Dr. Štraus born on December 22, 1963 in Sarajevo. Graduated in 1989 at Medical Faculty University of Sarajevo, and passed the specialist exam in Anesthesiology with Resuscitation on July 15, 1999.
Completed the subspecialty exam in Intensive Care Medicine on May 21, 2013. Master's degree in March 2005, and PhD in 2021 from the Faculty of Medicine of the University of Sarajevo.
At the Department of Surgery of the Faculty of Medicine in Sarajevo, elected professor in 2023.
Participated in numerous education programs in Bosnia and Herzegovina, neighboring countries, and abroad, participant in three international projects led by the European Society of Anesthesiologists.
Head of Clinic of Anesthesiology, resustitation and intensive care medicine, Clinical center University of Sarajevo.
EDUCATION
University of Sarajevo
Clinical Center University of Sarajevo
Surgery, Anesthesiology and Intensive Care, Critical Care, Research & Experimental Medicine
RESEARCH, TEACHING, or OTHER INTERESTS
Surgery, Anesthesiology and Pain Medicine, Critical Care and Intensive Care Medicine
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Scopus Publications
Scopus Publications
Management and Outcomes of Perioperative Care of People with Diabetes across Europe (MOPED): a prospective, observational study Donal J. Buggy, Malachy O. Columb, Jeroen Hermanides, Markus W. Hollmann, Mark Coburn, Alexander Zarbock, Angel Caballero, Paul Köglberger, Gabriel Putzer, Barbara Ebner, Martin Grünbart, Hannes Hoi, Simone Santosuosso, Senada Causevic, Mirza Kovacevic, Asmira Ljuca, Sanja Granov, Ilirijana Haxhibeqiri-Karabdic, Slavenka Straus, Sanja Berić, Ana Jurin Martić, Ana Horvat, Helena Krolo Videka, Emil Dolenc, Jasminka Peršec, Marko Pražetina, Nikola Ivanov, Nataša Paklar, Marijana Rehorić Krkušek, Gianluca Samarani, George Grigolia, Tsotne Samadashvili, Lasha Tabagari, Gvantsa Kachlishvili, Gabriel Janashvili, Johannes Roth, Oliver Sommerfeld, Christoph Sponholz, Lars Bergmann, Sebastian Schmid, Achilles Delis, Marie-Louise Fingerhut, Tobias Hilbert, Gregor Massoth, Claudia Neumann, Maria Wittmann, Christian Koch, Maria Theresa Voelker, Konstantinos Stroumpoulis, Georgia Micha, Georgia Tsaousi, Eleni Arnaoutoglou, Maria Ntalouka, Dimitra Papaspyrou, Styliani Apostolaki, Elissavet Anestiadou, Orestis Ioannidis, Konstantinos Zapsalis, Louise Moran, Ahmed Abdelaatti, Mushtaq Ahmad, Donal Buggy, Pádraig Ó Scanaill, John Shaker, Junaid Hashmi, Kristiana Nali, Andrea Haren, Sophie Shinnors, Donal Rafferty, Ciara Hanley, Kim Caulfield, Darren McMahon, Yaacov Gozal, Ra'ed Ishaq Jebrin, Waseem Moharib, Orit Nahtomi Shick, Andrea Barranco, Paola Aceto, Ersilia Luca, Andrea Cortegiani, Silvia Fiorelli, Cecilia Menna, Matteo Tiracorrendo, Antonella Cotoia, Annachiara Marra, Valentina Bellini, Elena Bignami, Chiara Domaneschi, Jasmina Ilievska, Abraham H Hulst, Jeroen Hermanides, Lars IP Snel, Eelko K de Groot, Robert Wilpe van, Yara Holtrust, Liedewij Janssen, Emiel Caris, Seppe Koopman, Nieke Oversier, Jonne Postema, Jamila Rapon, Wouter Van Bockel, Samuel Haig Barclay, Marc Bernard Godfried, Tomasz Czarnik, Agata Uchacz, Krzysztof Kusza, Maciej Arciszewski, Katarzyna Kotfis, Maria Pankowiak, Bartosz Pawłowicz, Elżbieta Reszka, Justyna Zajac, Andreia Capelão, Sofia Baptista, Rita Pinto, Susana Andrez, Joana Azevedo, Jose Cardoso, Morais Carina, Rodrigues Elsa, Joana Jones, Fernando José Abelha, Ana Lopes, Joana Mourão, Luís Pereira, Adriana Santos, Florin Teodor Bobirca, Dana Tomescu, Sergiu Sargarovschi, Romina-Marina Sima, Nataliya Efremova, Alexey Ovezov, Ayyaz Hussain, Timur Dzhumatov, Sergey Efremov, Yana Jumatava, Vladimir Skvortsov, Aleksei Trofimov, Dragana Unic-Stojanovic, Marina Soro, José Maria Cubero-Marcos, Gisela Myrella Hermenegildo Chávez, Ignacio Hinojal-Blanco, Ana Martínez-Díaz, Mariona Romero-González, Gerard Urrútia, Ángel Becerra-Bolaños, Héctor Trujillo-Morales, Olga de la Varga-Martínez, Paula Gómez-Aguilar, Ana Nieto-Moreno, Lerzan Dogan, Dilek Ömür Arça, Ayşe Zeynep Turan Civraz, Emine Yurt, Derya Karasu, Tayfun Et, Gaye Boztepe Yilmaz, Kemal Tolga Saracoglu, Osman Ekinci, Deepa Kurup, Sarah Barton, Tim Wilson, Caroline Thomas, Grace Polley, Anil Hormis, Dipesh Patel, Victoria Waugh, Rajesha Srinivasaiah, Nidhi Gautam, Konstantinos Miltsios, Saman Sepehr, Pierre Harlet, Slama Farsi, Peter Paal, Rehorić Krkušek, Tamar Macharadze, Matteo Bossolasco, Daniela Ionescu, Pavel Dunts, Simon Howell, Sylvia Daamen, Pierre Harlet, Slama Farsi, Saman Homayun Sepehr, Sophie Debouche, Maxim Van Belle Lancet Regional Health Europe, 2026 Background: The prevalence of people with Diabetes Mellitus (DM) presenting for surgery is increasing. Guidelines on perioperative management are based on expert opinion with variability of practice likely. Our objective was to document perioperative management and 30-day outcomes of people with DM across Europe. Methods: This was a prospective, observational study involving 89 hospitals across 21 European countries, ranging from district general to tertiary referral centres. Between January 2021 and February 2024, 6126 people with confirmed DM (any type except gestational) receiving surgery of any kind requiring anaesthesia were followed for 30 days. Centres were self-selected by anaesthesiology clinicians working there, who enrolled consecutive people with DM to a locally determined target number. There was 5936 (97%) 30-day follow-up completion. The primary outcome was Days at Home at 30 Days (DAH-30). Secondary outcomes included descriptive characteristics of perioperative management, dysglycaemia and incidence of postoperative complications. Findings: median (25-75% range) DAH-30 = 27 days (23-29), contrasting with higher HbA1c > 69 mmol mol, median DAH-30 = 25 days (20-28); difference 2.0, 95% CI 1.3-2.7; P < 0.0001). This association was upheld in multivariable analysis only for patients with little blood loss. Interpretation: There is a need to harmonise international practice to reduce variability in perioperative diabetes management and 30-day outcome. Funding: The European Society of Anaesthesiology and Intensive Care (ESA-IC) funded administrative staff throughout the conduct of the study. The College of Anaesthesiologists of Ireland (CAI) and British Journal of Anaesthesia (BJA) partially contributed to data collection in Ireland and UK.
