Intensive care unit length of stay and mortality comparison between on-pump and off-pump coronary artery bypass graft: a retrospective study
Abstract Background Recently, coronary artery bypass graft (CABG) techniques, both on-pump (ONCABG) and off-pump (OPCABG), were compared to seek the most effective approach to reduce the cost of prolonged intensive care unit length of stay (ICU LOS) and mortality. This study aims to compare ICU LOS...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-06-01
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| Series: | The Egyptian Heart Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43044-023-00374-1 |
| _version_ | 1797801394665684992 |
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| author | Rita Zahara Ibrahim Ericko Ongko Joyo |
| author_facet | Rita Zahara Ibrahim Ericko Ongko Joyo |
| author_sort | Rita Zahara Ibrahim |
| collection | DOAJ |
| description | Abstract Background Recently, coronary artery bypass graft (CABG) techniques, both on-pump (ONCABG) and off-pump (OPCABG), were compared to seek the most effective approach to reduce the cost of prolonged intensive care unit length of stay (ICU LOS) and mortality. This study aims to compare ICU LOS and mortality in ONCABG and OPCABG. Results Demographic data of 1569 patients show the variance of characteristics. The analysis shows significant and longer ICU LOS in OPCABG than ONCABG (2.151 ± 0.100 vs. 1.573 ± 0.246 days; p = 0.028). Similar results were demonstrated after adjustment of covariates effects (3.146 ± 0.281 vs. 2.548 ± 0.245 days; p = 0,022). Logistic regression shows no significant difference in mortality in OPCABG and ONCABG, both in the unadjusted (OR [CI 95%] 1.133 [0.485–2.800]; p = 0.733) and the adjusted models (OR [CI 95%] 1.133 [0.482–2.817]; p = 0,735). Conclusion ICU LOS was significantly longer in OPCABG patients than in ONCABG patients in the author's centre. There was no significant difference in mortality between the two groups. This finding highlights a discrepancy between recently published theories and the practices observed in the author's centre. |
| first_indexed | 2024-03-13T04:49:49Z |
| format | Article |
| id | doaj.art-c0c15a6339aa49afbd2ee5d4fd142f74 |
| institution | Directory Open Access Journal |
| issn | 2090-911X |
| language | English |
| last_indexed | 2024-03-13T04:49:49Z |
| publishDate | 2023-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Heart Journal |
| spelling | doaj.art-c0c15a6339aa49afbd2ee5d4fd142f742023-06-18T11:17:38ZengSpringerOpenThe Egyptian Heart Journal2090-911X2023-06-017511610.1186/s43044-023-00374-1Intensive care unit length of stay and mortality comparison between on-pump and off-pump coronary artery bypass graft: a retrospective studyRita Zahara Ibrahim0Ericko Ongko Joyo1Department of Cardiology and Vascular Medicine, National Cardiovascular Center Harapan KitaDepartment of Cardiology and Vascular Medicine, National Cardiovascular Center Harapan KitaAbstract Background Recently, coronary artery bypass graft (CABG) techniques, both on-pump (ONCABG) and off-pump (OPCABG), were compared to seek the most effective approach to reduce the cost of prolonged intensive care unit length of stay (ICU LOS) and mortality. This study aims to compare ICU LOS and mortality in ONCABG and OPCABG. Results Demographic data of 1569 patients show the variance of characteristics. The analysis shows significant and longer ICU LOS in OPCABG than ONCABG (2.151 ± 0.100 vs. 1.573 ± 0.246 days; p = 0.028). Similar results were demonstrated after adjustment of covariates effects (3.146 ± 0.281 vs. 2.548 ± 0.245 days; p = 0,022). Logistic regression shows no significant difference in mortality in OPCABG and ONCABG, both in the unadjusted (OR [CI 95%] 1.133 [0.485–2.800]; p = 0.733) and the adjusted models (OR [CI 95%] 1.133 [0.482–2.817]; p = 0,735). Conclusion ICU LOS was significantly longer in OPCABG patients than in ONCABG patients in the author's centre. There was no significant difference in mortality between the two groups. This finding highlights a discrepancy between recently published theories and the practices observed in the author's centre.https://doi.org/10.1186/s43044-023-00374-1Coronary artery bypassOff-pumpLength of stayMortality |
| spellingShingle | Rita Zahara Ibrahim Ericko Ongko Joyo Intensive care unit length of stay and mortality comparison between on-pump and off-pump coronary artery bypass graft: a retrospective study The Egyptian Heart Journal Coronary artery bypass Off-pump Length of stay Mortality |
| title | Intensive care unit length of stay and mortality comparison between on-pump and off-pump coronary artery bypass graft: a retrospective study |
| title_full | Intensive care unit length of stay and mortality comparison between on-pump and off-pump coronary artery bypass graft: a retrospective study |
| title_fullStr | Intensive care unit length of stay and mortality comparison between on-pump and off-pump coronary artery bypass graft: a retrospective study |
| title_full_unstemmed | Intensive care unit length of stay and mortality comparison between on-pump and off-pump coronary artery bypass graft: a retrospective study |
| title_short | Intensive care unit length of stay and mortality comparison between on-pump and off-pump coronary artery bypass graft: a retrospective study |
| title_sort | intensive care unit length of stay and mortality comparison between on pump and off pump coronary artery bypass graft a retrospective study |
| topic | Coronary artery bypass Off-pump Length of stay Mortality |
| url | https://doi.org/10.1186/s43044-023-00374-1 |
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