Impact of coronary artery bypass grafting in elderly patients

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dc.contributor.authorAikawa, Priscila
dc.contributor.authorSartori Cintra, Angelica Rossi
dc.contributor.authorLeite, Cleber Aparecido [UNIFESP]
dc.contributor.authorMarques, Ricardo Henrique
dc.contributor.authorMackmillan da Silva, Claudio Tafarel
dc.contributor.authorAfonso, Max dos Santos
dc.contributor.authorPaulitsch, Felipe da Silva
dc.contributor.authorOss, Evandro Augusto
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniv Mogi das Cruzes
dc.contributor.institutionFac Anhanguera Rio Grande
dc.contributor.institutionFed Univ Rio Grande
dc.contributor.institutionAssoc Caridade Santa Casa Rio Grande
dc.date.accessioned2016-01-24T14:30:58Z
dc.date.available2016-01-24T14:30:58Z
dc.date.issued2013-01-01
dc.description.abstractObjective: To analyze the results of isolated on-pump coronary artery bypass graft surgery (CABG) in patients >= 65 years-old.Methods: Patients undergoing isolated on-pump CABG from December 1st 2010 to July 31th 2012 were divided in two groups: GE (elderly >= 65 years-old, n=103) and GA (adults < 65 years-old, n=150). Preoperative data, intraoperative (as cardiopulmonar bypass time, aortic clamping time, time length of stay in mechanical ventilation - MV - and number of grafts), and postoperative variable (as morbidity, mortality and time length of stay in hospital) were analyzed during hospitalization.Results: in GE, the morbidity rate was greater than in GA (30% vs. 14%, P=0.004), but there was no difference in the mortality rate (5.8% vs. 2.0%, P=0.165). in GA, there was higher prevalence DM (39.6% vs. 27%, P=0.043) and smoking (32.2% versus 19.8%, P=0.042); and in GE, higher prevalence of stroke (17% vs. 6.7%, P=0.013). There was no difference between the groups regarding intraoperative variables. After multivariate analysis, age >= 65-year-old was associated with greater morbidity, but it was not independent predictive factor for in-hospital mortality. Considering in-hospital mortality, stay in ward time length (P=0.006), cardiac (P=0.011) and respiratory complications (P=0.026) were independent predictive factors.Conclusion: This study suggests that patients >= 65-yearold were at increased risk of postoperative complications when submitted to isolated on-pump CABG in comparison to patients < 65-year-old, but not under increased risk of death.en
dc.description.affiliationUniv São Paulo, Fac Med, Fac Anhanguera Rio Grande, Assoc Caridade Santa Casa Rio Grande, Rio Grande, RS, Brazil
dc.description.affiliationUniv Estadual Campinas, Fac Med, Fac Anhanguera Campinas, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Fac Anhanguera Santo Andre 1, São Paulo, Brazil
dc.description.affiliationUniv Mogi das Cruzes, Fac Anhanguera Santo Andre 3, São Paulo, Brazil
dc.description.affiliationFac Anhanguera Rio Grande, Rio Grande, RS, Brazil
dc.description.affiliationFed Univ Rio Grande, Fac Med, Rio Grande, RS, Brazil
dc.description.affiliationAssoc Caridade Santa Casa Rio Grande, Rio Grande, RS, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Fac Anhanguera Santo Andre 1, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipFUNADESP, São Paulo/Brazil
dc.description.sponsorshipIDFUNADESP, São Paulo/Brazil: 5500255
dc.format.extent22-28
dc.identifierhttp://dx.doi.org/10.5935/1678-9741.20130005
dc.identifier.citationRevista Brasileira de Cirurgia Cardiovascular. São Paulo, SP: Soc Brasil Cirurgia Cardiovasc, v. 28, n. 1, p. 22-28, 2013.
dc.identifier.doi10.5935/1678-9741.20130005
dc.identifier.fileS0102-76382013000100005.pdf
dc.identifier.issn0102-7638
dc.identifier.scieloS0102-76382013000100005
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/35758
dc.identifier.wosWOS:000319183700005
dc.language.isoeng
dc.publisherSoc Brasil Cirurgia Cardiovasc
dc.relation.ispartofRevista Brasileira de Cirurgia Cardiovascular
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectMyocardial revascularizationen
dc.subjectElderlyen
dc.subjectHospital mortalityen
dc.subjectPostoperative complicationsen
dc.titleImpact of coronary artery bypass grafting in elderly patientsen
dc.title.alternativeImpacto da cirurgia de revascularização do miocárdio em pacientes idosospt
dc.typeinfo:eu-repo/semantics/article
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