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Eur J Cardiothorac Surg 2004;26:667-670
© 2004 Elsevier Science NL
Department of Thoracic and Cardiac Surgery, Heart Center, University Medical Center, St Radboud Nijmegen, 414, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands
Received 25 March 2004; received in revised form 11 May 2004; accepted 19 May 2004.
* Corresponding author. Tel.: +31-24-361-3733; fax: +31-24-354-0129
e-mail: l.noyez{at}thorax.umcn.nl
Objective: The objective of this study is to find out whether follow-up information is registered by a non-organized follow-up representative for mortality and morbidity after myocardial revascularization. Methods: The follow-up information registered by an organized (OFU) and a non-organized (NOFU) follow-up method is compared. The organized follow-up consists of an annual survey directly to the patient. The non-organized follow-up contains information provided by cardiologists and general practitioners. 1722 patients undergoing a CABG between 1999 and 2002 were included in this study. Completeness of the follow-up was registered as well as mortality and events, defined as return of angina, myocardial infarction, rhythm disturbances, heart failure, stroke and PTCA. Results: The OFU was 98% complete and the NOFU 51.8% (P<0.05). The NOFU registered only 10 deaths; however, in the OFU another 21 patients who died during the first year postoperative were registered (P<0.05). In the OFU, 137 patients were registered with an event and in the NOFU 53 (P<0.05). In NOFU, the mean was 108±91 days and median was 78 days. Conclusion: OFU improves the completeness of the follow-up, as expected, but informs superior about mortality and events. That in the NOFU, for 50% of the patients, the information is at the most 78 days postoperative old, let us suppose that a lot of early (6 months) postoperative information is even missed by an NOFU. The establishment of an organized follow-up and feedback of mortality and events after myocardial revascularization becomes indispensable.
Key Words: Myocardial revascularization • Survival • Events • Follow-up
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