PMID: 11932176Apr 5, 2002Paper

Short-term and 5-year outcome after primary isolated coronary artery bypass graft surgery: results of risk stratification in a bilocation center

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
R T van DomburgA J J C Bogers

Abstract

We retrospectively investigated the short and mid-term outcome of non-emergent primary isolated coronary artery bypass graft (CABG) surgery in relation to risk stratification in the fully equipped university location (FE) and the low volume, limited facility location (LVLF) of our department. Between September 1995 and December 1996, 832 patients were referred to our department to undergo a primary isolated CABG operation. The surgical team selected 482 patients (58%) as being at low-risk. These were treated in the LVLF hospital. The other 350 patients with mixed-risk were treated in the FE hospital. The selection consisted primarily of exclusion of patients with moderate or poor left ventricular function, severe COPD or renal impairment, from surgery in the LVLF location. Finally, the prognostic value of the EuroSCORE and the Parsonnet score was tested on our patient population. Overall in-hospital mortality was 1.6% (13 patients). One patient died in the LVLF group (0.2%) and 12 patients (3.4%) in the FE group. LVLF patients experienced less complications during the hospital period compared to the FE patients (5 versus 21%; P=0.0001). The Parsonnet risk model and the EuroSCORE risk model showed both a good relation with in-ho...Continue Reading

Citations

Oct 24, 2007·BMC Medical Informatics and Decision Making·Angeliek C VenemaAd J J C Bogers
Sep 11, 2008·Scandinavian Cardiovascular Journal : SCJ·Kristin V T EngebretsenTheis Tønnessen
Apr 19, 2011·Revista española de cardiología·María RieraOriol Bonnín
May 26, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Mark C BatesPhilip S Lavigne
Sep 7, 2006·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Ulla M Idänpään-HeikkiläJack V Tu
Jan 16, 2009·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·E KouhiS H Masood
Jul 6, 2006·Circulation·Bruce J LeavittUNKNOWN Northern New England Cardiovascular Disease Study Group
Jul 29, 2021·Journal of the American Heart Association·Joshua SolomonJonathan Afilalo

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