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Article

Incidence, Outcome, and Risk Factors of Cardiovascular Surgery-Associated Disseminated Intravascular Coagulation: A Single-Center Retrospective Study

1
Department of Anesthesiology and Intensive Care, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasamamachi, Yufu City 879-5593, Japan
2
Department of Anesthesiology, Oita Urological Hospital, 2-1-32 Nagahamamachi, Oita City 870-0023, Japan
*
Author to whom correspondence should be addressed.
Academic Editors: Jerrold H. Levy and Francesco Formica
J. Clin. Med. 2022, 11(13), 3633; https://doi.org/10.3390/jcm11133633
Received: 18 March 2022 / Revised: 26 May 2022 / Accepted: 21 June 2022 / Published: 23 June 2022
(This article belongs to the Section Cardiovascular Medicine)
Cardiovascular surgery is highly invasive, with a risk of postoperative coagulopathy due to various factors such as bleeding. Coagulopathy can progress to disseminated intravascular coagulation (DIC), which complicates various clinical conditions. However, no study to date has reported on DIC associated with cardiovascular surgery. Therefore, we investigated retrospectively the incidence, outcome, and risk factors of cardiovascular surgery-associated DIC in our institute. All patients who underwent cardiovascular surgery and were admitted to our intensive care unit between January 2016 and December 2017 were included in this study. The Japanese Association for Acute Medicine (JAAM) DIC score was calculated using our institute’s database at the following time points: preoperatively, postoperative day 1 (POD1), POD3, and POD7. Data regarding surgery, 90-day mortality, and risk factors of DIC were also collected and analyzed by multiple regression. In total, 553 patients were considered eligible for analysis. Median age of eligible patients was 72 years, with a 90-day mortality rate of 1.4%. Patients with DIC at POD7 had higher Sequential Organ Failure Assessment (SOFA) score, preoperative JAAM DIC scores, and a longer anesthesia time than those without DIC. Female sex, preoperative DIC score, and anesthesia time were found to be risk factors for DIC. View Full-Text
Keywords: cardiovascular surgery; disseminated intravascular coagulation (DIC); DIC scoring system; pre-operative DIC score cardiovascular surgery; disseminated intravascular coagulation (DIC); DIC scoring system; pre-operative DIC score
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MDPI and ACS Style

Yasuda, N.; Goto, K.; Kuribayashi, Y.; Ohchi, Y.; Kitano, T. Incidence, Outcome, and Risk Factors of Cardiovascular Surgery-Associated Disseminated Intravascular Coagulation: A Single-Center Retrospective Study. J. Clin. Med. 2022, 11, 3633. https://doi.org/10.3390/jcm11133633

AMA Style

Yasuda N, Goto K, Kuribayashi Y, Ohchi Y, Kitano T. Incidence, Outcome, and Risk Factors of Cardiovascular Surgery-Associated Disseminated Intravascular Coagulation: A Single-Center Retrospective Study. Journal of Clinical Medicine. 2022; 11(13):3633. https://doi.org/10.3390/jcm11133633

Chicago/Turabian Style

Yasuda, Norihisa, Koji Goto, Yoshihide Kuribayashi, Yoshifumi Ohchi, and Takaaki Kitano. 2022. "Incidence, Outcome, and Risk Factors of Cardiovascular Surgery-Associated Disseminated Intravascular Coagulation: A Single-Center Retrospective Study" Journal of Clinical Medicine 11, no. 13: 3633. https://doi.org/10.3390/jcm11133633

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