Retrospective Review on Open-Heart Surgery in Buriram Hospital Starting Now and Moving Forward to the Future

Abstract

Background: According to the First National Adult Cardiac Surgical Database Report, open-heart surgery from 2006-2008 included 16,017 patient records, with an in-hospital mortality rate of 6.7% and a 30-day mortality rate of 7.4%, compared to a worldwide 30-day mortality rate of 4.6%. For Buriram Hospital, the first open-heart surgery was performed on 31 May 2022.

Objective: This study conducted a retrospective review of patients undergoing open-heart surgery at Buriram Hospital to evaluate outcomes, morbidities, mortalities, and major postoperative complications, with the goal of improving surgical techniques, enhancing quality of life, and reducing mortality, morbidity, and hospitalization rates.

Materials and Methods: Retrospective reviews from 31 May 2022 to 31 December 2024 at the Division of Cardiothoracic Surgery, Department of Surgery, Buriram Hospital, focusing on patients who underwent open-heart surgeries, consisted of 164 patients.

Results: Of these, 131 were elective surgeries, 20 were urgent surgeries, and 13 were emergency surgeries. In total, 158 patients underwent heart-lung machine surgery with an average duration of 154.49 ± 63.24 minutes. The average aortic cross-clamp time was 104.64 ± 47.33 minutes. The average hospitalization duration was 15.85 ± 9.08 days. The survival rate of postoperative patients was 96.11%. (156 survivors) with a mortality rate of 4.89% (8 deaths). In the patient group, the mean risk of death after heart surgery (EUROSCOREII) was 4.27 ± 7.66%.

Conclusions: The results of open-heart surgery at Buriram Hospital were satisfactory compared to global and national results. Factors affecting hospitalization duration of patients were health status and the urgency of patients’ conditions before surgery. The findings were empirical data to improve the efficiency of care for patients undergoing open-heart surgery at Buriram Hospital.