scholarly journals Implications of increasingly older patients on the length of hospital stay after coronary artery bypass grafting

Anaesthesia ◽  
2007 ◽  
Vol 62 (11) ◽  
pp. 1195-1196
Author(s):  
R. A. Hastings ◽  
K. Montrose ◽  
I. Mitchell ◽  
M. Shajar
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Hospital Stay ◽  
Coronary Artery Bypass ◽  
Older Patients ◽  
Artery Bypass ◽  
Length Of Hospital Stay ◽  
Bypass Grafting ◽  
Artery Bypass Grafting

Predictors of postoperative atrial fibrillation persisting beyond hospital discharge after coronary artery bypass grafting

Perfusion ◽  
2020 ◽  
pp. 026765912097864
Author(s):  
Aschraf El-Essawi ◽  
Ahmed Abdelhalim ◽  
Steffen Groeger ◽  
Ingo Breitenbach ◽  
Rene Brouwer ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Hospital Stay ◽  
Coronary Artery Bypass ◽  
Hospital Discharge ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Holter Monitor

Objective: Minimal invasive extracorporeal circuits (MiECC) have been associated with a significant reduction in the incidence of postoperative atrial fibrillation (AF). Nevertheless, AF remains one of the most common complications following elective primary coronary artery bypass grafting (CABG). The aim of this study was to identify the predictors of AF persisting beyond the hospital stay in elective primary CABG patients. Methods: We conducted a retrospective analysis for the predictors of AF that persisted beyond discharge between all patients who received an elective isolated CABG in our institution between 2009 and 2014. Patients with a positive history for intermittent or persistent AF were excluded from the analysis. Almost all patients were discharged to a rehabilitation facility where they stayed for 3 to 4 weeks postoperatively. At rehab approximately 91% of them received Holter monitoring at least once prior to their discharge. Results: A total of 770 patients were included in the analysis of which 763 patients survived the in-hospital stay. The incidence of AF at hospital discharge was 4.2% (32/763) while that on Holter monitor at Rehab was 1.5% (10/685). Age and the type of extracorporeal circuit (ECC) utilized were the only significant predictors for both AF at discharge ( p < 0.01 both) and on Holter monitor in rehab ( p < 0.01 and 0.02, respectively). This was also confirmed on multivariate analysis. Conclusion: Our findings show that the benefits of MiECC regarding the incidence of postoperative AF persist beyond hospital discharge. They may thus positively influence the outcomes of patients beyond the early postoperative period.

scholarly journals Minimally Invasive Coronary Artery Bypass Grafting Decreases Hospital Stay and Cost

1997 ◽  
Vol 225 (6) ◽  
pp. 805-811 ◽  
Author(s):  
Robert C. King ◽  
T. Brett Reece ◽  
Janet L. Hurst ◽  
Kimberly S. Shockey ◽  
Curtis G. Tribble ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Minimally Invasive ◽  
Hospital Stay ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Artery Bypass Grafting

scholarly journals Characteristics of patients less than 45 years of age compared with older patients undergoing coronary artery bypass grafting

1998 ◽  
Vol 21 (12) ◽  
pp. 913-916 ◽  
Author(s):  
Trung Duc Nguyen ◽  
Christian De Virgilio ◽  
James Kakuda ◽  
Bassam O. Omari ◽  
Jeffrey C. Milliken ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Older Patients ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Artery Bypass Grafting

scholarly journals Utility of perioperative B-type natriuretic peptide in off-pump bypass surgery

2014 ◽  
Vol 11 (1) ◽  
pp. 19-25
Author(s):  
Dikshya Joshi ◽  
Zhi Gang Guo
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Hospital Stay ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Left Ventricular ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Off Pump ◽  
Pump Coronary Artery Bypass

Background and Aims: This study was performed to determine clinical relevance of perioperative B-type natriuretic peptide (BNP) in patients undergoing off-pump coronary artery bypass grafting. Methods: 145 consecutive patients undergoing off-pump coronary artery bypass grafting during 8-month period were enrolled in this study. The relationship between the plasma BNP and various clinical parameters was examined. Postoperatively their main clinical endpoints including requirement of mechanical ventilator support, length of intensive care unit stay and hospital stay was closely monitored. Results: Mean preoperative BNP levels were significantly higher in patients whose left ventricular ejection fraction was less than 0.50 (P<0.00083), and New York Heart Association class (III, IV) (P<0.02). The determinants of preoperative higher level of BNP can be related to the advanced age of the patients, r=0.387 (P<0.01) and left ventricular end diastolic diameter, r=0.200 (P<0.05). Postoperative 12-hour BNP correlated significantly with the duration of mechanical ventilation, rho=0.84 (P<0.05), and postoperative hospital stay for 10 days or more, rho=0.202 (P<0.05). Logistic regression analyses showed a significant association between 12-hour BNP and the requirement of mechanical ventilation, Wald=3.956 (P<0.049, 95% CI_1.023- 20.476). Conclusion: Plasma BNP concentration is a valuable biochemical marker, is easy to measure and can effectively predict postoperative outcome in off-pump coronary artery bypass grafting. Baseline BNP had strong correlation with the age and ventricular function of the patient. Postoperatively, elevated 12-hour BNP indicated prolonged ventilation and longer duration of hospital stay. DOI: http://dx.doi.org/10.3126/njh.v11i1.10977   Nepalese Heart Journal 2014;11(1): 19-25

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