Kliniğimizde Opere Olan CABG Olgularında Preoperatif Risk Faktörleri ve Erken Dönem Sonuçlarımız: 75 Yaş ve Üzeri ile 40-60 Yaş Gruplarının Karşılaştırılması
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Tarih
2014
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Koroner bypass cerrahisi (CABG) 75 yaş üstü hastalarda son yılllarda giderek artan oranlarda yapılmaktadır. Bu retrospektif çalışmanın amacı kliniğimizde kardiyopulmoner bypass (CPB) ile CABG gerçekleştirilen 75 yaş ve üstü hasta grubu ile CABG’nin sıklıkla yapıldığı 40-60 yaş grubunun preoperatif risk faktörleri, operasyon verileri ve erken dönem sonuçlarını karşılaştırmaktır. Yöntem: Adana Numune Eğitim ve Araştırma Hastanesinde Ocak 2004 – Mayıs 2012 tarihleri arasında izole CABG prosedürü uygulanmış 1688 hasta çalışmaya dahil edildi. Hastalar yaşlarına göre 40-60 yaş arası 1514 olgu Grup 1 ve 75 yaş ile üstü 174 olgu Grup 2 olmak üzere iki gruba ayrıldı. Her iki grubun preoperatif, operatif ve postoperatif bulguları analiz edildi. Bulgular: CPB süresi, postoperatif kan transfüzyonu, yoğun bakım süresi, taburcu süresi, inotropik destek gereksinimi, intraaortik balon pompası kullanım oranı, postoperatif atriyal fibrilasyon gelişimi, deliryum ve erken dönem mortalite grup 2’de, sol ön meme arteri kullanım oranı grup 1’de yüksek saptandı (p değerleri sırasıyla 0.019; <0.01; <0.01; <0.01; <0.01; 0.004; 0.019; <0.01; 0.010; <0.01). Sonuç: İleri yaş grubunda postoperatif komplikasyon oranlarının yüksek olmasına rağmen, koroner bypass cerrahisi kabul edilebilir hastane mortalitesi ile yapılabilir.
Aim: Coronary artery bypass surgery (CABG) has been performed in many patients older than 70 years old in recent years. The aim of this retrospective study was to compare preoperative risk factors, operation data and early outcomes of CABG performed &#8805;75 years older group and 40-60 years old group. Methods: Patients underwent isolated CABG in Adana Numune Training and Research Hospital between January 2004 – May 2012 were included in the study. Patients were divided in to two groups. 40- 60 years old patients group 1 and &#8805;75 years old patients group 2. Preoperative, operative and postoperative data in both groups were analyzed. Results: Cardiopulmonary bypass (CPB) time, postoperative blood requirement, intensive care unit mean stay time, mean hospital stay time, need of inotropic drug, intra-aortic balloon pump usage ratio, risk of postoperative atrial fibrillation development, delirium, and early mortality were all higher in group 2 (respectively, p values 0.019; <0.01; <0.01; <0.01; <0.01; 0.004; 0.019; <0.01; 0.010;), left internal thoracic artery was higher in group 1 (p < 0.01) Conclusion: Despite the high rate of postoperative complications in older age group, coronary bypass surgery can be done with acceptable hospital mortality.
Aim: Coronary artery bypass surgery (CABG) has been performed in many patients older than 70 years old in recent years. The aim of this retrospective study was to compare preoperative risk factors, operation data and early outcomes of CABG performed &#8805;75 years older group and 40-60 years old group. Methods: Patients underwent isolated CABG in Adana Numune Training and Research Hospital between January 2004 – May 2012 were included in the study. Patients were divided in to two groups. 40- 60 years old patients group 1 and &#8805;75 years old patients group 2. Preoperative, operative and postoperative data in both groups were analyzed. Results: Cardiopulmonary bypass (CPB) time, postoperative blood requirement, intensive care unit mean stay time, mean hospital stay time, need of inotropic drug, intra-aortic balloon pump usage ratio, risk of postoperative atrial fibrillation development, delirium, and early mortality were all higher in group 2 (respectively, p values 0.019; <0.01; <0.01; <0.01; <0.01; 0.004; 0.019; <0.01; 0.010;), left internal thoracic artery was higher in group 1 (p < 0.01) Conclusion: Despite the high rate of postoperative complications in older age group, coronary bypass surgery can be done with acceptable hospital mortality.
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Van Tıp Dergisi
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21
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1
