Short-term complications and resource utilization in matched subjects after on-pump or off-pump primary isolated coronary artery bypass.
BACKGROUND Studies suggest that patients who undergo off-pump coronary artery bypass grafting (OPCABG) have fewer short-term complications and use fewer inpatient resources than do patients who undergo standard coronary artery bypass grafting (CABG) with extracorporeal circulation. However, dissimil...
| Publicado en: | American Journal of Critical Care Vol. 13; no. 6; pp. 499 - 509 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Nov2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106568865&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106568865 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10623264 44L jtl: American Journal of Critical Care issn: 10623264 maglogo: N pubinfo: dt: Nov2004 vid: 13 iid: 6 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 106568865 106568865 2005024292 10.4037/ajcc2004.13.6.499 NLM15568655 106568865 ppf: 499 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Short-term complications and resource utilization in matched subjects after on-pump or off-pump primary isolated coronary artery bypass. aug: au: Hravnak M Hoffman LA Saul MI Zullo TG Cuneo JF Pellegrini RV affil: Department of Acute/Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, PA sug: subj: Coronary Artery Bypass Adverse Effects Extracorporeal Circulation Health Resource Utilization Postoperative Complications Epidemiology Treatment Outcomes Evaluation Aged APACHE (Acute Physiology and Chronic Health Evaluation) Atrial Fibrillation Stroke Chi Square Test Comorbidity Comparative Studies Convenience Sample Data Analysis Software Databases Descriptive Statistics Female Funding Source Health Facility Costs International Classification of Diseases Journal Clubs Length of Stay Male Medical Records Paired T-Tests Patient Discharge Prospective Studies Record Review Reoperation Retrospective Design Severity of Illness Indices Wilcoxon Rank Sum Test Human Aged: 65+ years Female Male ab: BACKGROUND Studies suggest that patients who undergo off-pump coronary artery bypass grafting (OPCABG) have fewer short-term complications and use fewer inpatient resources than do patients who undergo standard coronary artery bypass grafting (CABG) with extracorporeal circulation. However, dissimilarity between groups in risk factors for complications has hindered interpretation of results.OBJECTIVES To compare the prevalence of selected complications (atrial fibrillation, stroke, reoperation, and bleeding) and inpatient resource utilization (length of stay, discharge disposition, total charges) between subjects undergoing primary isolated CABG or OPCABG who were matched with respect to key risk factors.METHODS Retrospective, causal-comparative survey conducted in 1 center for 18 months. Patients who underwent primary isolated CABG or OPCABG were matched for sex, age (within 2 years), left ventricular ejection fraction (within 0.05), and graft patient ratio (exact match) and compared for prevalence of new-onset atrial fibrillation, stroke, reoperation within 24 hours, and bleeding. Statistical analysis included Wilcoxon and t tests for paired comparisons.RESULTS The sample (107 matched pairs) was 63% male, with a mean age of 66 (SD 9.5) years, a mean left ventricular ejection fraction of 0.51 (SD 0.13), and a mean graft-patient ratio of 3.41 (SD 0.74). The 2 groups did not differ significantly in New York Heart Association class (P = .43), Acute Physiology and Chronic Health Evaluation III score (P = .22), postoperative beta-blocker use (P = .73), or comorbid conditions. None of the complications examined differed significantly between pairs.CONCLUSION Patients with comparable risk profiles have similar prevalences of selected complications after CABG and OPCABG. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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