Özet:

Purpose: Heart and vascular surgery procedures show different mortality rates in different centers around the world. Identification of the risk factors that cause peripheral mortality and the creation of protocols for this may increase survival in patients. In this study we planned to investigate the mortality rates and risk factors for cardiovascular surgery. Instruments and Methods: Retrospective cohort study was performed in patients who died in the perioperative period in the heart and vascular surgery clinic. Results: A total of 4037 patients were placed in the Cardiovascular Surgery Service for a four-year period from 1 January 2013 to 31 December 2016. Among the patients treated in the intensive care unit, 567 patients were planned open heart surgery and 525 patients peripheral vascular disease surgery. 30 of the patients who suffered open heart surgery, 14 of the patients with peripheral vascular disease were lost in the intensive care unit during the perioperative period. The total four-year mortality rate of the cardiovascular and vascular surgery clinic was 1.1%. The mortality rate of people with open heart surgery was 5.1%, while peripheral vascular surgery was 2.7%. Hypertension, chronic kidney disease, and diabetes mellitus have been identified as the most frequently accompanied systemic diseases. In patients with open heart surgery and after loss, the injection fraction (EF) was 48.4 ± 13.7, Euroscore Additive 10.0 ± 4.2, the cross clemp time was 125.1 ± 51.9 minutes and the cardiopulmonary bypass time was 192.0 ± 81.1 minutes. The procedure for peripheral vascular disease was planned and lost in the perioperative period, with APACHE II scores 26.1±8.5 in patients. The outcome: The open heart surgery mortality rate in our clinic is between the rates of developed countries and developing countries. The presence of preoperative systemic diseases in cardiovascular surgery patients is directly related to the mortality rate.

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