Abstract

Background: Coronary artery bypass grafting (CABG) is increasingly performed on patients with acute coronary syndrome in Bahrain. Recognition of early outcomes associated with the procedure can provide members of the healthcare team with a better awareness of their occurrence, hence can impact on important decisions with respect to provision of monitoring, diagnosis, and further treatment.
Objective: The objective of this study is to determine the early outcomes of patients who have undergone on-pump CABG at Mohammed Bin Khalifa Bin Salman Al Khalifa Cardiac Center, Bahrain Defence Force Hospital (BDF) in the Kingdom of Bahrain.
Method: This is a retrospective medical record review of patients who have undergone on-pump CABG at BDF Hospital from January 1, 2010 to December 31, 2010. Data extraction was carried out by one investigator and cross checked.
Results: 150 patients were included in this study, 85.3% were between 40 and 59 years of age and 70% were male. 43.3% of patients stayed in the Intensive Care Unit (ICU) for 5 days. One patient had congestive heart failure and another one had stroke. Two patients had acute renal failure. Post-op ejection fraction at 30-40% was seen in 35% of patients. Blood loss in 25% of patients was estimated at 150cc. Post-operative wound complication occurred in 3 patients, and in one this necessitated sternal debridement.
Conclusion: On-pump coronary artery bypass grafting (CABG) is increasingly being undertaken for Bahraini men aged 40-59 years, with ejection fraction lower than normal levels who have multi-vessel disease. The relative safety of CABG was illustrated by the comparatively low mortality rate.