Original Article

IJMDC. 2022; 6(2): 354-363

Predictors of neurological complications in postcardiac surgery: a retrospective study

Authors: Yasser Ahmed El-ghoneimy, Mohammed Adel Alsaleh, Hasan Ahmad Almushrif, Ammar Ali Almusallam, Haidar Sultan Almarhoon, Murtadha Abdulkarim Al Nas, Amjad Ibrahim Barnawi.

ABSTRACT

Background: Throughout the history of cardiac surgery, neurological complications have become a significant matter of concern. The present study aimed to assess the predictors of neurological complications after cardiac surgery, analyze the pre-intra-post neurological risk factors, and provide possible recommendations regarding neurological complications after cardiac surgery. Methods: A retrospective study was conducted for 266 patients who underwent cardiac surgery from 2014 to 2019 at the Department of Cardiothoracic Surgery, King Fahad Hospital University, Imam Abdulrahman Bin Faisal University, Saudi Arabia. Pre, intra, and postoperative data were collected and analyzed using a Statistical Package for Social Sciences. This study focused on and analyzed patients who developed significant neurological complications after cardiac surgery: seizure, hemiparesis, stroke, coma, cognitive dysfunction, transit ischemic attack, and blindness. Results: Fifty out of 266 patients developed neurological complications after cardiac surgery. Twenty-five out of 50 patients were found to have major neurological complications. The mean age of the patients was 60, which varied from 22 to 90 years. Most of the patients were male (n = 37, 74%) compared to the female, who was 13 (26%). Saudi patients were higher in numbers (n = 40, 80%) compared to non-Saudi (n = 10, 20%). Seizure (7/50, 14%) was at the top of the major neurological complications, followed by hemiparesis (5/50, 10%). Conclusion: This study identified that redoing the operation and hemiparesis (preoperatively), hemodynamic instability (intraoperatively), limb weakness (postoperatively) to be the most common predictors for developing neurological complications after cardiac surgery.

Keywords:
Cardiac surgery, predictors, neurological complications, outcomes.


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Predictors of neurological complications in postcardiac surgery: a retrospective study


Authors
Yasser Ahmed El-ghoneimy
Division of cardiothoracic surgery, King Fahd University Hospital, Al Khobar, Saudi Arabia
PubMed articlesGoogle scholar articles

Mohammed Adel Alsaleh
Surgery Department, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Al Khobar, Saudi Arabia, Surgery Department, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Al Khobar, Saudi Arabia, Surgery Department, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Al Khobar, Saudi Arabia, Surgery Department, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Al Khobar, Saudi Arabia, Surgery Department, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Al Khobar, Saudi Arabia, Surgery Department, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Al Khobar, Saudi Arabia, Department of Cardiothoracic Surgery, Saud Babtain Cardiac Center, Dammam, Saudi Arabia.
PubMed articlesGoogle scholar articles

Hasan Ahmad Almushrif

PubMed articlesGoogle scholar articles

Ammar Ali Almusallam

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Haidar Sultan Almarhoon

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Murtadha Abdulkarim Al Nas

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Amjad Ibrahim Barnawi

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Correspondence to:
. Surgery Department, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Al Khobar, Saudi Arabia.; 2160006784@iau.edu.sa

Publication history
Received 23 Dec 2021
Accepted 30 Dec 2021
Published online 02 Jan 2022
Published in print 19 Jan 2022

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Pubmed Style

El-ghoneimy YA, Alsaleh MA, Almushrif HA, Almusallam AA, Almarhoon HS, Nas MAA, Barnawi AI. Predictors of neurological complications in postcardiac surgery: a retrospective study. IJMDC. 2022; 6(2): 354-363. doi:10.24911/IJMDC.51-1640274165


Web Style

El-ghoneimy YA, Alsaleh MA, Almushrif HA, Almusallam AA, Almarhoon HS, Nas MAA, Barnawi AI. Predictors of neurological complications in postcardiac surgery: a retrospective study. https://www.ijmdc.com/?mno=116126 [Access: May 25, 2022]. doi:10.24911/IJMDC.51-1640274165


AMA (American Medical Association) Style

El-ghoneimy YA, Alsaleh MA, Almushrif HA, Almusallam AA, Almarhoon HS, Nas MAA, Barnawi AI. Predictors of neurological complications in postcardiac surgery: a retrospective study. IJMDC. 2022; 6(2): 354-363. doi:10.24911/IJMDC.51-1640274165


Vancouver/ICMJE Style

El-ghoneimy YA, Alsaleh MA, Almushrif HA, Almusallam AA, Almarhoon HS, Nas MAA, Barnawi AI. Predictors of neurological complications in postcardiac surgery: a retrospective study. IJMDC. (2022), [cited May 25, 2022]; 6(2): 354-363. doi:10.24911/IJMDC.51-1640274165


Harvard Style

El-ghoneimy, Y. A., Alsaleh, . M. A., Almushrif, . H. A., Almusallam, . A. A., Almarhoon, . H. S., Nas, . M. A. A. & Barnawi, . A. I. (2022) Predictors of neurological complications in postcardiac surgery: a retrospective study. IJMDC, 6 (2), 354-363. doi:10.24911/IJMDC.51-1640274165


Turabian Style

El-ghoneimy, Yasser Ahmed, Mohammed Adel Alsaleh, Hasan Ahmad Almushrif, Ammar Ali Almusallam, Haidar Sultan Almarhoon, Murtadha Abdulkarim Al Nas, and Amjad Ibrahim Barnawi. 2022. Predictors of neurological complications in postcardiac surgery: a retrospective study. International Journal of Medicine in Developing Countries, 6 (2), 354-363. doi:10.24911/IJMDC.51-1640274165


Chicago Style

El-ghoneimy, Yasser Ahmed, Mohammed Adel Alsaleh, Hasan Ahmad Almushrif, Ammar Ali Almusallam, Haidar Sultan Almarhoon, Murtadha Abdulkarim Al Nas, and Amjad Ibrahim Barnawi. "Predictors of neurological complications in postcardiac surgery: a retrospective study." International Journal of Medicine in Developing Countries 6 (2022), 354-363. doi:10.24911/IJMDC.51-1640274165


MLA (The Modern Language Association) Style

El-ghoneimy, Yasser Ahmed, Mohammed Adel Alsaleh, Hasan Ahmad Almushrif, Ammar Ali Almusallam, Haidar Sultan Almarhoon, Murtadha Abdulkarim Al Nas, and Amjad Ibrahim Barnawi. "Predictors of neurological complications in postcardiac surgery: a retrospective study." International Journal of Medicine in Developing Countries 6.2 (2022), 354-363. Print. doi:10.24911/IJMDC.51-1640274165


APA (American Psychological Association) Style

El-ghoneimy, Y. A., Alsaleh, . M. A., Almushrif, . H. A., Almusallam, . A. A., Almarhoon, . H. S., Nas, . M. A. A. & Barnawi, . A. I. (2022) Predictors of neurological complications in postcardiac surgery: a retrospective study. International Journal of Medicine in Developing Countries, 6 (2), 354-363. doi:10.24911/IJMDC.51-1640274165


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