Postoperative delirium is a common complication of cardiac surgery associated with increased mortality, morbidity, and long-term cognitive dysfunction. The aim this study was to identify incidence risk factors in elderly (≥65 years) very (≥80 patients undergoing major surgery.We performed retrospective cohort analysis prospectively collected data from register the department tertiary referral university hospital between 2014 2016. Analysis two groups, ≥65 years ≥80 years.We analyzed 1,797...

Postoperative delirium (POD) is a common complication of cardiac surgery associated with increased mortality, morbidity, and long-term cognitive dysfunction. Diabetic patients, especially those poor diabetes control long-standing hyperglycemia, may be at risk developing delirium. The aim this study was to analyze whether the occurrence POD in or elevated preoperative glycated hemoglobin (HbA1c) level.We performed cohort analysis prospectively collected data from register department...

: Introduction: Postoperative delirium (POD) is associated with unfavorable outcomes. It may result from neuroinflammation and oxidative stress. The aim of this study was to evaluate the role routinely available inflammatory markers derived white blood cell count (WBC), for prognostic value in diagnosing after cardiac surgery.We performed an analysis data collected patients undergoing planned coronary artery bypass grafting (CABG). Differential WBC CRP concentration were evaluated...

Background: The objective of this study was to assess the course rehabilitation patients hospitalized in cardiac unit after surgery for acute Stanford type A aortic dissection, extending beyond ascending aorta, and comparing these findings with those who, same surgery, had no remaining dissection. aim develop an optimal model patient population, given lack clear guidelines. Additionally, aimed evaluate their one-year survival. Methods: included referred dissection aorta (a total 25...

Post-stroke delirium is a common clinical problem, occurring in 10% to 48% of patients. It has been associated with longer hospitalization times, increased mortality and worse functional outcome. In early phase stroke, it may be regarded as particularly difficult differentiate from other neurological symptoms. For practical purposes, there need identify simple pre-operative laboratory parameters that aid diagnosis after stroke. Our aim was the incidence early-onset (first 24 hrs) post-stroke...

Intubation time in patients undergoing cardiac surgery may be associated with increased mortality and morbidity. Premature extubation can have serious adverse physiological consequences. The aim of this study was to determine the influence intubation on morbidity surgery.We performed a retrospective analysis data 1,904 isolated coronary artery bypass grafting (CABG) stratified them by duration after - 0-6, 6-9, 9-12, 12-24 over 24 hours. Postoperative complications risk using multivariate...

Background: Intensive post-operative physiotherapy after cardiac surgery helps to reduce the number of complications, accelerating convalescence and decreasing peri-operative mortality. Cardiac rehabilitation is aimed at regaining lost function sustaining effect surgery. The aim this study was compare efficacy inpatient home-based phase II following coronary artery bypass grafting, based on analysis spirometry results. Methods: A prospective observational included 104 adult patients both...

Recent data indicate that acute kidney damage leads to inflammation in the brain and other distant organs. The purpose of this study was investigate effect injury (AKI) according Kidney Disease Improving Global Outcome (KDIGO) criteria on occurrence postoperative delirium patients undergoing coronary artery bypass grafting (CABG). We performed a retrospective cohort analysis included all consecutive elective CABG. CAM-ICU (Confusion Assessment Method for Intensive Care Unit) used assessment....

Background: Postoperative delirium (POD) is a serious complication of cardiac surgery. It an acute neuropsychiatric syndrome. The aim this study was to analyze the CARDEL Index, composed advancing age, preoperative glycated hemoglobin and platelet-to-WBC ratio (PWR) previously described calculated, using different patient database, assess its usefulness as marker for predicting postoperative after coronary artery by-pass grafting (CABG). Methods: A retrospective analysis 1098 patients who...

Background and Objectives: The incidence of postoperative delirium (POD) in patients with chronic obstructive pulmonary disease (COPD) is unclear. It seems that respiratory problems may occur COPD patients, including prolonged mechanical ventilation or respiratory-tract infections, contribute to the development delirium. aim study was identify a relationship between occurrence after cardiac surgery impact these combined disorders on mortality. Materials Methods: We performed an analysis data...

Sternal wound infections are a serious and potentially fatal complication of cardiac surgery.The aim the study was to analyze results using vacuum-assisted closure (VAC) system over 4-year period.Quantitative VAC performance data from retrospective review consecutive cohort 47 patients treated with for post-cardiac surgery complications were collected statistically analyzed. In group 35 developed post-operative chest wound. 12 other dehiscence observed, but repeated cultures did not reveal...

Background. Sternal dehiscence is a serious postoperative complication of cardiac surgery observed in 0.2–5% procedures performed by median sternotomy.Objectives. Assessment factors, including the method sternum closure, which may affect incidence this complication.Material and Methods. A total 5,152 consecutive patients undergoing with sternotomy access Cardiac Surgery Department Pomeranian Medical University between 2010 2014 were included study. The analysis centered on cases sternal...