Withholding or continuing glucose-lowering drugs for elective surgery in patients with type 2 diabetes mellitus: a secondary analysis of the MOPED international, prospective, observational study Donal J. Buggy, Malachy O. Columb, Jeroen Hermanides, Markus W. Hollmann, Mark Coburn, Alexander Zarbock, Angel Caballero, Peter Paal, Sanja Granov, Marijana Rehorić Krkušek, Gianluca Samarani, Tamar Macharadze, Christoph Sponholz, Eleni Arnaoutoglou, Pádraig Ó. Scanaill, Orit Nahtomi Shick, Matteo Bossolasco, Jasmina Ilievska, Jeroen Hermanides, Katarzyna Kotfis, Andreia Capelão, Daniela Ionescu, Sergey Efremov, Pavel Dunts, Unic Stojanovic, Marina Soro, Kemal Tolga Saracoglu, Simon Howell, Paul Köglberger, Gabriel Putzer, Barbara Ebner, Martin Grünbart, Hannes Hoi, Simone Santosuosso, Senada Causevic, Mirza Kovacevic, Asmira Ljuca, Sanja Granov, Ilirijana Haxhibeqiri-Karabdic, Slavenka Straus, Sanja Berić, Ana Jurin Martić, Ana Horvat, Helena Krolo Videka, Emil Dolenc, Jasminka Peršec, Marko Pražetina, Nikola Ivanov, Nataša Paklar, Gianluca Samarani, George Grigolia, Tsotne Samadashvili, Lasha Tabagari, Gvantsa Kachlishvili, Gabriel Janashvili, Johannes Roth, Oliver Sommerfeld, Christoph Sponholz, Lars Bergmann, Sebastian Schmid, Achilles Delis, Marie-Louise Fingerhut, Tobias Hilbert, Gregor Massoth, Claudia Neumann, Maria Wittmann, Christian Koch, Maria Theresa Voelker, Konstantinos Stroumpoulis, Georgia Micha, Georgia Tsaousi, Eleni Arnaoutoglou, Maria Ntalouka, Dimitra Papaspyrou, Styliani Apostolaki, Elissavet Anestiadou, Orestis Ioannidis, Konstantinos Zapsalis, Louise Moran, Ahmed Abdelaatti, Mushtaq Ahmad, Donal Buggy, Pádraig Ó. Scanaill, John Shaker, Junaid Hashmi, Kristiana Nali, Andrea Haren, Sophie Shinnors, Donal Rafferty, Kim Caulfield, Darren McMahon, Yaacov Gozal, Ra'ed Ishaq Jebrin, Waseem Moharib, Orit Nahtomi Shick, Andrea Barranco, Paola Aceto, Ersilia Luca, Andrea Cortegiani, Silvia Fiorelli, Cecilia Menna, Matteo Tiracorrendo, Antonella Cotoia, Annachiara Marra, Valentina Bellini, Elena Bignami, Chiara Domaneschi, Jasmina Ilievska, Abraham H. Hulst, Jeroen Hermanides, Lars IP. Snel, Eelko K. de Groot, Robert Wilpe van, Yara Holtrust, Liedewij Janssen, Emiel Caris, Seppe Koopman, Nieke Oversier, Jonne Postema, Jamila Rapon, Wouter Van Bockel, Samuel Haig Barclay, Marc Bernard Godfried, Tomasz Czarnik, Agata Uchacz, Krzysztof Kusza, Maciej Arciszewski, Katarzyna Kotfis, Maria Pankowiak, Bartosz Pawłowicz, Elżbieta Reszka, Justyna Zajac, Sofia Baptista, Rita Pinto, Susana Andrez, Joana Azevedo, Jose Cardoso, Morais Carina, Rodrigues Elsa, Joana Jones, Fernando José Abelha, Ana Lopes, Joana Mourão, Luís Pereira, Adriana Santos, Florin Teodor Bobirca, Dana Tomescu, Sergiu Sargarovschi, Romina-Marina Sima, Nataliya Efremova, Alexey Ovezov, Ayyaz Hussain, Timur Dzhumatov, Sergey Efremov, Yana Jumatava, Vladimir Skvortsov, Aleksei Trofimov, Dragana Unic-Stojanovic, Marina Soro, José Maria Cubero-Marcos, Gisela Myrella Hermenegildo Chávez, Ignacio Hinojal-Blanco, Ana Martínez-Díaz, Mariona Romero-González, Gerard Urrútia, Ángel Becerra-Bolaños, Héctor Trujillo-Morales, Olga de la Varga-Martínez, Paula Gómez-Aguilar, Ana Nieto-Moreno, Lerzan Dogan, Dilek Ömür Arça, Ayşe Zeynep Turan Civraz, Emine Yurt, Derya Karasu, Tayfun Et, Gaye Boztepe Yilmaz, Osman Ekinci, Deepa Kurup, Sarah Barton, Tim Wilson, Carolina Thomas, James Day, Anil Hormis, Dipesh Patel, Victoria Waugh, Rajesha Srinivasaiah, Nidhi Gautam, Konstantinos Miltsios, Sylvia Daamen, Pierre Harlet, Slama Farsi, Saman Homayun Sepehr, Sophie Debouche, Maxim Van Belle British Journal of Anaesthesia, 2026 BACKGROUND: There are conflicting guidelines on whether patients with type 2 diabetes mellitus should withhold or continue glucose-lowering drugs before surgery, especially newer agents. We tested the hypothesis that continuing glucose-lowering drugs increases days alive at home and out of hospital at 30 days (DAH-30). METHODS: We performed a secondary analysis of a prospective, observational study in 21 European countries of patients with type 2 diabetes mellitus undergoing elective surgery. The primary outcome was DAH-30. The exposure of interest was the continuation or discontinuation of glucose-lowering drugs (metformin, sodium-glucose cotransporter 2 inhibitors [SGLT2i], glucagon-like peptide-1 receptor agonists [GLP-1 RA]). Median (interquartile [IQR]) values are shown. RESULTS: Between January 2021 and December 2024, 5767 participants with type 2 diabetes mellitus (age 64 [range: 22-89] yr; 43% female) were enrolled from 89 centres, with 4988 (87%) undergoing elective surgery. For 3623/5767 (73%) participants receiving metformin, DAH-30 was higher (28 days [24-29]) in 421/3623 (12%) participants who continued metformin on the day of surgery compared with 27 days (23-29) in 3202 of 5767 (88%) participants who had not taken metformin (P=0.001). After adjusting for prespecified covariates, continuing metformin on the day of surgery remained associated with higher DAH-30 (0.47 days [95% confidence interval:0.01-0.93]; P=0.044). No association was found for either stopping/continuing SGLT2i (n=836 participants) or GLP-1 RA (n=304 participants) with DAH-30. CONCLUSIONS: Continuing metformin during surgery among patients with type 2 diabetes mellitus was associated with marginally shorter DAH-30, but the sample size for participants receiving SGLT2i and GLP-1 RA therapy precluded any meaningful estimates. TRACKER ID: ESA-IC_CTN_MOPED.
