Analysis of clinical characters in old patients undergoing coronary artery bypass grafting
10.3760/cma.j.issn.0254-9026.2011.03.005
- VernacularTitle:70岁及以上冠状动脉旁路移植患者临床特征分析
- Author:
Xiang WANG
;
Changchun CHEN
;
Gang LI
;
Jianan YANG
;
Li ZENG
;
Xiling LIU
;
Shangyi JI
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass,off-pump;
Risk factors
- From:
Chinese Journal of Geriatrics
2011;30(3):192-194
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical characters in old patients undergoing coronary artery bypass grafting (CABG). Methods The clinical data of 426 patients undergoing CABG from January 2000 to April 2009 in our hospital were retrospectively analyzed. One hundred eighteen patients were 70-82 years old (older group), 308 patients were 24-69 years old (younger group). The perioperative risk factors, surgical complication and outcomes between the two groups were compared.Results The older group had higher incidences of post-operative complications than younger group.Pre-operative risk factors included the female, chronic obstructive pulmonary disease, peripheral vessel disease, New york heart association(NYHA) class Ⅳ, unstable angina requiring intravenous nitrates until arrival in the anaesthetic room, left ventricular ejection fraction ＜30%. The older group showed higher incidences of postoperative severe complication, operative mortality, and more grafts and longer time in intensive care unit (ICU), and had lower incidents of valve disease and less use of left internal mammary artery [16 patients (13. 6%) vs. 152 patients (49.4%), all P＜0. 05].Conclusions The many CABG risk factors in China are different from those in the western countries.Although the higher incidents of postoperative severe complication and higher operative mortality are found in the older patients, the recovery period after operation isn't obviously prolonged. The operative outcomes are satisfactory.
