz University, 21589 Jeddah, Saudi Arabia. Reem.alghamdi.2k@gmail.com., Alshoaibi NF; Cardiac Surgery Unit, Department of Surgery, King Abdulaziz University Hospital, King Abdulaziz University, 21589 Jeddah, Saudi Arabia. nahmedalshoaibi@stu.kau.edu.sa., Algarni SS; Cardiac Surgery Unit, Department of Surgery, King Abdulaziz University Hospital, King Abdulaziz University, 21589 Jeddah, Saudi Arabia. Sebaalgarni@gmail.com., Alsulami MM; Cardiac Surgery Unit, Department of Surgery, King Abdulaziz University Hospital, King Abdulaziz University, 21589 Jeddah, Saudi Arabia. Marahsulami@gmail.com., Albukhari SA; Cardiac Surgery Unit, Department of Surgery, King Abdulaziz University Hospital, King Abdulaziz University, 21589 Jeddah, Saudi Arabia. Albukharisaud@gmail.com., Alassiri AK; Cardiac Surgery Unit, Department of Surgery, King Abdulaziz University Hospital, King Abdulaziz University, 21589 Jeddah, Saudi Arabia. Assiri1617@gmail.com., Elassal AA; Cardiac Surgery Unit, Department of Surgery, King Abdulaziz University Hospital, King Abdulaziz University, 21589 Jeddah, Saudi Arabia; Cardiothoracic Surgery Department, Zagazig University, 44519 Zagazig, Egypt. samalassal1434@gmail.com. |
| المصدر: | The heart surgery forum [Heart Surg Forum] 2023 Dec 13; Vol. 26 (6), pp. E705-E713. Date of Electronic Publication: 2023 Dec 13. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Forum Multimedia Pub Country of Publication: United States NLM ID: 100891112 Publication Model: Electronic Cited Medium: Internet ISSN: 1522-6662 (Electronic) Linking ISSN: 10983511 NLM ISO Abbreviation: Heart Surg Forum Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Charlottesville, VA : Forum Multimedia Pub., c1998- |
| مواضيع طبية MeSH: | Cardiac Surgical Procedures*/adverse effects , Heart Valve Diseases*/surgery, Adult ; Humans ; Male ; Female ; Retrospective Studies ; Saudi Arabia/epidemiology ; Coronary Artery Bypass/adverse effects ; Postoperative Complications/etiology ; Sexism ; Risk Factors ; Troponin ; Treatment Outcome |
| مستخلص: | Background: Female sex is considered an independent predictor for mortality and morbidity following cardiac surgery. This study is to review the outcomes of adult cardiac surgery between males and females in a Saudi tertiary referral hospital. Method: This was a retrospective study for 925 adult patients operated on for ischemic coronary artery disease and acquired aortic and mitral valvular heart disease from 2015 to August 2023. We analyzed patient characteristics, intraoperative data, and postoperative results to compare outcomes between males and females. Results: Preoperative risk factors were not significantly different in both groups. Postoperative outcomes showed gender-based differences. In univariable analysis, females, compared to males, had significantly greater odds of prolonged postoperative ventilation (>24 hours), 32.8% of females compared to 20.7% of males (p < 0.001). Also, sternal wound infection was notably higher among females (13.3%) (p < 0.001). Mortality also exhibited a significant association, with 14.2% of females experiencing mortality compared to 9.4% of males (p = 0.049). In the multivariable analysis for elevated postoperative troponin, the use of pre-operative intra-aortic balloon pump, urgent/emergent surgery, elevated pre-operative troponin and combined bypass grafting with valve surgery, were also predictive of higher post-operative troponin concentrations (beta = 0.43, 95% CI: 0.25 to 0.62, p < 0.001). Conclusion: Females in Saudi Arabia have an increased risk of short-term morbidity and mortality after cardiac surgery compared to males. Vague and delayed presentation and then the late diagnosis and referral are likely the main contributing factors. This highlights the need to implement preoperative measures to improve early diagnosis and referral to eliminate gender bias. |
| المشرفين على المادة: | 0 (Troponin) |
| تواريخ الأحداث: | Date Created: 20240105 Date Completed: 20240108 Latest Revision: 20240108 |
| رمز التحديث: | 20240108 |
| DOI: | 10.59958/hsf.6929 |
| PMID: | 38178339 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1522-6662 |
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| DOI: | 10.59958/hsf.6929 |