Justification of Screening for Peripheral Arterial Disease in the Elderly Population Through Clinical and Financial Cost-benefit Analysis Muhamed Djedovic, Bedrudin Banjanovic, Amel Hadzimehmedagic, Ilirijana Karabdic, Tarik Selimovic, Damir Kurtagic, Edin Kabil, Slavenka Straus Acta Informatica Medica, 2025 Background: Peripheral arterial disease (PAD) is a chronic condition of reduced blood flow through the arteries. Early detection and prevention of PAD, especially in at-risk populations, is crucial to reducing morbidity and mortality. Objective: The aim of the study was to examine the clinical feasibility of vascular ultrasound screening for early detection of PAD, as well as potential financial savings through preventive measures. Methods: The study was conducted as a prospectively designed cross-sectional study with retrospective sample analysis, in which the sample consisted of 826 patients over 60 years of age, of both sexes, divided into two groups, conducted from January 2023 to May 2024. Results: The study included 826 patients aged 60 and over, divided into two groups after ultrasound examination of the arteries (Group A with atherosclerosis /63.8%/; Group B - without atherosclerosis /36.2%/). The average age was 65.44±5.9 years, 60-65 years was 64.3%, and over 65 years was 35.7%. A statistically significant difference was recorded between the analyzed groups in terms of comorbidities and risk factors. We found that age, gender, hypertension, hyperlipidemia, diabetes, smoking and chronic obstructive disease have a significant relationship with the degree of atherosclerosis. Multivariate analysis showed that the age of the subjects, hyperlipidemia, hypertension and smoking are significant predictors of atherosclerosis. The prevalence for hemodynamically significant stenosis of ACI/ACC was 5.0%, for peripheral arteries 4.2%, the prevalence of aneurysm abdominal aorta (>3 cm) was 2.3%, and 0.5% for diameter >5 cm. Conclusion: The results show the high efficiency of ultrasound diagnostics in identifying asymptomatic patients with advanced atherosclerosis, emphasizing the need for better organization of preventive programs, which could lead to potential savings in healthcare costs through earlier detection and treatment.
Minimally invasive coronary artery bypass (MICS CABG) in Bosnia and Herzegovina: a single centre, single surgeon cohort experience Nermir Granov, Armin Šljivo, Ermina Mujičić, Damir Rebić, Alen Džubur, Edin Begić, Tarik Selimović, Zlatan Zvizdić, Almir Fajkić, Asmir Jonuzi, Edin Kabil, Slavenka Štraus Medicinski Glasnik, 2023 &lt;p&gt;&lt;strong&gt;Aim &lt;br /&gt;&lt;/strong&gt;This is the first research in Bosnia and Herzegovina presenting minimally invasive coronary artery bypass grafting surgery&lt;br /&gt;(MICS CABG) experience, advantages, and outcomes as compared to conventional surgery (OPEN CABG).&lt;br /&gt;&lt;strong&gt;Methods&lt;/strong&gt; &lt;br /&gt;This retrospective cross-sectional study was conducted between January 2019 and November 2022 and included patients&lt;br /&gt;with indication for surgical revascularization.&lt;br /&gt;&lt;strong&gt;Results&lt;/strong&gt; &lt;br /&gt;Among 237 patients, males predominated, 182 (76.7%), with a mean body mass index (BMI) of 28.4&amp;plusmn;3.9, median The Society of Thoracic Surgery Risk (STS) score of 1.55 (0.8, 4.0), short term STS score of 11.2 (6.8, 23.7), mean age of 64.8&amp;plusmn;8.7 (ranging 41-83) years, 122 (51.4%) underwent OPEN CABG and 115 (48.6%) MICS CABG. MICS CABG took less time (p&amp;lt;0.001; OPEN 3.5&amp;plusmn;0.8h; MICS 2.8&amp;plusmn;0.8h) and needed less mechanical ventilation (p&amp;lt;0.001, OPEN 17.3&amp;plusmn;11.9h; MICS 13.0&amp;plusmn;12.5h) than OPEN CABG. Even though there was no difference in hospitalization length between groups (OPEN (7.5&amp;plusmn;3.2), MICS (7.1&amp;plusmn;4.0)), patients receiving MICS (2.9&amp;plusmn;1.5) spent less time in the ICU (p=0.0013) than OPEN CABG (3.6&amp;plusmn;2.8). OPEN CABG used also more blood derivatives, red blood cells (OPEN 292 vs MICS 55), plasma (OPEN 270 vs MICS 86) and platelets (OPEN 71 vs MICS 28).&lt;br /&gt;&lt;strong&gt;Conclusion&lt;/strong&gt; &lt;br /&gt;Patients undergoing MICS CABG in Bosnia and Herzegovina had less mechanical ventilation hours and less ICU duration compared to OPEN CABG even though the hospitalization duration was very similar. MICS CABG takes less time to be conducted, has fewer CPRs postoperatively, uses less blood derivatives including red blood cells, plasma and platelets.&lt;/p&gt;
Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study Tài Pham, Leo Heunks, Giacomo Bellani, Fabiana Madotto, Irene Aragao, Gaëtan Beduneau, Ewan C Goligher, Giacomo Grasselli, Jon Henrik Laake, Jordi Mancebo, Oscar Peñuelas, Lise Piquilloud, Antonio Pesenti, Hannah Wunsch, Frank van Haren, Laurent Brochard, John G Laffey, Fekri Abrough, Subhash P Acharya, Pravin Amin, Yaseen Arabi, Irene Aragao, Philippe Bauer, Gaëtan Beduneau, Jeremy Beitler, Johan Berkius, Guillermo Bugedo, Luigi Camporota, Vladimir Cerny, Young-Jae Cho, Kevin Clarkson, Elisa Estenssoro, Ewan Goligher, Giacomo Grasselli, Alexey Gritsan, Seyed Mohammadreza Hashemian, Greet Hermans, Leo M Heunks, Bojan Jovanovic, Kiyoyasu Kurahashi, Jon Henrik Laake, Dimitrios Matamis, Onnen Moerer, Zsolt Molnar, Ezgi Ozyilmaz, Bernardo Panka, Alfred Papali, Óscar Peñuelas, Sébastien Perbet, Lise Piquilloud, Haibo Qiu, Assem Abdel Razek, Nuttapol Rittayamai, Rollin Roldan, Ary Serpa Neto, Konstanty Szuldrzynski, Daniel Talmor, Dana Tomescu, Frank Van Haren, Asisclo Villagomez, Amine Ali Zeggwagh, Toshikazu Abe, Abdelrhman Aboshady, Melanie Acampo-de Jong, Subhash Acharya, Jane Adderley, Nalan Adiguzel, Vijay Kumar Agrawal, Gerardo Aguilar, Gaston Aguirre, Hernan Aguirre-Bermeo, Björn Ahlström, Türkay Akbas, Mustafa Akker, Ghamdan Al Sadeh, Sultan Alamri, Angela Algaba, Muneeb Ali, Anna Aliberti, Jose Manuel Allegue, Diana Alvarez, Joaquin Amador, Finn H Andersen, Sharique Ansari, Yutthana Apichatbutr, Olympia Apostolopoulou, Yaseen Arabi, Daniel Arellano, Mestanza Arica, Huseyin Arikan, Koichi Arinaga, Jean-Michel Arnal, Kengo Asano, Marta Asín-Corrochano, Jesus Milagrito Avalos Cabrera, Silvia Avila Fuentes, Semih Aydemir, Gulbin Aygencel, Luciano Azevedo, Feza Bacakoglu, Julio Badie, Elias Baedorf Kassis, Gabriela Bai, Govindan Balaraj, Bruno Ballico, Valerie Banner-Goodspeed, Preveen Banwarie, Rosella Barbieri, Arvind Baronia, Jonathan Barrett, Loïc Barrot, Jesus Emilio Barrueco-Francioni, Jeffrey Barry, Philippe Bauer, Harshal Bawangade, Sarah Beavis, Eduardo Beck, Nina Beehre, Alberto Belenguer Muncharaz, Giacomo Bellani, Mirko Belliato, Agrippino Bellissima, Rodrigo Beltramelli, Asma Ben Souissi, Adela Benitez-Cano, Mohamed Benlamin, Abdellatif Benslama, Luis Bento, Daniela Benvenuti, Johan Berkius, Laura Bernabe, Andrew Bersten, Giacomo Berta, Pietro Bertini, Elliot Bertram-Ralph, Mohamed Besbes, Lisandro Roberto Bettini, Pascal Beuret, Jeremy Bewley, Marco Bezzi, Lakshay Bhakhtiani, Rakesh Bhandary, Kaushik Bhowmick, Shailesh Bihari, Bernie Bissett, David Blythe, Simon Bocher, Narain Boedjawan, Christine M Bojanowski, Elisa Boni, Sabrina Boraso, Massimo Borelli, Silvina Borello, Margarita Borislavova, Karen J Bosma, Maurizio Bottiroli, Owen Boyd, Suha Bozbay, Arturo Briva, Laurent Brochard, Cédric Bruel, Andrea Bruni, Ulrike Buehner, Guillermo Bugedo, Pierre Bulpa, Karen Burt, Mathieu Buscot, Stefania Buttera, Jorge Cabrera, Roberta Caccese, Pietro Caironi, Ivan Canchos Gutierrez, Nancy Canedo, Alma Cani, Iacopo Cappellini, Jesus Carazo, Luis Pablo Cardonnet, David Carpio, Demetrio Carriedo, Ramón Carrillo, João Carvalho, Eliana Caser, Antonio Castelli, Manuel Castillo Quintero, Heloisa Castro, Nuno Catorze, Melike Cengiz, Enrique Cereijo, Helga Ceunen, Christos Chaintoutis, Youjin Chang, Gustavogcha Chaparro, Carmel Chapman, Simon Chau, Cecilia Eugenia Chavez, Cosimo Chelazzi, Jonathan Chelly, Frank Chemouni, Kai Chen, Ariel Chena, Paolo Chiarandini, Phil Chilton, Davide Chiumello, Young-Jae Cho, Yvette Chou-Lie, Nicolas Chudeau, Ismail Cinel, Gilda Cinnella, Michele Clark, Thomas Clark, Kevin Clarkson, Stefano Clementi, Luis Coaguila, Alexis Jaspe Codecido, Amy Collins, Riccardo Colombo, Juan Conde, Guglielmo Consales, Tim Cook, Andrea Coppadoro, Rodrigo Cornejo, Andrea Cortegiani, Cristina Coxo, Andrea Neville Cracchiolo, Mónica Crespo Ramirez, Philippe Crova, José Cruz, Lucia Cubattoli, Zafer Çukurova, Francesco Curto, Piotr Czempik, Rocco D'Andrea, Fernando da Silva Ramos, Laurence Dangers, Marc Danguy des Déserts, Pierre-Eric Danin, Fabianne Dantas, Cédric Daubin, Wu Dawei, Candelaria de Haro, Felipe de Jesus Montelongo, Diego De Mendoza, Raúl de Pablo, Gennaro De Pascale, Silvia De Rosa, Maxens Decavèle, Pierre-Louis Declercq, Alberto Deicas, María del Carmen Campos Moreno, Jean Dellamonica, Benjamin Delmas, Oktay Demirkiran, Hilmi Demirkiran, Tarek Dendane, Rossella di Mussi, Chrysi Diakaki, Anatilde Diaz, Willy Diaz, Yalim Dikmen, Aikaterini Dimoula, Patricia Doble, Nagwa Doha, Guilherme Domingos, Martin Dres, David Dries, Abhijit Duggal, Graeme Duke, Pavel Dunts, Knut Dybwik, Maksym Dykyy, Philippe Eckert, Serdar Efe, Souheil Elatrous, Gülseren Elay, Abubaker S Elmaryul, Mohamed Elsaadany, Hany Elsayed, Samar Elsayed, Malo Emery, Sébastien Ena, Kevin Eng, Joshua A Englert, Elif Erdogan, Perihan Ergin Ozcan, Ege Eroglu, Miguel Escobar, Figen Esen, Arzu Esen Tekeli, Alejandro Esquivel, Helbert Esquivel Gallegos, Hanane Ezzouine, Alberto Facchini, Mohammad Faheem, Vito Fanelli, Maria Fernanda Farina, Muriel Fartoukh, Lutz Fehrle, Feng Feng, Yufeng Feng, Irene Fernandez, Borja Fernandez, Maria Lorena Fernandez-Rodriguez, Carlos Ferrando, Maria João Ferreira da Silva, Mireia Ferreruela, Janet Ferrier, Matias Jesús Flamm Zamorano, Laura Flood, Leda Floris, Martin Fluckiger, Catalina Forteza, Antonella Fortunato, Eric Frans, Antonella Frattari, Sebastian Fredes, Tim Frenzel, Roberto Fumagalli, Mariano Andres Furche, Maurizio Fusari, Edward Fysh, Juan Luis Galeas-Lopez, Louis-Marie Galerneau, Analía Garcia, María Fernanda Garcia, Elisabet Garcia, Pablo Garcia Olivares, Jaroslaw Garlicki, Aude Garnero, Eugenio Garofalo, Prabha Gautam, Andrey Gazenkampf, Stéphanie Gelinotte, Domenico Gelormini, Etienne Ghrenassia, Angelo