Mortality and Morbidity in Elective Patient of Coronary Artery Bypass Graph at National Cardiovascular Center, Harapan Kita Hospital, Indonesia
Abstract
This study is aimed to find out mortality and morbidity in the elective patients while waiting and description of waiting time in elective patients at The Department of cardiovascular surgery, Harapan Kita Hospital. This study research was using quantitative and qualitative design study. The quantitative data collected prospectively within two months from August until September 2010. From 58 patients, one patient died while waiting and one patient falls into stroke. There’s no adequate system in scheduling patient, including put the patient into the list of que, decide the urgency and remove the patients from the list. It’s known that morbidity and mortality are not found as a significant event happened while waiting for CABG in this study. It’s difficult to ignore the two patients, especially after knowing there’s no adequate system to decide wait time and schedule at The Department of cardiovascular surgery, Harapan Kita Hospital, while resources are still quite enough (facility and human resources) to accommodate all the cases.
References
da Fonseca, V. B. P., De Lorenzo, A., Tura, B. R., Pittella, F. J. M., & da Rocha, A. S. C. (2018). Mortality and morbidity of patients on the waiting list for coronary artery bypass graft surgery. Interactive Cardiovascular and Thoracic Surgery, 26(1), 34-40. https://doi.org/10.1093/icvts/ivx276
Jackson, N. W., Doogue, M. P., & Elliott, J. M. (1999). Priority Points And Cardiac Events While Waiting for Coronary Bypass Surgery. Heart, 81, 367-373. https://doi.org/10.1136/hrt.81.4.367
Kementerian, K. R. I. (2017). Penyakit Jantung Penyebab Kematian Tertinggi. Kementrian Kesehatan Republik Indonesia, 2015-2016.
Koomen, E. M. (2001). Morbidity and Mortality In Patients Waiting For Coronary Artery Bypass Surgery. European Journal of Cardio-Thoracic Surgery, 19, 260-265. https://doi.org/10.1016/S1010-7940(01)00580-2
Lau, R., Vair, B. A., & Porter, G. A. (2007). Factors Influencing Waiting Times for Elective Laparoscopic Cholecystectomy. Canadian Journal of Surgery, 50(1), 34-38.
Legare, J. F., Maclean, A., J., Buth, K., &Sulivan, A. J. (2005). Assesing The Risk of Waiting for Coronary Artery Bypass Graft Surgery Among Patients With Stenosis of the Left Main Coronary. Can. Med. Assoc. J., 173, 371-375. https://doi.org/10.1503/cmaj.050053
Naylor, C. D., Szalai, J. P., & Katic, M. (2000). Benchmarking The Vital Risk of Waiting for Coronary Artery Bypass Surgery in Ontario. Can. Med. Assoc. J., 162, 775-779.
Ray, A. A., Buth, K. J., Sullivan, J. A., Johnstone, D. E., & Hirsch, G. M. (2001). Waiting for cardiac surgery results of a risk-stratified queuing process. Circulation, 104(SUPPL. 1), 92-98. https://doi.org/10.1161/hc37t1.094904
Rexius, H., Brandrup-Wognsen, G., Nilsson, J., Odén, A., & Jeppsson, A. (2006a). A Simple Score to Assess Mortality Risk In Patients Waiting for Coronary Artery Bypass Grafting. Ann Thorac Surg, 81, 577-582. https://doi.org/10.1016/j.athoracsur.2005.08.032
Rexius, H., Brandrup-Wognsen, G., Odén, A., & Jeppsson, A. (2005). Waiting Time And Mortality after Elective Coronary Artery Bypass Grafting. The Annals of Thoracic Surgery, 79(2), 538-543. https://doi.org/10.1016/j.athoracsur.2004.07.029
WHO, M. C. (2009). Cardiovascular Center [Online]. [Accessed June 23rd 2010].
World Health Organization Regional Office for South-East Asia and the Pacific. (2017). From vision to results: Advancing health for billions in the South-East Asia Region.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright for this article is retained by the author(s), with first publication rights granted to the journal.
This is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/4.0/).
