Coronary Artery Bypass Grafting: A Comparative Exercise between Patients from the BYPASS Registry and Patients from a University Hospital

• Published in: Revista brasileira de cirurgia cardiovascular 2023-01, Vol.38 (5), p.e20220026-e20220026
• Main Authors: Almeida, Marcela Accari de, Arcêncio, Livia, Giuliani, Gabriel B, Poli, Neto, Omero Benedicto, Rodrigues, Alfredo José, Vicente, Walter Vilella de Andrade, Évora, Paulo Roberto Barbosa
• Format: Article
• Language: English
• Subjects: Angioplasty; Aspirin; CARDIAC & CARDIOVASCULAR SYSTEMS; Cardiology; Chi-square test; Chronic obstructive pulmonary disease; Clinical trials; Coronary Artery Bypass; Coronary vessels; Creatinine; Ejection fraction; Electronics; Exercise; Heart attacks; Heart failure; Heart surgery; Hospitals; Mortality; Original; Pacemakers; Postoperative Care; Registries; SURGERY; Treatment Outcome; Veins & arteries
• ISSN: 1678-9741; 0102-7638; 1678-9741
• DOI: 10.21470/1678-9741-2022-0026

The coronary artery bypass grafting (CABG) data provided by the Brazilian Registry of Cardiovascular Surgeries in Adults (BYPASS) Registry is a Brazilian reality. To carry out a comparative exercise between the BYPASS Registry published data and data from patients operated on in a randomly chosen period (2013-2015) at Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HCFMRP-USP). This is a retrospective study reviewing 173 electronic medical records of CABG patients from the HCFMRP-USP. These data were compared with the BYPASS Registry published data. Chi-square test was used to verify the changes within the prevalence of adequate/inadequate biochemical tests before and after surgery. The sample was divided into groups consistent with cardiopulmonary bypass (CPB) time (CPB ≤ 120 minutes and CPB > 120 minutes). For the complications, prevalence by the chi-square test was adopted. Significant P-values are < 0.05. The comparative operative data of the BYPASS Registry and the HCFMRP-USP patients were quite similar, except for the isolate use of only arterial grafts, which was more frequent on HCFMRP-USP patients (30.8% vs. 15.9%), and the use of radial artery, also more frequent on HCFMRP-USP patients (48.8% vs. 1.1%). The comparative study suggested that the BYPASS Registry should be a reference for CABG quality control.