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    Comparison of Risk Factors in Surgically Treated Patients with Coronary Artery Disease and Obstructive Peripheral Arterial Disease
    (Düzce Üniversitesi, 2015) Çelik, Ersin; Yürekli, İsmail; Yetkin, Ufuk; Dönmez, Köksal; Gümüş, Metin; Durusoy, Rahika; Gürbüz, Ali
    Aim: Due to increase in life expectancy, quality of life and alteration of life style; deaths bycardiovascular reasons are also increasing. In this era, cardiovascular diseases are the mostimportant mortality and morbidity causes of especially aging population. Atherosclerosis is themajor cause of cardiovascular diseases and its clinical reflections are diseases like coronaryartery disease (CAD) and peripheral arterial disease (PAD). Choices in treatment ofcardiovascular diseases are medical, peripheral vascular interventions and surgical interventions.There are many predisposing factors like age, hyperlipidemia, smoking, diabetes mellitus andhypertension for CAD and PAD. These risk factors also cause morbidity after surgicalinterventions and increase total length of hospital stay.Methods: In this study, we retrospectively investigated 868 CAD and 268 PAD patients whowere treated with surgical intervention between January 2007 and December 2010 fordevelopment of acute renal injury after surgery and effects of risk factors over intensive careunit and total length of hospital stay.Results: Blood transfusion rates were higher in patients with acute renal injury at both CADand PAD groups. This was consistent with literature. In addition, postoperative acute renal injuryincidences were higher in patients with hypertension and preoperative low hematocrit levels.Intensive care unit stay was longer in CAD patients with chronic obstructive pulmonary disease.Blood transfusion rates were higher, length of intensive care unit and hospital stay was longerin smoking PAD patients. Significantly, length of hospital stay of CAD patients with high LDLlevels was longer.Conclusion: We believe that, postoperative morbidity rates maybe lowered and intensive care unit and hospital stay lengths maybe shortened in CAD and PAD patients by a careful examinationof preoperative risk factors and planning of perioperative medicaltreatment