HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Luc Noyez Stefan H. Skotnicki Leon K. Lacquet Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Noyez, L. Articles by Lacquet, L. K. Search for Related Content PubMed PubMed Citation Articles by Noyez, L. Articles by Lacquet, L. K.

Eur J Cardiothorac Surg 1998;13:365-369
© 1998 Elsevier Science NL

Coronary bypass surgery: what is changing?

Analysis of 3834 patients undergoing primary isolated myocardial revascularization

^a Department of Thoracic and Cardiac Surgery, -414-, University Hospital Nijmegen, Nijmegen P.O. Box 9101, 6500, Netherlands
^b Department of Medical Informatics, Epidemiology and Statistics, -152-, University Nijmegen, Nijmegen P.O. Box 9101, 6500, Netherlands

Received 24 November 1997; received in revised form 26 January 1998; accepted 4 February 1998.

Corresponding author. Tel.: +24 3614744; fax: +24 3540129; e-mail: L.Noyez@thchir.azn.nl

Objective: The patient population undergoing myocardial revascularization has changed during the last few years. Knowledge of these changes, and of the subsequent influence on morbidity and/or mortality is important, not only for up-dating quality control, but also to support decision-making in financial and economical aspects, and in further research concerning coronary artery surgery. Methods: Pre-, per- and postoperative data of 3834 primary isolated coronary bypass operations, January 1987–December 1995 were analyzed. The total group was divided into three time cohorts. Group A: 1987–1989 (n=1292); group B: 1990–1992 (n=1130); and group C: 1993–1995 (n=1412). Results: Mean age increased from 60.4±9.0 (S.D.) years in group A to 62.9±9.9 (S.D.) years in group C (P<0.0005). Patients with insulin-dependent diabetic (P=0.005), uro-nefrological (P=0.002), pulmonary (P<0.0005)and neurological (P=0.003) pathology increased significantly, and there was a significant increase in the use of arterial grafts (P<0.05). Postoperative, hospital mortality remained stable (±2.5%). However, there was a significant increasing percentage of patients with pulmonary (P=0.04), neurological (P=0.02) and uro-nefrological (P<0.0005) problems. Conclusion: During the last few years there has been a trend in myocardial revascularization of older patients, with more coexisting disease. Despite the fact that hospital mortality seems stable, there is an increase in major postoperative morbidity.

Key Words: Myocardial revascularization • Comorbidity • Mortality • Morbidity

This article has been cited by other articles:

				F. M. van Eck, L. Noyez, F. W.A. Verheugt, and R. M.H.J. Brouwer Changing profile of patients undergoing redo-coronary artery surgery Eur. J. Cardiothorac. Surg., February 1, 2002; 21(2): 205 - 211. [Abstract] [Full Text] [PDF]

				L. Noyez, J. A.M. van Druten, J. Mulder, A. M.A. Schroen, S. H. Skotnicki, and R. M.H.J. Brouwer Sternal wound complications after primary isolated myocardial revascularization: the importance of the post-operative variables Eur. J. Cardiothorac. Surg., April 1, 2001; 19(4): 471 - 476. [Abstract] [Full Text] [PDF]

				A. G. Zaman, R. A. Archbold, G. Helft, E. A. Paul, N. P. Curzen, and P. G. Mills Atrial Fibrillation After Coronary Artery Bypass Surgery : A Model for Preoperative Risk Stratification Circulation, March 28, 2000; 101(12): 1403 - 1408. [Abstract] [Full Text] [PDF]

				C. Kuhn, U. Muller-Werdan, D.V. Schmitt, H. Lange, G. Pilz, E. Kreuzer, F.W. Mohr, H.-R. Zerkowski, and K. Werdan Improved outcome of APACHE II score-defined escalating systemic inflammatory response syndrome in patients post cardiac surgery in 1996 compared to 1988-1990: the ESSICS-study pilot project Eur. J. Cardiothorac. Surg., January 1, 2000; 17(1): 30 - 37. [Abstract] [Full Text] [PDF]

				D. P.B. Janssen, L. Noyez, J. A.M. van Druten, S. H. Skotnicki, and L. K. Lacquet Predictors of neurological morbidity after coronary artery bypass surgery Eur. J. Cardiothorac. Surg., February 1, 1999; 15(2): 166 - 172. [Abstract] [Full Text] [PDF]

				F. D. Loop Coronary artery surgery: the end of the beginning Eur. J. Cardiothorac. Surg., December 1, 1998; 14(6): 554 - 571. [Abstract] [Full Text] [PDF]