Clinton E Baisden1, J W Randolph Bolton, Mark W Riggs. 1. Division of Cardiothoracic Surgery, Department of Biostatistics, Texas A & M University System Health Science Center, Scott and White Memorial Hospital, Temple, Texas 76508, USA. cbaisden@swmail.sw.org
Abstract
BACKGROUND: The fate of patients discharged the day following off-pump coronary bypass (OPCAB) has not previously been reported. We studied the mortality and readmissions of a consecutive series of patients discharged after OPCAB, and compared the outcomes of those discharged the day following surgery to the rest of the group. METHODS: All patients having OPCAB through median sternotomy during the calendar year 2000 by a single surgeon were retrospectively reviewed. Demograghics, intraoperative variables and postoperative complications, readmissions and mortality were recorded. Factors were analyzed to determine associations with time of discharge and readmission. RESULTS: One hundred fifteen patients had isolated OPCAB averaging 3.1 grafts. Two patients (1.8%) died before discharge. Sixty-three of 113 patients (55.8%) were discharged on day 1 and 8 (12.7%) required readmission compared to 13 of 50 (26%) discharged later. Diabetes (p = 0.04) and renal failure (p = 0.01) exhibited univariate association with day 1 discharge while multivariate analysis added infarction. The combination of previous bypass, obesity, acute myocardial infarction, and hypertension was associated with readmission in the entire OPCAB group but not in day 1 discharged patients. CONCLUSIONS: The readmission rate for the entire group (18.6%) was high but lower in day 1 discharge patients (12.7%). Day 1 discharge (55.8%) was unusual in patients with diabetes, renal failure, or recent infarction. Previous bypass, obesity, acute myocardial infarction, and hypertension were associated with readmission for the entire group only. Day 1 discharged patients had no deaths or serious consequences, and there were no readmissions in more than 87%.
BACKGROUND: The fate of patients discharged the day following off-pump coronary bypass (OPCAB) has not previously been reported. We studied the mortality and readmissions of a consecutive series of patients discharged after OPCAB, and compared the outcomes of those discharged the day following surgery to the rest of the group. METHODS: All patients having OPCAB through median sternotomy during the calendar year 2000 by a single surgeon were retrospectively reviewed. Demograghics, intraoperative variables and postoperative complications, readmissions and mortality were recorded. Factors were analyzed to determine associations with time of discharge and readmission. RESULTS: One hundred fifteen patients had isolated OPCAB averaging 3.1 grafts. Two patients (1.8%) died before discharge. Sixty-three of 113 patients (55.8%) were discharged on day 1 and 8 (12.7%) required readmission compared to 13 of 50 (26%) discharged later. Diabetes (p = 0.04) and renal failure (p = 0.01) exhibited univariate association with day 1 discharge while multivariate analysis added infarction. The combination of previous bypass, obesity, acute myocardial infarction, and hypertension was associated with readmission in the entire OPCAB group but not in day 1 discharged patients. CONCLUSIONS: The readmission rate for the entire group (18.6%) was high but lower in day 1 discharge patients (12.7%). Day 1 discharge (55.8%) was unusual in patients with diabetes, renal failure, or recent infarction. Previous bypass, obesity, acute myocardial infarction, and hypertension were associated with readmission for the entire group only. Day 1 discharged patients had no deaths or serious consequences, and there were no readmissions in more than 87%.
Authors: Olivier F Bertrand; Eric Larose; Robert De Larochellière; Guy Proulx; Can Manh Nguyen; Jean-Pierre Déry; Onil Gleeton; Gérald Barbeau; Bernard Noël; Jacques Rouleau; Jean-Roch Boudreault; Louis Roy; Josep Rodés-Cabau Journal: Can J Cardiol Date: 2007-10 Impact factor: 5.223
Authors: Ali İhsan Hasde; Evren Özçınar; Mehmet Çakıcı; Çağdaş Baran; Mustafa Bahadır İnan; Levent Yazıcıoğlu; Sadık Eryılmaz; Ahmet Rüçhan Akar Journal: Turk Gogus Kalp Damar Cerrahisi Derg Date: 2018-09-16 Impact factor: 0.332