Morbimortalidad perioperatoria de las cirugías cardíacas en el Instituto Nacional Cardiovascular, Lima, Perú, durante el año 2023

Harod Silva-Tejada; Josué Sisniegas-Razón; Franklin Martínez-Ninanqui; Zoé Díaz-Chávez; Josías C. Ríos-Ortega

doi:10.47487/apcyccv.v6i1.446

Authors

Harod Silva-Tejada Servicio de Cirugía Cardiovascular, Instituto Nacional Cardiovascular, EsSalud, Lima, Perú. https://orcid.org/0000-0002-8249-8468
Josué Sisniegas-Razón Servicio de Cirugía Cardiovascular, Instituto Nacional Cardiovascular, EsSalud, Lima, Perú. https://orcid.org/0000-0001-5413-6032
Franklin Martínez-Ninanqui Servicio de Cirugía Cardiovascular, Instituto Nacional Cardiovascular, EsSalud, Lima, Perú. https://orcid.org/0009-0002-3392-662X
Zoé Díaz-Chávez Servicio de Cirugía Cardiovascular, Instituto Nacional Cardiovascular, EsSalud, Lima, Perú.
Josías C. Ríos-Ortega Servicio de Cirugía Cardiovascular, Instituto Nacional Cardiovascular, EsSalud, Lima, Perú. https://orcid.org/0000-0002-4396-7954

DOI:

https://doi.org/10.47487/apcyccv.v6i1.446

Keywords:

Cardiac Surgery, Mortality, Peru

Abstract

Objective. Determine postoperative mortality and postoperative complications of patients undergoing cardiac surgery in the Cardiovascular Surgery Service of the Instituto Nacional Cardiovascular, EsSalud, Lima, Peru, in the year 2023. Materials and Methods. We carried out a descriptive, retrospective study of the patients' medical records. Results. In 2023, 538 cardiac surgeries were performed in our center; overall mortality was 5.6%; however, mortality from elective surgeries was 4.1%. The mortality of isolated coronary surgery was 1.9% and of isolated valve surgery was 0.7%. Stroke occurred in 1.5% of patients; re-operation due to bleeding was performed in 8.1% of cases. The most frequently performed surgery was valve surgery (either isolated or multivalvular) with 40.1% of cases, followed by coronary surgery with 28.6%. The hospital stay for coronary surgery had a median of 9.9 days (8-12), and for isolated valve surgery it was 12.8 days (10-14). Conclusions. The postoperative results of cardiac surgery at the National Cardiovascular Institute are acceptable and comparable to those of other international high-volume surgical centers.

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