Differences in Recovery After Coronary Artery Bypass Grafting or Off-pump Coronary Artery Bypass

Josip Volarić, I. Rudež, Ante Bošnjak
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Abstract

Background. The main part of the study was to determine the lower frequency of postoperative complications and fewer days spent in hospital and in the intensive care unit postoperatively, among patients operated on using the OPCAB method, as opposed to those operated on using the CABG method.Methods: In a cross-sectional, epidemiological study, data were collected and processed from the medical database. The parameters taken into consideration were: the incidence of postoperative complications, the number of days spent in the intensive care unit postoperatively and the number of days spent in the hospital postoperatively. Main findings: From a total of 60 patients operated on at the Department of Cardiac Surgery, 8.33% of patients had postoperative complications. Half of the patients underwent CABG surgery and 13.3% had postoperative complications. The other half who underwent OPCAB surgery had 3.3% postoperative complications. CABG patients spent an average of 2.57 days in the intensive care unit, whereas OPCAB patients spent 2.17 days there.Principal conclusion: There is no statistically significant difference in the number of days spent in the intensive care unit and the incidence of postoperative complications between patients operated by on using the CABG or the OPCAB method.Key words: CABG method, OPCAB method, postoperativecomplication, intensive care unit
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冠状动脉旁路移植术与非体外循环冠状动脉旁路移植术术后恢复的差异
背景。该研究的主要部分是确定使用OPCAB方法手术的患者与使用CABG方法手术的患者相比,术后并发症的发生率较低,术后住院和重症监护病房的时间较短。方法:采用横断面流行病学研究方法,从医学数据库中收集资料并进行处理。考虑的参数是:术后并发症的发生率、术后在重症监护病房的天数和术后住院的天数。主要发现:本院心脏外科收治的60例患者中,有8.33%的患者出现术后并发症。半数患者行冠脉搭桥手术,13.3%患者出现术后并发症。另一半接受OPCAB手术的患者术后并发症发生率为3.3%。CABG患者在重症监护病房的平均时间为2.57天,而OPCAB患者在重症监护病房的平均时间为2.17天。主要结论:CABG和OPCAB两种手术方式患者在重症监护病房的住院天数和术后并发症发生率无统计学差异。关键词:CABG法,OPCAB法,术后并发症,重症监护病房
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