Literature DB >> 24146144

Early postoperative results for females undergoing isolated coronary artery bypass surgery: comparison of the pre- and postmenopausal periods.

Mehmet Acıpayam1, Hasan Uncu, Levent Altınay, Mustafa Hakan Zor, Pınar Doğan, Ibrahim Özsöyler.   

Abstract

PURPOSE: In this retrospective study, we investigated the demographic data and evaluated our early postoperative results of premenopausal and postmenopausal females who underwent coronary artery bypass graft surgery (CABG).
METHODS: A total of 730 female patients who underwent CABG between April 2004 and January 2012 were included in the study. Patients were divided into two groups based on whether they were pre- (group 1) or postmenopausal (group 2). The groups were compared in terms of the demographic and peri-operative parameters.
RESULTS: Smoking and the preoperative hematocrit levels were higher in group 1, whereas the incidence of hypertension and obesity and the European system for cardiac operative risk evaluation values were higher in group 2 (p values <0.01; <0.01; <0.01; 0.004 and <0.01 respectively). The utilization of a left internal mammary artery graft and the postoperative drainage volumes were higher in group 1; however, the number of grafts per patient, cardiopulmonary bypass duration, number of patients who needed inotropic support, blood transfusion volumes, the duration of ventilatory support and the hospital stay were higher in group 2 (p values 0.038; 0.040; 0.026; 0.032; 0.014; 0.001; <0.01 and <0.01, respectively).
CONCLUSIONS: Although the mortality rates were not significantly different, postmenopausal patients require more intensive postoperative care in comparison to premenopausal patients following CABG.

Entities:  

Mesh:

Year:  2013        PMID: 24146144     DOI: 10.1007/s00595-013-0756-5

Source DB:  PubMed          Journal:  Surg Today        ISSN: 0941-1291            Impact factor:   2.549


  23 in total

1.  Surgical revascularization in women: unique intraoperative factors and considerations.

Authors:  Jennifer S Lawton; Stephanie J Brister; Kathleen R Petro; Mercedes Dullum
Journal:  J Thorac Cardiovasc Surg       Date:  2003-10       Impact factor: 5.209

2.  Female gender is an independent predictor of operative mortality after coronary artery bypass graft surgery: contemporary analysis of 31 Midwestern hospitals.

Authors:  Ron Blankstein; R Parker Ward; Morton Arnsdorf; Barbara Jones; You-Bei Lou; Michael Pine
Journal:  Circulation       Date:  2005-08-30       Impact factor: 29.690

3.  Estrogen replacement therapy and coronary heart disease: a quantitative assessment of the epidemiologic evidence.

Authors:  M J Stampfer; G A Colditz
Journal:  Prev Med       Date:  1991-01       Impact factor: 4.018

4.  Sex differences in hospital mortality after coronary artery bypass surgery: evidence for a higher mortality in younger women.

Authors:  Viola Vaccarino; Jerome L Abramson; Emir Veledar; William S Weintraub
Journal:  Circulation       Date:  2002-03-12       Impact factor: 29.690

5.  Association of gender with morbidity and mortality after isolated coronary artery bypass grafting. A propensity score matched analysis.

Authors:  Mahboob Alam; Vei-Vei Lee; McArthur A Elayda; Saima A Shahzad; Eric Y Yang; Vijay Nambi; Hani Jneid; Wei Pan; Stephanie Coulter; James M Wilson; Kodangudi B Ramanathan; Christie M Ballantyne; Salim S Virani
Journal:  Int J Cardiol       Date:  2012-01-10       Impact factor: 4.164

6.  Myocardial revascularization in women.

Authors:  D H Tyras; H B Barner; G C Kaiser; J E Codd; H Laks; V L Willman
Journal:  Ann Thorac Surg       Date:  1978-05       Impact factor: 4.330

7.  The influence of gender on the outcome of coronary artery bypass surgery.

Authors:  D Abramov; M G Tamariz; J Y Sever; G T Christakis; G Bhatnagar; A L Heenan; B S Goldman; S E Fremes
Journal:  Ann Thorac Surg       Date:  2000-09       Impact factor: 4.330

8.  Effect of risk factors on the mechanism of acute thrombosis and sudden coronary death in women.

Authors:  A P Burke; A Farb; G T Malcom; Y Liang; J Smialek; R Virmani
Journal:  Circulation       Date:  1998-06-02       Impact factor: 29.690

9.  Expression of estrogen receptors in the coronary arteries of young and premenopausal women in relation to central obesity.

Authors:  M-L Kortelainen; P Huttunen
Journal:  Int J Obes Relat Metab Disord       Date:  2004-04

10.  [Clinical manifestations of premenopausal women with coronary arterial disease].

Authors:  Ran Tian; Shu-yang Zhang; Zhuang Tian; Hong-zhi Xie; Zhen-yu Liu; Xiao-feng Jin; Chong-hui Wang; Xiao-wei Yan; Wen-ling Zhu; Quan Fang
Journal:  Zhonghua Xin Xue Guan Bing Za Zhi       Date:  2009-04
View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.