Giacomucci, Robert Giannoni, Andrea Gigante, Nancy Glober, Paolo Gnesin, Yari Gollo, Dina Gomaa, Rosita Gomero Paredes, Rui Gomes, Raúl Alejandro Gomez, Oscar Gomez, Aroa Gomez, Louise Gondim, Manuel Gonzalez, Isabel Gonzalez, Alejandro Gonzalez-Castro, Orlando Gordillo Romero, Federico Gordo, Philippe Gouin, Jerónimo Graf Santos, Rooney Grainne, Matilde Grando, Sanja Granov Grabovica, Giacomo Grasselli, Salvatore Grasso, Rinaldo Grasso, Lisa Grimmer, Colin Grissom, Alexey Gritsan, Qing Gu, Xiang-Dong Guan, Fabio Guarracino, Neus Guasch, Luca Guatteri, Renaud Gueret, Claude Guérin, Emmanuel Guerot, Pierre-Gildas Guitard, Fethi Gül, Ayca Gumus, Mohan Gurjar, Patricia Gutierrez, Abdelhamid Hachimi, Adi Hadzibegovic, Samantha Hagan, Clare Hammel, Joo Han Song, Gabrielle Hanlon, Seyed Mohammadreza Hashemian, Serge Heines, Johanna Henriksson, Jean-Etienne Herbrecht, Gabriel Omar Heredia Orbegoso, Greet Hermans, Andrew Hermon, Rosana Hernandez, Carmen Hernandez, Luis Herrera, Manuel Herrera-Gutierrez, Leo Heunks, Juan Hidalgo, Dianne Hill, Dagmar Holmquist, Marcela Homez, Xia Hongtao, Anil Hormis, Daniel Horner, M Carmen Hornos, Meihong Hou, Stacy House, Brahim Housni, Keith Hugill, Sally Humphreys, Louis Humbert, Stephanie Hunter, Lee Hwa Young, Nicolas Iezzi, Santiago Ilutovich, Volkan Inal, Richard Innes, Panagiotis Ioannides, Giorgio Antonio Iotti, Mariachiara Ippolito, Hiromasa Irie, Hiroki Iriyama, Taiga Itagaki, Javier Izura, Santiago Izza, Rakhshanda Jabeen, Hamidreza Jamaati, Sunil Jamadarkhana, Amira Jamoussi, Milosz Jankowski, Luis Alberto Jaramillo, Kyeongman Jeon, Seok Jeong Lee, Deepak Jeswani, Simant Jha, Liangyan Jiang, Chen Jing, Sébastien Jochmans, Bror Anders Johnstad, Lee Jongmin, Aurélie Joret, Bojan Jovanovic, Detajin Junhasavasdikul, Maria Teresa Jurado, Elisa Kam, Hidenobu Kamohara, Caroline Kane, Iskender Kara, Sait Karakurt, Cherdkiat Karnjanarachata, Jun Kataoka, Shinshu Katayama, Shuchi Kaushik, Nermin Kelebek Girgin, Kathryn Kerr, Ian Kerslake, Prakash Khairnar, Abidi Khalid, Akram Khan, Ashish K Khanna, Reza Khorasanee, Dieneke Kienhorst, Cenk Kirakli, Rihard Knafelj, Mark Kol Kol, Napplika Kongpolprom, Csaba Kopitko, Pervin Korkmaz Ekren, Agnieszka Kubisz-Pudelko, Zoltan Kulcsar, Junji Kumasawa, Kiyoyasu Kurahashi, Akira Kuriyama, Fernanda Kutchak, Jon Henrik Laake, Eduardo Labarca, Françoise Labat, César Laborda, Manuel Alberto Laca Barrera, Laurie Lagache, Antonio Landaverde Lopez, Michael Lanspa, Valeria Lascari, Matthieu Le Meur, Su Hwan Lee, Young Ju Lee, Jinwoo Lee, Won-Yeon Lee, Jarone Lee, Terje Legernaes, Tamaas Leiner, Virginie Lemiale, Tiago Leonor, Philipp M Lepper, Dahuan Li, Hongbin Li, Oleg Li, Ana Raquel Lima, Dan Lind, Edward Litton, Ning Liu, Ling Liu, Jialin Liu, Jean-François Llitjos, Beatriz Llorente, Rodolfo Lopez, Claudia Elizabeth Lopez, Claudia Lopez Nava, Pablo Lovazzano, Min Lu, Francesca Lucchese, Manuela Lugano, Gustavo Lugo Goytia, Hua Luo, Ceri Lynch, Sebastiano Macheda, Victor Hugo Madrigal Robles, Salvatore Maurizio Maggiore, Mònica Magret Iglesias, Peter Malaga, Harish Mallapura Maheswarappa, Guillermo Malpartida, Andrey Malyarchikov, Helena Mansson, Anaid Manzano, Ismael Marey, Nathalie Marin, Maria del Carmen Marin, Eliana Markman, Felix Martin, Alex Martin, Cristina Martin Dal Gesso, Felipe Martinez, Conchita Martínez-Fidalgo, Ignacio Martin-Loeches, Arantxa Mas, Sakuraya Masaaki, Emilio Maseda, Eleni Massa, Anna Mattsson, Jessica Maugeri, Victoria McCredie, James McCullough, Shay McGuinness, Andrew McKown, László Medve, Chengqing Mei, Ricard Mellado Artigas, Vitor Mendes, Mohamed Khalaf Ebraheim Mervat, Isabelle Michaux, Michael Mikhaeil, Olga Milagros, Igor Milet, Maria Teresa Millan, Zhang Minwei, Lucia Mirabella, Sanghamitra Mishra, Giovanni Mistraletti, Katsunori Mochizuki, Onnen Moerer, Arif Moghal, Francesco Mojoli, Alexandre Molin, Zsolt Molnar, Raquel Montiel, Luca Montini, Gianmario Monza, Maria Mora Aznar, Sunthiti Morakul, Maria Morales, Daniel Moreno Torres, Diego Rolando Morocho Tutillo, Catherine Motherway, Doumiri Mouhssine, Eleni Mouloudi, Tapia Muñoz, Carlos Munoz de Cabo, Mohamed Mustafa, Radhakrishnan Muthuchellappan, Muraleekrishnan Muthukrishnan, Stefano Muttini, Isao Nagata, Dick Nahar, Misuzu Nakanishi, Izumi Nakayama, Silvio Antonio Namendys-Silva, Rahul Nanchal, Sivakumar Nandakumar, Alessandra Nasi, Kamal Nasir, Paolo Navalesi, Tayyba Naz Aslam, Thuy Nga Phan, Alistair Nichol, Shuhei Niiyama, Sofia Nikolakopoulou, Elena Nikolic, Kenichi Nitta, Marko Noc, Stephanie Nonas, Saad Nseir, Ayse Nur Soyturk, Yukako Obata, Richard Oeckler, Moe Oguchi, Shinichiro Ohshimo, Marina Oikonomou, Agueda Ojados, Maria Teresa Oliveira, Wilson Oliveira Filho, Carlo Oliveri, Aitor Olmos, Kazuya Omura, Maria Cristina Orlandi, Francesca Orsenigo, Laura Ortiz-Ruiz De Gordoa, Kei Ota, Rainier Ovalle Olmos, Nándo Öveges, Peter Oziemski, Ozlem Ozkan Kuscu, Fernando Pachas Alvarado, Gonzalo Pagella, Vijayanand Palaniswamy, Eugenio Luis Palazon Sanchez, Salvatore Palmese, Guojun Pan, Wensen Pan, Bernardo Panka, Metaxia Papanikolaou, Theonymfi Papavasilopoulou, Ameet Parekh, Rachael Parke, Francisco J Parrilla, Dácil Parrilla, Taha