The Impact of Statins before High-Risk CABG on Postoperative Multiple Organ Function
Background. The purpose of this cohort study was to investigate the independent relationship between preoperative statin therapy (PST) and postoperative severe multiorgan failure, measured by the Sequential Organ Failure Assessment (SOFA) maximum greater than 11, in high-risk patients undergoing iso...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2020/9519736 |
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| author | Jiayang Wang Wen Yuan Kui Zhang Nan Liu Dong Liu Yujie Zhou |
| author_facet | Jiayang Wang Wen Yuan Kui Zhang Nan Liu Dong Liu Yujie Zhou |
| author_sort | Jiayang Wang |
| collection | DOAJ |
| description | Background. The purpose of this cohort study was to investigate the independent relationship between preoperative statin therapy (PST) and postoperative severe multiorgan failure, measured by the Sequential Organ Failure Assessment (SOFA) maximum greater than 11, in high-risk patients undergoing isolated coronary artery bypass grafting (CABG). Methods. The present study is a perspective, single-center, cohort analysis enrolling high-risk patients undergoing CABG from Jan 1, 2018, to Dec 31, 2018, in Beijing Anzhen hospital. Results. Among a total of 880 high-risk patients undergoing isolated CABG included in this study, 503 (57.2%) experienced statin therapy before CABG. The SOFA maximum was significantly lower in the PST group compared with the control group (7.8 ± 3.0 v 9.2 ± 3.4, P<0.0001). Multivariate logistic regression analysis demonstrated the incidence of the severe multiorgan dysfunction, measured by SOFA maximum ≥11, was dramatically reduced in the PST group (OR, 0.68, 95% CI 0.50–0.92, P=0.013). Furthermore, preoperative statin therapy (PST) might be associated with a decreased risk of postoperative major adverse cardiovascular and cerebral events and acute kidney injury, but an increased risk of postoperative hepatic inadequacy. Conclusion. SOFA maximum was significantly lower in the PST group compared with the control group and the incidence of the severe multiorgan dysfunction was dramatically reduced in the PST group. The findings of this study might shed new light on questions of positive or negative effects of PST on multiple organ function after high-risk CABG, so as to ultimately improve high-risk patient in-hospital outcomes from CABG. |
| format | Article |
| id | doaj-art-21895147e33f4cd2a673f24e0e9fce19 |
| institution | OA Journals |
| issn | 2090-8016 2090-0597 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-21895147e33f4cd2a673f24e0e9fce192025-08-20T02:04:03ZengWileyCardiology Research and Practice2090-80162090-05972020-01-01202010.1155/2020/95197369519736The Impact of Statins before High-Risk CABG on Postoperative Multiple Organ FunctionJiayang Wang0Wen Yuan1Kui Zhang2Nan Liu3Dong Liu4Yujie Zhou5Department of Cardiac Surgery, Beijing An Zhen Hospital Capital Medical University, Beijing 100029, ChinaCenter for Cardiac Intensive Care, Beijing An Zhen Hospital Capital Medical University, Beijing 100029, ChinaDepartment of Cardiac Surgery, Beijing An Zhen Hospital Capital Medical University, Beijing 100029, ChinaCenter for Cardiac Intensive Care, Beijing An Zhen Hospital Capital Medical University, Beijing 100029, ChinaDepartment of Cardiac Surgery, Beijing An Zhen Hospital Capital Medical University, Beijing 100029, ChinaDepartment of Cardiology, 12th Ward, Beijing Anzhen Hospital, Beijing Institute of Heart Lung and Blood Vessel Disease, Beijing Key Laboratory of Precision Medicine of Coronary Atherosclerotic Disease, Clinical Center for Coronary Heart Disease, Capital Medical University, Beijing 100029, ChinaBackground. The purpose of this cohort study was to investigate the independent relationship between preoperative statin therapy (PST) and postoperative severe multiorgan failure, measured by the Sequential Organ Failure Assessment (SOFA) maximum greater than 11, in high-risk patients undergoing isolated coronary artery bypass grafting (CABG). Methods. The present study is a perspective, single-center, cohort analysis enrolling high-risk patients undergoing CABG from Jan 1, 2018, to Dec 31, 2018, in Beijing Anzhen hospital. Results. Among a total of 880 high-risk patients undergoing isolated CABG included in this study, 503 (57.2%) experienced statin therapy before CABG. The SOFA maximum was significantly lower in the PST group compared with the control group (7.8 ± 3.0 v 9.2 ± 3.4, P<0.0001). Multivariate logistic regression analysis demonstrated the incidence of the severe multiorgan dysfunction, measured by SOFA maximum ≥11, was dramatically reduced in the PST group (OR, 0.68, 95% CI 0.50–0.92, P=0.013). Furthermore, preoperative statin therapy (PST) might be associated with a decreased risk of postoperative major adverse cardiovascular and cerebral events and acute kidney injury, but an increased risk of postoperative hepatic inadequacy. Conclusion. SOFA maximum was significantly lower in the PST group compared with the control group and the incidence of the severe multiorgan dysfunction was dramatically reduced in the PST group. The findings of this study might shed new light on questions of positive or negative effects of PST on multiple organ function after high-risk CABG, so as to ultimately improve high-risk patient in-hospital outcomes from CABG.http://dx.doi.org/10.1155/2020/9519736 |
| spellingShingle | Jiayang Wang Wen Yuan Kui Zhang Nan Liu Dong Liu Yujie Zhou The Impact of Statins before High-Risk CABG on Postoperative Multiple Organ Function Cardiology Research and Practice |
| title | The Impact of Statins before High-Risk CABG on Postoperative Multiple Organ Function |
| title_full | The Impact of Statins before High-Risk CABG on Postoperative Multiple Organ Function |
| title_fullStr | The Impact of Statins before High-Risk CABG on Postoperative Multiple Organ Function |
| title_full_unstemmed | The Impact of Statins before High-Risk CABG on Postoperative Multiple Organ Function |
| title_short | The Impact of Statins before High-Risk CABG on Postoperative Multiple Organ Function |
| title_sort | impact of statins before high risk cabg on postoperative multiple organ function |
| url | http://dx.doi.org/10.1155/2020/9519736 |
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