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PREVALENCE OF STROKE AMONG PATIENTS UNDERGOING CABG (CORONARY ARTERY BYPASS GRAFTING) AND INFLUENCE OF PREVENTIVE STRATEGIES

Dr Sana Abbasi, Dr Saneela Mumtaz, Dr Maham Imtiaz

Objective: This research work was carried out to check the prevalence of stroke among patients who are undergoing CABG (Coronary Artery Bypass Grafting) and the influence of preventive strategies adopted in our institute. Methodology: The information of the patients (722) who had to undergo isolated-CABG (Coronary Artery Bypass Grafting) from May 2018 to July 2019 in Allied Hospital Faisalabad retrieved and the design of this study was retrospective study. We selected all the surgeries carried out on cardio-pulmonary bypass and cold blood cardio-plegia. Averages and SDs (Standard Deviations) were in use for the summarization of the numeric data. We summarized the categorical information in percentages and frequencies. Results: The average age of the patients was 53.830 ± 8.80 years. The average Parsonnet and Logistic Euro-Score were 4.30 ± 3.20 and 3.30 ± 0.90 correspondingly. Total 6.780% (n: 49) patients were present with carotid artery disease of significant nature. The average graft’s number was 2.80 ± 0.820. We diagnosed diabetes in 27.80% patients. We noticed the neurological complications in 1.940% (n: 14) patients who consisted twelve permanent paralyses. Further analysis of sub-group showed that sixty-seven patients whose surgeries carried out by single clamp method remained free from the complications of neurology. This is very significant finding in the clinical field but is not significant statistically due to its small sample size. Conclusion: There can be reduction in the prevalence of complications related to neurology with the adaptation of the proper and suitable measures of prevention. Usage of the single clamp method may be the causes of such low prevalence of stroke in this research work. KEYWORDS: Stroke, Neurology, Prevalence, Graft, Diabetes, Paralyses, Summarization, Single Clamp Method.

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