IJCS | Volume 32, Nº1, January/ February 2019

34 1. World Health Organization (WHO). World health statistics 2016: monitoring health for the SDGs, sustainable development goals. Geneva;2016. 2. BRASIL. Ministério da Saúde. Secretaria Executiva. Datasus. Informações de saúde. [Citado em 2016 nov 01]. Disponível em: <http://www2. datasus.gov.br/DATASUS/index.php?area=02 > 3. HaddadN, Bittar E, Marchi AF, Kantorowitz CS, AyoubAC, FonsecaML, et al. Custos hospitalares da cirurgia de revascularização do miocárdio em pacientes coronarianos eletivos. Arq Bras Cardiol. 2007;88(4):418-23. 4. Girardi PB, HuebWA, Nogueira CR, Takiuti ME, Nakano T, Garzillo CL, et al. Comparative costs between myocardial revascularization with or without extracorporeal circulation. Arq Bras Cardiol. 2008;91(6):369-76. 5. Speir AM, Kasirajan V, Barnett SD, Fonner E Jr. Additive costs of postoperative complications for isolated coronary artery bypass grafting patients in virginia. Ann Thorac Surg. 2009;88(1):40-6. 6. Osnabrugge RL, Speir AM, Head SJ, Jones PG, Ailawadi G, Fonner CE, et al. Prediction of costs and length of stay in coronary artery bypass grafting. Ann Thorac Surg. 2014;98(4):1286–93. 7. Almassi GH, Wagner TH, Carr B, Hattler B, Collins JF, Quin JA, et al. Postoperative atrial fibrillation impacts on costs and one-year clinical outcomes: the veterans affairs randomized on/off bypass trial. Ann Thorac Surg. 2015;99(1):109-14. 8. Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG, et al. ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2011;124(23):e652–735. 9. Ledur P, Almeida L, Pellanda LC, Schaan BD. Predictors of infection in post-coronary artery bypass graft surgery. Braz J Cardiovasc Surg. 2011;26(2):190-6. 10. Kobayashi J, Kusachi S, Sawa Y, Motomura N, Imoto Y, Makuuchi H, et al. Socioeconomic effects of surgical site infection after cardiac surgery in Japan. Surg Today. 2015;45(4):422-8. 11. Brown PP, Kugelmass AD, Cohen DJ, Reynolds MR, Culler SD, Dee AD, et al. The frequency and cost of complications associated with coronary artery bypass grafting surgery: results from the United States Medicare program. Ann Thorac Surg. 2008;85(6):1980–6. 12. Kilic A. ShahAS, Conte JV, Mandal K, BaumgartnerWA, CameronDE, et al. Understanding variability in hospital-specific costs of coronary artery bypass grafting represents an opportunity for standardizing care and improving resource use. J Thorac Cardiovasc Surg. 2014;147(1):109-15. 13. Sá MP, Soares EF, Santos CA, Figueredo OJ, Lima RO, Escobar RR, et al. EuroSCORE and mortality in coronary artery bypass graft surgery at Pernambuco Cardiologic Emergency Medical Services. Rev Bras Cir Cardiovasc. 2010;25(4):474-82. 14. Oliveira TM, Oliveira GM, Klein CH, Souza E Silva NA, Godoy PH.. Mortality and complications of coronary artery bypass grafting in Rio de Janeiro, from 1999 to 2003. Arq Bras Cardiol. 2010;95(3):303-12. References Barbosa et al. Complications of CABG and hospital expenses Int J Cardiovasc Sci. 2019;32(1)28-34 Original Article This is an open-access article distributed under the terms of the Creative Commons Attribution License Another limitation of this study is related with the non- inclusion of patients who were readmitted precociously due to late surgical complications, since the discharge from hospital can happen before the occurrence of any clinical manifestation. Conclusions We conclude that the occurrence of complications during CABG hospitalization significantly increases the expenditures with the procedure, but the magnitude of this increase will depend on the type of complication developed, with the highest costs being related to cardiovascular complications, infectious complications and bleeding. Author contributions Conception and design of the research: Barbosa JL. Acquisition of data: Barbosa JL, Silva AFR, Vianna MM, Gedeon POPR, Martins Neto L, Moreira MBUD, Faria LF. Analysis and interpretation of the data: Barbosa JL, Thiers CA, Tura BR. Statistical analysis: Barbosa JL. Writing of the manuscript: Barbosa JL. Critical revision of the manuscript for intellectual content: Barbosa JL, Thiers CA, Tura BR. Potential Conflict of Interest No potential conflict of interest relevant to this article was reported. Sources of Funding There were no external funding sources for this study. Study Association This article is part of the thesis of Doctoral submitted by João Luís Barbosa, from Universidade Federal do Rio de Janeiro (UFRJ). Ethics approval and consent to participate This study was approved by the Ethics Committee of the UFRJ/ Plataforma Brasil under the protocol number 648.089, CAAE: 30460013.4.0000.5257 . All the procedures in this study were in accordance with the 1975 Helsinki Declaration, updated in 2013. Informed consent was obtained from all participants included in the study.

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