Assessment of Characteristics and Outcome of Cardiac Patients who Underwent Open-heart Surgery at Cardiac Center of Ethiopia, FEB, 2009–DEC, 2020: Retrospective Cross Sectional Study
No Thumbnail Available
Date
2021-07
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba University
Abstract
Background: - The first successful open heart surgery using extracorporeal circulation
technique was performed by John Gibbon in 1953 during an atrial septal defect closure.
Cardiovascular diseases (CVD) are group of diseases and injuries that affect the
cardiovascular system. As the main cause of death on the planet, cardiovascular disease
(CVD) in all its forms is an important public health problem. Most commonly CVD affect
the blood vessels of the heart and brain. In general they affect all people in both child and
adulthood life.
Objective:-The objective of this study is to assess characteristics and outcomes of
patients who underwent open heart surgery from FEB, 2009 to DEC, 2020at cardiac center
of Ethiopia.
Method:-Institutional based cross-sectional study design was conducted.
Sampling and Sample size determination: The sample size for the study was
determined using single population proportion formula. And Simple random sampling
retrospective chart review technique was used.
RESULTS:-In this study a total of 320 patients were analyzed, from this 186 (58.1%)of
the patients were female and 134(41.9%) were male. The majority of participants were
found in the age group 6-18yrs 148(43.7%). The primary diagnosis from this study were
ASD 54 (16.8%), VSD covered 42(13.1%), severe MR 40(12.5%). Only eight (2.5%) of
patients had post-operative acute kidney injury and 5(1.6%) patients had post-operative
bleeding. the immediate overall mortality were 3(0.9%).
Conclusion and Recommendation: The present study had identified that more than half
58.1% of the patients were female. It also identified ASD the commonest CHDs followed
by VSD. This study report that MV replacements were the most common valve surgery.
Open heart surgery can be performed with excellent outcome in cardiac center of Ethiopia.
We recommend that doing further research on associated factor for this outcome. That
may better to know which variable has association for good outcome .and also quality
improvement and increase number of surgeons is good for doing all the surgeries by local
team.
Description
Keywords
Open heart surgery; cardiopulmonary bypass; outcome; cross sectional.