Pasha, Laura Pasin, Luis Patão, Mayur Patel, Grisma Patel, Basanta Kumar Pati, Jayaprakash Patil, Saroj Pattnaik, Daniel Paul, Maurizio Pavesi, Vanesa Alejandra Pavlotsky, Graciela Paz, Enrique Paz, Elisabetta Pecci, Carlos Pellegrini, Andrea Gabriela Peña Padilla, Gaetano Perchiazzi, Tiago Pereira, Vera Pereira, Manuel Perez, Cesar Perez Calvo, Meisy Perez Cheng, Ronald Perez Maita, Rodrigo Pérez-Araos, Purificación Perez-Teran, David Perez-Torres, Gavin Perkins, Paolo Persona, Tananchai Petnak, Marina Petrova, Tai Pham, François Philippart, Edoardo Picetti, Elisabetta Pierucci, Edoardo Piervincenzi, Riccardo Pinciroli, Maria-Consuelo Pintado, Lise Piquilloud, Thomas Piraino, Stephanie Piras, Claudio Piras, Pattarin Pirompanich, Luigi Pisani, Enrique Platas, Gustavo Plotnikow, Willy Porras, Virginia Porta, Mariana Portilla, José Portugal, Pedro Povoa, Gwenael Prat, Romina Pratto, Gabriel Preda, Isidro Prieto, Estefania Prol-Silva, Richard Pugh, Yupeng Qi, Chuanyun Qian, Tiehe Qin, Haibo Qiu, Hongping Qu, Teobaldo Quintana, Rosari Quispe Sierra, Rocio Quispe Soto, Raihan Rabbani, Mohamed Rabee, Ahmed Rabie, Maria Augusta Rahe Pereira, Ashish Rai, Sundar Raj Ashok, Mostafa Rajab, Navin Ramdhani, Elizabeth Ramey, Marco Ranieri, Darshana Rathod, Banambar Ray, Shihan Mahmud Redwanul Huq, Adrian Regli, Rosa Reina, Natalia Resano Sarmiento, Faustine Reynaud, Gemma Rialp, Pilar Ricart, Todd Rice, Angus Richardson, Marcelo Rieder, Martin Rinket, Fernando Rios, Fernando Rios, Alejandro Risso Vazquez, Nuttapol Rittayamai, Ivano Riva, Monaly Rivette, Oriol Roca, Ferran Roche-Campo, Covadonga Rodriguez, Gabriel Rodriguez, Daniel Rodriguez Gonzalez, Xandra Yanina Rodriguez Tucto, Angela Rogers, María Elena Romano, Linda Rørtveit, Alastair Rose, Damien Roux, Anahita Rouze, Paolo Nahuel Rubatto Birri, Wang Ruilan, Aldana Ruiz Robledo, Antonio Luis Ruiz-Aguilar, Tomohito Sadahiro, Ignacio Saez, Judith Sagardia, Rajnish Saha, Rohit Saha, Narongkorn Saiphoklang, Shigeki Saito, Maie Salem, Gabriele Sales, Patricia Salgado, Srinivas Samavedam, Mhamed Sami Mebazaa, Line Samuelsson, Nandyelly San Juan Roman, Patricia Sanchez, Jesus Sanchez-Ballesteros, Yazcitk Sandoval, Emanuele Sani, Martin Santos, Carla Santos, Masamitsu Sanui, Lakshmikanthcharan Saravanabavan, Sema Sari, Agnes Sarkany, Bertrand Sauneuf, Monica Savioli, Hilal Sazak, Riccardo Scano, Francis Schneider, Frédérique Schortgen, Marcus J Schultz, Gabriele Leonie Schwarz, Faruk Seçkin Yücesoy, Andrew Seely, Frederik Seiler, Yasemin Seker Tekdos, Kim Seok Chan, Luca Serano, Wojciech Serednicki, Ary Serpa Neto, Mariano Setten, Asim Shah, Bhagyesh Shah, You Shang, Pradeep Shanmugasundaram, Konstantin Shapovalov, Eman Shebl, Takuya Shiga, Nobuaki Shime, Phil Shin, Jack Short, Chen Shuhua, Sughrat Siddiqui, Juan Ignacio Silesky Jimenez, Daniel Silva, Betania Silva Sales, Koen Simons, Brit Ågot Sjøbø, David Slessor, Jakub Smiechowicz, Nathan Smischney, Paul Smith, Tim Smith, Mark Smith, Sarah Snape, Lindi Snyman, Filiep Soetens, Kyung Sook Hong, Miguel Ángel Sosa Medellin, Giovanna Soto, Xavier Souloy, Elsa Sousa, Stefania Sovatzis, Didem Sozutek, Savino Spadaro, Marco Spagnoli, Martin Spångfors, Nick Spittle, Mike Spivey, Andrew Stapleton, Branislava Stefanovic, Lorraine Stephenson, Elizabeth Stevenson, Kristian Strand, Maria Teresa Strano, Slavenka Straus, Chenliang Sun, Rongqing Sun, Venkat Sundaram, Tai SunPark, Elisabeth Surlemont, Yuda Sutherasan, Zsuzsanna Szabo, Konstanty Szuldrzynski, Christopher Tainter, Akihiro Takaba, Mandy Tallott, Tamasato Tamasato, Zhanhong Tang, Viratch Tangsujaritvijit, Leandro Taniguchi, Daisuke Taniguchi, Fabio Tarantino, Krittika Teerapuncharoen, Susana Temprano, Pierpaolo Terragni, Nicolas Terzi, Anand Thakur, Pongdhep Theerawit, Arnaud W Thille, Matt Thomas, Poungrat Thungtitigul, Martial Thyrault, Nejla Tilouch, Karina Timenetsky, Juna Tirapu, Manuel Todeschini, Roser Tomas, Christian Tomaszewski, Tommaso Tonetti, Alexandre Tonnelier, John Trinder, Konlawij Trongtrakul, Jonathon Truwit, Betty Tsuei, Aiman Tulaimat, Sema Turan, Melda Turkoglu, Sanjeev Tyagi, Alejandro Ubeda, Federica Vagginelli, María Florencia Valenti, Imma Vallverdu, Alisha Van Axel, Ingrid van den Hul, Hans van der Hoeven, Nardo Van Der Meer, Frank Van Haren, Marc Vanhoof, Mónica Vargas-Ordoñez, Rosanna Vaschetto, Ettore Vascotto, Maria Vatsik, Ana Vaz, Antonia Vazquez-Sanchez, Sara Ventura, Jan Wytze Vermeijden, Anxela Vidal, Jocyelle Vieira, Bruno Vilela Costa Pinto, Asisclo Villagomez, Ana Villagra, Cristina Villegas Succar, Ole Georg Vinorum, Giovanni Vitale, Ramesh Vj, Ana Vochin, Guillaume Voiriot, Carlo Alberto Volta, Magnus von Seth, Maazouzi Wajdi, Don Walsh, Shouhong Wang, Gabriel Wardi, Nils Christian Ween-Velken, Bi-Lin Wei, Dolf Weller, Deborah Welsh, Ingeborg Welters, Michael Wert, Simon Whiteley, Elizabeth Wilby, Erin Williams, Karen Williams, Antoinette Wilson, Jadwiga Wojtas, Jin Won Huh, David Wrathall, Christopher Wright, Jian-Feng Wu, Guo Xi, Zheng-Jiang Xing, Hongyang Xu, Kotaro Yamamoto, Jie Yan, Julio Yáñez, Xiaobo Yang, Elliot Yates, Ozlem Yazicioglu Mocin, Zhenglong Ye, Fatma Yildirim, Norifumi Yoshida, Hector Higo Leon Yoshido, Bo Young Lee, Rongguo Yu, Gong Yu, Tao Yu, Boyun Yuan, Nadwipa Yuangtrakul, Tetsuya Yumoto, Xie Yun, Graciela Zakalik, Ahmad Zaki, Begoña Zalba-Etayo, Massimo Zambon, Bin Zang, Gianluca Zani, Jonathan Zarka, Simone Maria Zerbi, Avsar Zerman, Harald Zetterquist, Jiuzhi Zhang, Hongwen Zhang, Wei Zhang, Guoxiu Zhang, Weixin Zhang, Hongsheng Zhao, Jia Zheng, Bin Zhu, Ronald Zumaran Lancet Respiratory Medicine, 2023
