Authors: Nasser Safaii Babak Kazemi
Publish Date: 2010/02/13
Volume: 58, Issue: 2, Pages: 62-67
Abstract
Data regarding the effect of opium use on shortterm outcome in patients undergoing coronary artery bypass surgery are limited We sought to assess the morbidity and inhospital mortality of current and past users compared the data with those from nonusers of opium after coronary artery bypass grafting CABGThis is a descriptive analytical review of prospectively collected data on 782 consecutive male patients who underwent isolated CABG between January 2005 and December 2007 Of these 708 905 were nonusers 56 71 were current users and 18 23 were former opium users of more than 4 weeks The effect of opium usage on clinical admission and outcome variables were analyzedCurrent opium users were younger P = 0004 and more likely to be cigarette smokers P = 00004 Other demographic characteristics major coronary risk factors rates of postoperative complications intensive care unit readmission postoperative length of stay and inhospital mortality did not differ among the three groups Current opium users needed less analgesic postoperatively P = 00001 were significantly less compliant with medical and dietary recommendations after discharge P 00001 and were more likely to be rehospitalized with cardiovascular causes within 6 months after CABG surgery these differences were much more pronounced for nonusers versus current users of opium P 00001
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