Delirium is one of the most common complications coronary artery by-pass graft (CABG) surgery. The identification patients at increased risk delirium and implementation preventive measures to reduce postoperative necessary improve treatment outcomes after CABG. aim this study was assess association between infection 10-year mortality in undergoing CABG This a retrospective, observational cohort planned on-pump April 2010 December 2012. We analysed group 3098 operated on our cardiac surgery...

Abstract Chronic obstructive pulmonary disease (COPD) has a major impact on mortality and morbidity in patients undergoing cardiac surgery. Mortality risk increases by 50% who were re-intubated or required prolonged mechanical ventilation after the operation. The aim of this study was to assess COPD prediction postoperative complications outcome including intensive care unit (ICU) hospital stay, all types We performed retrospective cohort analysis prospectively collected data from tertiary...

Coronary artery bypass grafting (CABG) is one of the most common cardiac surgical procedures. It commonly known that post-operative infection has a negative impact on patient's short-term treatment outcomes and long-term prognosis. The aim present study was to assess perioperative 5-year 10-year survival in patients undergoing elective on-pump CABG surgery. prospective observational carried out between 1 July 2010 31 August 2012 among surgery at our centre. Infections were identified...

Introduction: The risk of air microembolism during cardiopulmonary bypass (CPB) is high and influences the postoperative outcome, especially in elderly patients. use carbon dioxide (CO 2 ) atmosphere cardiac surgery may reduce cerebral microembolism. aim our study was to assess influence CO field flooding on microembolism-induced brain damage assessed by level S100ß protein, regarded as a marker damage. Materials methods: A group 100 patients undergoing planned mitral valve operation through...

The importance of obesity as a potential risk factor in open heart surgery is well known. epidemic extreme an increasing public health concern and raises alerts regarding postoperative complications mortality patients undergoing cardiac surgery. study aimed to analyze the impact (BMI≥40) on frequency complications, early delayed compared with lower body mass.This retrospective observational cohort involved patients, over age 18, cardiopulmonary bypass at Cardiac Surgery Department Pomeranian...

STRESZCZENIEWstęp: Rozejście się mostka należy do poważnych powikłańpo operacji kardiochirurgicznej i występuje po 0,2–5% zbiegówdokonywanych z dostępu przez sternotomię.Celem pracy była ocena czynników mogących wpływać na częstośćwystąpienia tego powikłania.Materiał metody: Badaniami objęto 14171 pacjentów operowanychw Klinice Kardiochirurgii Pomorskiego UniwersytetuMedycznego w Szczecinie (PUM) sternotomięw latach 1990–2009. W badanej grupie było 3999 (28,2%) kobieti 10 172 (71,8%)...

Background: The aim of the study to analyze risk complications, including neurological sequelae, alongside early and late mortality among patients with antecedent stroke subjected cardiac surgical interventions extracorporeal support. Material methods: A single-center retrospective was conducted on 10,685 who underwent surgery circulation at Department Cardiac Surgery. first group comprised all eligible for circulation. second consisted a preoperative history stroke. Results: In study,...

Abstract Aim The precise understanding of myocardial metabolism is crucial for the optimization cardiosurgical procedures. We attempted to gain a comprehensive insight into purine porcine heart during reperfusion by measuring concentrations nucleotides, nucleosides and oxypurines simultaneously in myocardium coronary sinus. Methods Twenty‐five pigs were subjected sham cardiosurgery with extracorporeal circulation cold cardioplegic arrest 60 min. Myocardial biopsies, as well sinus arterial...

Introduction: Spirometry performed prior to surgery provides information on the types of lung disorders in patients. The purpose this study was look for a relationship between prevalence diabetes and spirometry parameters. Material Methods: conducted patients with coronary artery disease who were eligible an isolated bypass graft 2013. group included 367 (287 men 80 women) aged 68.7 ± 8.4 years. They divided into those diagnosed (group I, n = 138, 37.6%) without II, 229, 62.4%). tests day...

We present the case of an asymptomatic 26-year-old female patient with a huge thoracic aneurysm discovered at routine echo screening. The had previously been operated on for coarctation aorta in childhood and also diagnosed bicuspid aortic valve. operation was carried out extracorporeal circulation 22(nd) week gestation without any complications. A few months later 38(th) pregnancy baby girl delivered by cesarean section Apgar score 10. is scheduled implantation stent graft to descending...

Low therapeutic efficacy in a number of cases involving the musculoskeletal system may be caused by wrong diagnosis, misunderstanding essence problem, pathogen or improper treatment. Therapy applied to area (at site pain) cover an that is too small. The paper presents theory structural tensegrity (along with anatomical and physiological grounds), which based on modern holistic therapies. One such method fascial manipulation Stecco, described outline this article. This article also describes...