Coronary Artery Disease
Conditions
Brief summary
Coronary artery bypass grafting (CABG) is a major cardiac surgery associated with risks of serious perioperative complications and mortality. Malnutrition and inflammation are known independent risk factors for poor outcomes in patients with coronary artery disease. This retrospective observational study evaluates the Prognostic Nutritional Index (PNI)-a simple score derived from serum albumin and lymphocyte counts-as an objective measure of nutritional and inflammatory status. The research aims to determine how well preoperative PNI and its postoperative changes can predict complications such as acute kidney injury, myocardial infarction, and sternal wound infections in patients undergoing CABG.
Interventions
Calculated using serum albumin (g/L) and total peripheral lymphocyte count.
Calculated from peripheral blood counts.
Calculated from preoperative weight and height.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who underwent CABG surgery. * Availability of a signed informed consent form before surgery.
Exclusion criteria
* Other concurrent cardiac surgeries. * Presence of malignancy or systemic inflammatory disorders. * Active infection or autoimmune disorders. * Maintenance on immunosuppressants. * Liver disease. * Files with missing data.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diagnostic Accuracy of the Prognostic Nutritional Index (PNI) in Predicting Post-CABG Complications. | Approximately 30 days (From surgery through the duration of the hospital/ICU stay.) | The Area Under the Receiver Operating Characteristic (ROC) Curve (AUC) used to determine the performance of the PNI score in predicting the occurrence of major postoperative complications. |
Countries
Egypt