Postoperative cardiac artery bypass graft complications in elderly patients.

نویسندگان

  • Ronaldo Vegni
  • Gustavo Ferreira de Almeida
  • Fabricio Braga
  • Marcia Freitas
  • Luis Eduardo Drumond
  • Guilherme Penna
  • José Kezen
  • Gustavo Freitas Nobre
  • Marcelo Kalichsztein
  • André Miguel Japiassú
چکیده

PURPOSE Due to the increasing longevity of the and high prevalence of coronary heart disease in the aged , coronary artery bypass graft surgery has become frequent in older patients. The purpose of this study is to describe operative features, length of stay, complications and short term outcomes after coronary artery bypass graft in such patients. METHODS From February 2005 to October 2007, 269 patients underwent coronary artery bypass graft. Demographic data, comorbidities, prognostic scores, coronary artery bypass graft elective versus urgent indication, intensive care unit length of stay, postoperative complications and intensive care unit mortality were recorded. Intra-operative characteristics, such as total surgery time, use of bypass device, on-pump time, urine output, fluid balance, use of blood products and number of grafts, were analyzed. Patients were divided in four age groups: group I (< 60 n = 68), II (60 to 69 n = 86), III (70 to 79 n = 93) IV and older than 80 years (n = 22). RESULTS Group IV patients were more frequently submitted to coronary artery bypass graft combined with valve replacement, emergency surgery, and had longer stay in the intensive care unit (p < 0.01). The incidence of at least one postoperative complication was also higher among patients older than 80 (p < 0.001). Multivariate analysis identified age and on-pump time as independent risk factors for development of complications. Mortality increased in patients older than 70 years (p = 0.03). CONCLUSIONS Octogenarian patients undergoing coronary artery bypass graft have longer intensive care unit length of stay, incidence of complications and mortality. Age and on-pump time were independent risk factors associated with the incidence of postoperative complications.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

THE EFFECT OF POST-DISCHARGE TELEPHONE FOLLOW-UP (TELENURSING) ON SYMPTOMS, COMPLICATIONS, AND READMISSION OF PATIENTS AFTER CORONARY ARTERY BYPASS GRAFT SURGERY IN HAMADAN

Background & Aims: One of the methods of training in nursing is telenursing. The most common use of telenursing is for home care. The purpose of this study is to determine the effect of telephone follow-up after discharge on symptoms, complications, and readmission in the patients after coronary artery bypass graft surgery in Hamadan. Materials & Methods: This quasi-experimental study was perfo...

متن کامل

Anti-coagulation therapy following coronary endarterectomy in patient with coronary artery bypass graft

Background: Since there is a lack of research on postoperative anticoagulation protocol in patients undergoing coronary artery bypass graft (CABG) / coronary endarterectomy (CE), we recommend a new protocol for anticoagulation in these patients. Methods: In this double-blind randomized clinical trial study, 52 patients undergoing CABG / CE entered the study and were divided into two groups. In...

متن کامل

Effect of Cardiac Rehabilitation on Sexual Satisfaction of Patients After Coronary Artery Bypass Graft Surgery

Background: Providing sexual counseling in cardiac rehabilitation program can improve patients’ sexual satisfaction and performance after Coronary Artery Bypass Graft (CABG) surgery. Objective This study aims to determine the effect of cardiac rehabilitation on sexual satisfaction of patients after CABG surgery. Materials and Methods: This descriptive-analytical study with a cross-sectional d...

متن کامل

بررسی نقش متادون به‌عنوان یک مخدر مناسب در عمل جراحی و پیوند عروق کرونر در معتادان به تریاک

Todays coronary artery bypass graft (CABG) is the most frequent among open heart surgeries. In our country some of people that are candidate for coronary artery bypass graft, are addict and they use opium daily, that cause multiple complication during intraoperative and postoperative periods. Inspite of several studies that methadone is used to anti-addiction therapy and for reducing th...

متن کامل

The Cardioprotective Effects of N acetylcysteine as an Additive to the Blood Cardioplegia During Coronary Artery Bypass Grafting

Introduction: During coronary artery bypass graft (CABG) surgery with cardiopulmonary bypass (CPB), the role of cardioplegic solution which results in cardiac arrest, is critical. This study was planned to evaluate the clinical impacts of N acetylcysteine (NAC) enriched cold-blood cardioplegia on early reperfusion injury in patients with ischaemic heart disease undergoing CABG Methods: In a...

متن کامل

مقایسه‌ی نتایج استفاده از شانت داخل عروق کرونر در عمل بای‌پس عروق کرونر بدون پمپ نسبت به عدم استفاده از آن

Background and Objective: Off pump coronary artery bypass graft can be done with or without using intracoronary shunt. We have compared these two methods in early postoperative period, in this study. Materials and Methods: 208 candidate patients for off pump coronary artery bypass graft were devided in to two groups randomly for using intracoronary shunt or not. Variables including peri and pos...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Revista Brasileira de terapia intensiva

دوره 20 3  شماره 

صفحات  -

تاریخ انتشار 2008