Minimally invasive mini-thoracotomy access as a surgical method in state-of-the-art treatment of single-vessel coronary heart disease Edin Kabil, Nermir Granov, Ilirijana Haxibeqiri-Karabdić, Sanja Grabovica, Ermina Mujičić, Slavenka Štraus, Bedrudin Banjanović, Muhamed Djedović Medicinski Glasnik, 2023 &lt;p&gt;&lt;strong&gt;Aim &lt;br /&gt;&lt;/strong&gt;To compare outcomes of two different surgical techniques of coronary artery bypass grafting (CABG) for treating isolated left anterior descending (LAD) coronary artery disease by full median sternotomy technique vs. minimally invasive approach via left anterior mini-thoracotomy.&lt;br /&gt;&lt;strong&gt;Methods&lt;/strong&gt; &lt;br /&gt;This retrospective, observational study, which included 61 elective patients, was conducted at the Clinic for Cardiovascular Surgery of the Clinical Centre of the University of Sarajevo in the period from June 2019 to January 2022. Patients were divided in two groups according to the operative technique used, the sternotomy CABG group of 30 patients where the access considered full median sternotomy, and the minimally invasive CABG group where left anterior mini-thoracotomy was performed. The groups were compared by previously defined primary and secondary clinical postoperative outcomes.&lt;br /&gt;&lt;strong&gt;Results&lt;/strong&gt; &lt;br /&gt;Out of 61 patients, the majority was males, 50 (82%). The analysis of the outcomes of the minimally invasive CABG surgery showed significantly shorter operative times (p=0.001), less postoperative drainage (p=0.001) and transfusion requirements, shorter mechanical ventilation duration (p=0.0001), low major adverse cardiac and cerebrovascular events rates, as well as shorter Intensive Care Unit stay days with mean of 3.3&amp;plusmn;1.442 days (p=0.025), but no total hospital stay days with mean of 6.7&amp;plusmn;1.832 days (p=0.075) compared to sternotomy CABG group.&lt;br /&gt;&lt;strong&gt;Conclusion&lt;/strong&gt; &lt;br /&gt;Minimally invasive approach for CABG surgery in treating isolated single vessel LAD disease, together with the fasttrack protocol, offers a reasonable alternative to full median sternotomy, leading to faster patients&amp;rsquo; overall recovery and improving the quality of life.&amp;nbsp;&lt;/p&gt;
How Important Impact of Low Level of Hematocrit Can Be on Outcome in Patients Undergoing Off Pump Coronary Artery Bypass Surgery? Slavenka Straus, Ilirijana Karabdic, Sanja Grabovica, Amel Hadzimehmedagic, Muhamed Djedovic, Edin Kabil, Tarik Selimovic, Nermir Granov Acta Informatica Medica, 2023 Background: Cardiosurgical patients can be often anemic, and preoperative anaemia is associated with increased postoperative complications, as well as morbidity and mortality. Objective: The present study was conducted aiming to determine the influence of lower preoperative hematocrit values on the early postoperative recovery of patients undergoing elective off-pump coronary artery bypass grafting (OPCABG). Methods: Our retrospective study included 150 patients who underwent elective OPCABG surgery from September 2021 to December 2022 at the Clinic for Cardiovascular Surgery University of Sarajevo. Patients were divided into two groups, anemic and non-anemic, with anemia defined as hemoglobin level <130g/l males and <120g/l females. Study observed comorbidities and early postoperative data. Results: Overall prevalence of anemia in OPCABG patients was 36,6%, more frequent among older patients. Comorbidities as chronic obstructive pulmonary disease, hypertension, ejection fraction was quite similar in both groups, but body mass index was significantly higher in the group of patients with anemia (29.9% vs 28.4%). In early recovery period, vasopressors were more used in patients with anemia (63.6% vs 42.1%) and their doses were higher. Total drainage was higher in patients with anemia (744.45±45.72 ml vs 681.58±349.06 ml). Number of transfusions was higher in the group of patients with anemia: red blood cells (0.89±1.29 vs 0.29±0.84; p<0,05), fresh frozen plasma (0.65±1.13 vs 0.41±1.15; p<0,05) and platelets (0.11±0.57 vs 0,07±0.42; p>0,05). Duration of mechanical ventilation was longer in patients with anemia compared to non-anemic patients (623-91±259.83 minutes vs 469±191.13 minutes). Atrial fibrillation occurred more often in patients with anemia (12.7 vs 7.4%). Length of stay in the intensive care unit was without significant difference. Conclusion: Based on our findings, patients who underwent elective OPCABG with lower than normal hematocrit, needed more blood and blood products, more vasopressor drugs in higher doses, longer mechanical ventilation, all which can prolong the patient’s recovery and increase the cost of treatment.
