Preoperative Vitamin D Level Predicts Operative Mortality After Cardiac Surgery

gunaydin, serdar; ÖZIŞIK, Kanat; tumer, naim boran; Tekeli Kunt, Atike

doi:10.32596/ejcm.galenos.2020.08.043

Preoperative Vitamin D Level Predicts Operative Mortality After Cardiac Surgery

Atike TEKELİ KUNT, (Kırıkkale Üniversitesi, Tıp Fakültesi, Kalp Damar Cerrahisi Anabilim Dalı, Kırıkkale, Türkiye)

Naim Boran TÜMER, (Sağlık Bilimleri Üniversitesi, Türkiye, Ankara Şehir Hastanesi, Kalp Damar Cerrahisi Kliniği Ankara, Türkiye)

Kanat ÖZIŞIK, (Sağlık Bilimleri Üniversitesi, Türkiye, Ankara Şehir Hastanesi, Kalp Damar Cerrahisi Kliniği Ankara, Türkiye)

Serdar GÜNAYDIN (Sağlık Bilimleri Üniversitesi, Türkiye, Ankara Şehir Hastanesi, Kalp Damar Cerrahisi Kliniği Ankara, Türkiye)

E Journal of Cardiovascular Medicine

3 0

Yıl: 2020 Cilt: 8 Sayı: 3 Sayfa Aralığı: 146 - 151 Metin Dili: İngilizce DOI: 10.32596/ejcm.galenos.2020.08.043 İndeks Tarihi: 22-11-2020

Preoperative Vitamin D Level Predicts Operative Mortality After Cardiac Surgery

Öz:

Objectives: The present study aimed to analyze theprognostic value of preoperative serum vitamin D levelin patients who underwent coronary artery bypass graft(CABG) surgery.Materials and Methods: The data of 360 adult patientswho underwent isolated CABG surgery were retrospectivelyreviewed. We reached the data of preoperative serumvitamin D [25-hydroxyvitamin D (25-OHD)] values of305 patients. The patient population was divided intotwo groups based on preoperative serum 25-OHD levelswith a normal range of 25-75 nmol/L (group I: patientswith preoperative serum 25-OHD level <25 nmol/L andgroup II: patients with preoperative serum 25-OHD level≥25 nmol/L). The effect of preoperative 25-OHD level onoperative mortality (mortality which occurred during thefirst 30 days after the operation) was determined usingregression analysis and the results were expressed as Oddsratio (OR) with a 95% confidence interval (CI). A p value<0.05 was considered statistically significant.Results: In the present study, operative mortality was3.93% (n=12). One hundred and fifty seven patients(51.5%) had serum 25-OHD levels <25 nmol/L. Themean serum 25-OHD levels were significantly lower infemales than in males (p<0.001). On logistic regressionanalysis, preoperative serum 25-OHD level was found tobe independently associated with operative mortality (OR:0.201, 95% CI: 0.043- 0.935; p=0.041).Conclusion: The presence of vitamin D deficiency seemsto be an independent predictor of operative mortalityafter cardiac surgery in this retrospective study; however,prospective randomized trials are warranted to clarifythe effect of preoperative vitamin D supplementation onpostoperative outcomes in cardiac surgical patients.

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Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Tekeli Kunt A, tumer n, ÖZIŞIK K, gunaydin s (2020). Preoperative Vitamin D Level Predicts Operative Mortality After Cardiac Surgery. , 146 - 151. 10.32596/ejcm.galenos.2020.08.043
Chicago	Tekeli Kunt Atike,tumer naim boran,ÖZIŞIK Kanat,gunaydin serdar Preoperative Vitamin D Level Predicts Operative Mortality After Cardiac Surgery. (2020): 146 - 151. 10.32596/ejcm.galenos.2020.08.043
MLA	Tekeli Kunt Atike,tumer naim boran,ÖZIŞIK Kanat,gunaydin serdar Preoperative Vitamin D Level Predicts Operative Mortality After Cardiac Surgery. , 2020, ss.146 - 151. 10.32596/ejcm.galenos.2020.08.043
AMA	Tekeli Kunt A,tumer n,ÖZIŞIK K,gunaydin s Preoperative Vitamin D Level Predicts Operative Mortality After Cardiac Surgery. . 2020; 146 - 151. 10.32596/ejcm.galenos.2020.08.043
Vancouver	Tekeli Kunt A,tumer n,ÖZIŞIK K,gunaydin s Preoperative Vitamin D Level Predicts Operative Mortality After Cardiac Surgery. . 2020; 146 - 151. 10.32596/ejcm.galenos.2020.08.043
IEEE	Tekeli Kunt A,tumer n,ÖZIŞIK K,gunaydin s "Preoperative Vitamin D Level Predicts Operative Mortality After Cardiac Surgery." , ss.146 - 151, 2020. 10.32596/ejcm.galenos.2020.08.043
ISNAD	Tekeli Kunt, Atike vd. "Preoperative Vitamin D Level Predicts Operative Mortality After Cardiac Surgery". (2020), 146-151. https://doi.org/10.32596/ejcm.galenos.2020.08.043

APA	Tekeli Kunt A, tumer n, ÖZIŞIK K, gunaydin s (2020). Preoperative Vitamin D Level Predicts Operative Mortality After Cardiac Surgery. E Journal of Cardiovascular Medicine, 8(3), 146 - 151. 10.32596/ejcm.galenos.2020.08.043
Chicago	Tekeli Kunt Atike,tumer naim boran,ÖZIŞIK Kanat,gunaydin serdar Preoperative Vitamin D Level Predicts Operative Mortality After Cardiac Surgery. E Journal of Cardiovascular Medicine 8, no.3 (2020): 146 - 151. 10.32596/ejcm.galenos.2020.08.043
MLA	Tekeli Kunt Atike,tumer naim boran,ÖZIŞIK Kanat,gunaydin serdar Preoperative Vitamin D Level Predicts Operative Mortality After Cardiac Surgery. E Journal of Cardiovascular Medicine, vol.8, no.3, 2020, ss.146 - 151. 10.32596/ejcm.galenos.2020.08.043
AMA	Tekeli Kunt A,tumer n,ÖZIŞIK K,gunaydin s Preoperative Vitamin D Level Predicts Operative Mortality After Cardiac Surgery. E Journal of Cardiovascular Medicine. 2020; 8(3): 146 - 151. 10.32596/ejcm.galenos.2020.08.043
Vancouver	Tekeli Kunt A,tumer n,ÖZIŞIK K,gunaydin s Preoperative Vitamin D Level Predicts Operative Mortality After Cardiac Surgery. E Journal of Cardiovascular Medicine. 2020; 8(3): 146 - 151. 10.32596/ejcm.galenos.2020.08.043
IEEE	Tekeli Kunt A,tumer n,ÖZIŞIK K,gunaydin s "Preoperative Vitamin D Level Predicts Operative Mortality After Cardiac Surgery." E Journal of Cardiovascular Medicine, 8, ss.146 - 151, 2020. 10.32596/ejcm.galenos.2020.08.043
ISNAD	Tekeli Kunt, Atike vd. "Preoperative Vitamin D Level Predicts Operative Mortality After Cardiac Surgery". E Journal of Cardiovascular Medicine 8/3 (2020), 146-151. https://doi.org/10.32596/ejcm.galenos.2020.08.043