On-pump coronary artery bypass surgery in high-risk patients aged over 65 years (EuroSCORE 6 or more): Impact on early outcomes
Journal of International Medical Research, cilt.37, sa.3, ss.884-891, 2009 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 37 Sayı: 3
- Basım Tarihi: 2009
- Doi Numarası: 10.1177/147323000903700334
- Dergi Adı: Journal of International Medical Research
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.884-891
- Anahtar Kelimeler: Cardiopulmonary bypass, Coronary artery disease, Elderly patients, Myocardial revascularization, Risk
- Hatay Mustafa Kemal Üniversitesi Adresli: Evet
Özet
The results of on-pump coronary artery bypass graft (CABG) surgery in 166 high-risk elderly patients (EuroSCORE 6 or more; over age 65 years [mean 71.8 years]) were compared with 176 low-risk elderly patients (EuroSCORE below 6; over age 65 years [mean 68.8 years]). There was no significant difference in hospital mortality or number of grafts between the two groups. Rates of inotropic agent use, intra-aortic balloon pump insertion and atrial fibrillation, and the duration of intensive care unit and hospital stay were significantly higher in high-risk than low-risk patients. There were no significant differences in the incidence of major complications between the two groups. The results suggest that, in selected patients, on-pump CABG can be safely performed in high-risk patients over 65 years old with no effect on mortality. Copyright © 2009 Field House Publishing LLP.