Readmission and mortality in patients undergoing off-pump coronary artery bypass surgery with fast-track recovery protocol

The development of less invasive methods for myocardial revascularization such as "off-pump" cardiac surgery, and new methods of anesthesia and postoperative care protocols such as "fast-track recovery" (FTRC), have contributed to a significant reduction in postoperative intensiv...

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Bibliographic Details
Published in:Heart and vessels 2005-11, Vol.20 (6), p.251-255
Main Authors: Celkan, M Adnan, Ustunsoy, Hasim, Daglar, Bahadir, Kazaz, Hakki, Kocoglu, Hasan
Format: Article
Language:English
Subjects:
Adult
Aged
Anesthesia
Blood Transfusion - statistics & numerical data
Cardiopulmonary Bypass - mortality
Cause of Death
Coronary artery
Coronary Artery Bypass - mortality
Coronary Care Units - statistics & numerical data
Coronary vessels
Cost-Benefit Analysis - statistics & numerical data
Female
Germany
Heart
Heart surgery
Hospital Mortality
Hospitalization
Humans
Hypertension
Intensive Care Units - statistics & numerical data
Length of stay
Length of Stay - statistics & numerical data
Male
Mediastinitis
Middle Aged
Minimally Invasive Surgical Procedures - statistics & numerical data
Mortality
Multivariate analysis
National Health Programs - economics
Patient Readmission - statistics & numerical data
Patients
Recovery
Regression Analysis
Respiration, Artificial - statistics & numerical data
Risk
Risk analysis
Risk factors
Sepsis
Stents
Stroke
Surgery
Veins & arteries
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Summary:The development of less invasive methods for myocardial revascularization such as "off-pump" cardiac surgery, and new methods of anesthesia and postoperative care protocols such as "fast-track recovery" (FTRC), have contributed to a significant reduction in postoperative intensive care unit (ICU) and hospital length of stay after cardiac surgical procedures. The objectives of this study were to identify perioperative risk factors of prolonged hospital stay, hospital mortality, and readmission rates in off-pump coronary artery bypass surgery (CABG) patients undergoing the FTRC protocol. Eighty consecutive patients undergoing off-pump coronary artery bypass surgery with FTRC protocol were included in the study. For the first purpose of this protocol, early extubation is defined as removal of the endotracheal tube within 6 h of arrival at the surgical ICU. The second purpose was to obtain a minimal length of stay in the ICU (
ISSN:0910-8327
1615-2573
DOI:10.1007/s00380-005-0843-7