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Titolo:
Off-pump surgery decreases postoperative complications and resource utilization in the elderly
Autore:
Boyd, WD; Desai, ND; Del Rizzo, DF; Novick, RJ; McKenzie, FN; Menkis, AH;
Indirizzi:
Univ Western Ontario, London Hlth Sci Ctr, London, ON N6A 5A5, Canada UnivWestern Ontario London ON Canada N6A 5A5 London, ON N6A 5A5, Canada Hlth Sci Ctr, Winnipeg, MB, Canada Hlth Sci Ctr Winnipeg MB CanadaHlth Sci Ctr, Winnipeg, MB, Canada
Titolo Testata:
ANNALS OF THORACIC SURGERY
fascicolo: 4, volume: 68, anno: 1999,
pagine: 1490 - 1493
SICI:
0003-4975(199910)68:4<1490:OSDPCA>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
BYPASS GRAFT-SURGERY; MORTALITY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
9
Recensione:
Indirizzi per estratti:
Indirizzo: Boyd, WD Univ Western Ontario, London Hlth Sci Ctr, Univ Campus,339 Windermere Rd, London, ON N6A 5A5, Canada Univ Western Ontario Univ Campus,339 Windermere Rd London ON Canada N6A 5A5
Citazione:
W.D. Boyd et al., "Off-pump surgery decreases postoperative complications and resource utilization in the elderly", ANN THORAC, 68(4), 1999, pp. 1490-1493

Abstract

Background. Bypass surgery in the elderly (age >70 years) has increased mortality and morbidity, which may be a consequence of cardiopulmonary bypass. We compare the outcomes of a cohort of elderly off-pump coronary artery bypass (OPCAB) patients with elderly conventional coronary artery bypass grafting (CABG) patients. Methods. Chart and provincial cardiac care registry data were reviewed for30 consecutive elderly OPCAB patients (age 74.7 +/- 4.2 years) and 60 consecutive CABG patients (age 74.9 +/- 4.1 years, p = 0.82) with similar risk factor profiles: Parsonnet score 17.2 +/- 8.1 (OPCAB) versus 15.6 +/- 6.5 (CABG), p = 0.31; and Ontario provincial acuity index 4.5 +/- 1.9 (OPCAB) versus 4.3 +/- 2.0 (CABG), p = 0.65. Results. Mean hospital stay was 6.3 +/- 1.8 days for OPCAB patients and 7.7 +/- 3.9 days for CABG patients (p < 0.05), Average intensive care unit stay was 24.0 +/- 10.9 h for OPCAB patients versus 36.6 +/- 33.5 h for CABG patients (p < 0.05). Atrial fibrillation occurred in 10.0% of OPCAB patientsand 28.3% of CABG patients (p < 0.05). Low output syndrome was observed in10% of OPCAB patients and 31.7% of CABG patients (p < 0.05). Cost was reduced by $1,082 (Canadian) per patient in the OPCAB group. Postoperative OPCAB graft analysis showed 100% patency. Conclusions. OPCAB is safe in the geriatric population and significantly reduces postoperative morbidity and cost. (C) 1999 by The Society of Thoracic Surgeons.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/09/20 alle ore 20:33:21