Off pump Versus On pump Coronary Artery Bypass Grafting: Short-term Outcomes Ilirijana Karabdic, Slavenka Strauss, Nermir Granov, Amel Hadzimehmedagic, Edin Kabil, Muhamed Djedovi, Damir Kurtagic, Behija Berberovic Acta Informatica Medica, 2023 Background: Coronary artery disease (CAD) is a major public health issue and a leading cause of death globally. It is one of the most common indications for surgical intervention. There are a lot of different techniques, including CABG, which consists of two approaches: sternotomy and mini-thoracotomy. Different techniques have been developed to improve surgical outcomes, including the use of machine for extracorporal circulation (on-pump) or without it (off-pump). Objective: The objective of this study was to assess whether off-pump CABG offers superior short-term outcomes compared to traditional on-pump CABG in patients undergoing isolated CABG.. Methods: In period between 2022 – 2023, we performed CABG operation in 80 patients. CABG was performed either on- pump or off-pump. Results: The results have shown advantages and disadvantages of one or another type of CABG. We were comparing the duration of surgical procedure, time on mechanical ventilation, drainage volume, neurological incidents, time to discharge, indication for repeat revascularization and mortality between two groups. Conclusion: The choice of surgical technique should be based on individual patient factors, including comorbidities and surgical risks. It is important to say that OPCABG is more challenging than ONCABG, and it is very important that OPCABG is done by skilled, experienced and confident surgeon, which contributes to better outcome and survival.
Psychosocial influence of COVID-19 on healthcare workers Aleksandra Pašić, Slavenka Štraus, Emina Smajić, Ermin Begović, Ilirijana Haxhibeqiri-Karabdić, Nada Spasojević Medicinski Glasnik, 2022 &lt;p&gt;&lt;strong&gt;Aim &lt;br /&gt;&lt;/strong&gt;To assess a psychosocial impact of the Coronavirus disease 2019 (COVID-19) on health care workers and to quantify the size of depression symptoms, anxiety and stress levels.&lt;br /&gt;&lt;strong&gt;Methods&lt;/strong&gt; &lt;br /&gt;This cross-sectional study used an anonymous online survey questionnaire as a research instrument and it included 114&lt;br /&gt;health workers of all profiles from the Sarajevo Canton employed in private and public institutions. The research was voluntary, non-commercial and all participants provided an oral informed consent. Depression, Anxiety and Stress Scale (DASS-21) questionnaire was used for assessing emotional status of depression, anxiety and stress.&lt;br /&gt;&lt;strong&gt;Results&lt;/strong&gt; &lt;br /&gt;The mean age of participants was 40.5&amp;plusmn;8.44 years with male:female ratio of 0.28. Prevalence of depression was 46.5%,&lt;br /&gt;anxiety61.4%, and 36.9% stress. Age and gender had no effect on emotional status, but it was revealed that women achieved higher depression, anxiety and stress scores than men (without statistical significance). The most notable effect on the emotional state was found for direct or indirect contact with COVID-19 patients. Medical workers in direct contact with COVID-19 patients achieved greater depression (p=0.005), anxiety (p=0.001), stress (p=0.030)&lt;br /&gt;and total DASS-21 (p=0.003) scores.&lt;br /&gt;&lt;strong&gt;Conclusion&lt;/strong&gt; &lt;br /&gt;High prevalence of health workers affected by various psychological ailments during the COVID-19 pandemic was found. This evidence underscores the need to address adverse effects of the pandemic on mental health of health care workers.&lt;/p&gt;
Deep Sternal Wound Infection After Open-heart Cardiac Surgery and Vacuum-Assisted Closure Therapy: a Single-center Study Bedrudin Banjanovic, Ilirijana Karabdic, Slavenka Straus, Behija Berberovic, Muhamed Djedovic, Nermir Granov Medical Archives, 2022 Background: Despite many advances in the prevention, of sternal wound infection, especially deep ones, cardiac surgery with median sternotomy, still presents a significant postoperative complication. Numerous operative and non-operative procedures should be used in treatment, there is a prolonged hospital stay and increased hospital costs treating this postoperative complication. Objective: The present study was conducted aiming to determine the incidences, and risk factors, identify microbiology findings, and antibiotic therapy among patients with DSWI who underwent cardiac surgery with median sternotomy at our Clinic and VAC treatment. Methods: This retrospective observational study was conducted in Clinic for Cardiovascular Surgery at University Clinical Center Sarajevo from November 2015 to November 2020. The data were obtained from 15 patients with deep sternal wound infection (DSWI) following open-heart surgery. The inclusion criteria were DSWI after cardiac operation via median sternotomy, and complete results of microbiological findings obtained by sternal swab. The exclusion criteria were patients with incomplete clinical data. Results: We found that 9 (60%) patients were males and 6 (40%) were females. Coronary artery bypass grafting (CABG) operation had 11 (73,3%) patients, CABG with aortic valve replacement 2 (13,3%), valve replacement surgery operations (13,3%). The average age was 66 years. All patients were elective surgery patients. STS score in the Non-VAC group was 22.6, in the VAC group 16.6, and the average was 14.9. The number of patients with DSWI represents 1% of all sternotomy patients in the observed period. Two risk factors for DSWI had 37% of patients, 25% of them were diabetic, and 3 (9%) were overweight. Enterococcus faecalis was isolated predominantly in 6 (27%) patients, followed by Klebsiella pneumonia 3 (13%), Proteus mirabilis 2 (9%), and Serratia Maecenas 2 (9%). The mortality rate was 33.3% (5 of 15). Conclusion: The results of our study present our experience with DSWI treatment after open-heart surgery. What comes from our experience so far, is that is very important to determine patients who are at risk of developing DSWI after cardiac surgeries to lower its incidence.
Application of EuroSCORE in "Heart center Sarajevo". Ermina Mujičić, Mario Ivanuša, Edin Omerbašić, Slavenka Štraus, Omer Perva, Nermir Granov Bosnian Journal of Basic Medical Sciences Udruzenje Basicnih Mediciniskih Znanosti Association of Basic Medical Sciences, 2007
Antegrade warm blood cardioplegia compared to crystalloid cardioplegia in myocardial protection Medicinski Arhiv, 2006
To what extent does Trasylol decrease the need for blood and blood derivatives in postoperative acetylsalicylic acid (ASA)-induced hemorrhage in CABG surgery? Medicinski Arhiv, 2003
