Early Outcomes of Low Postoperative Bleeding after Off-Pump Coronary Artery Bypass Grafting

Detalhes bibliográficos
Autor(a) principal: Wang,Weitie
Data de Publicação: 2019
Outros Autores: Wang,Yong, Piao,Hulin, Li,Bo, Wang,Tiance, Li,Dan, Zhu,Zhicheng, Xu,Rihao, Liu,Kexiang
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Cardiovascular Surgery (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000400008
Resumo: Abstract Objective: To investigate whether low bleeding influences the early outcomes after off-pump coronary artery bypass grafting (CABG). Methods: Retrospective analysis of ischemic heart disease patients who underwent off-pump CABG from January 2013 to December 2017. Patients were divided into low-bleeding group (n=659) and bleeding group (n=270), according to total drainage from chest tube during the first postoperative 12 hours. Clinical material and early outcomes were compared between the groups. Results: Baseline was similar in the two groups. Operation time was 270±51 min in the low-bleeding group and 235±46 min in the bleeding group (P<0.0001). The low-bleeding group presented smaller drainage during the first 12 h (237±47 ml) and shorter mechanical ventilation time (6.86±3.78 h) than the bleeding group (557±169 ml and 10.66±5.19 h, respectively) (P<0.0001). Hemodynamic status was more stable in the low-bleeding group (P<0.0001) and usage rate of more than two vasoactive agents in this group was lower than in the bleeding group (P<0.0001). Number of distal anastomosis, reoperation for bleeding, suddenly increase in chest tube output, intensive care unit (ICU) stay, hospital stay, and other early outcomes had no statistical significance between the groups (P>0.05). Conclusion: Postoperative bleeding < 300 ml/12 h in off-pump CABG patients did not require blood product transfusion and reoperation and that would contribute to reduction in mechanical ventilation time and maintaining hemodynamic stability. Bleeding < 800 ml during the first postoperative 12 h did not increase infection rates and ICU length of stay.
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spelling Early Outcomes of Low Postoperative Bleeding after Off-Pump Coronary Artery Bypass GraftingOff-Pump Coronary Artery BypassRespiration, ArtificialCoronary Artery DiseaseReoperationHemodynamicsAbstract Objective: To investigate whether low bleeding influences the early outcomes after off-pump coronary artery bypass grafting (CABG). Methods: Retrospective analysis of ischemic heart disease patients who underwent off-pump CABG from January 2013 to December 2017. Patients were divided into low-bleeding group (n=659) and bleeding group (n=270), according to total drainage from chest tube during the first postoperative 12 hours. Clinical material and early outcomes were compared between the groups. Results: Baseline was similar in the two groups. Operation time was 270±51 min in the low-bleeding group and 235±46 min in the bleeding group (P<0.0001). The low-bleeding group presented smaller drainage during the first 12 h (237±47 ml) and shorter mechanical ventilation time (6.86±3.78 h) than the bleeding group (557±169 ml and 10.66±5.19 h, respectively) (P<0.0001). Hemodynamic status was more stable in the low-bleeding group (P<0.0001) and usage rate of more than two vasoactive agents in this group was lower than in the bleeding group (P<0.0001). Number of distal anastomosis, reoperation for bleeding, suddenly increase in chest tube output, intensive care unit (ICU) stay, hospital stay, and other early outcomes had no statistical significance between the groups (P>0.05). Conclusion: Postoperative bleeding < 300 ml/12 h in off-pump CABG patients did not require blood product transfusion and reoperation and that would contribute to reduction in mechanical ventilation time and maintaining hemodynamic stability. Bleeding < 800 ml during the first postoperative 12 h did not increase infection rates and ICU length of stay.Sociedade Brasileira de Cirurgia Cardiovascular2019-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000400008Brazilian Journal of Cardiovascular Surgery v.34 n.4 2019reponame:Brazilian Journal of Cardiovascular Surgery (Online)instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)instacron:SBCCV10.21470/1678-9741-2018-0341info:eu-repo/semantics/openAccessWang,WeitieWang,YongPiao,HulinLi,BoWang,TianceLi,DanZhu,ZhichengXu,RihaoLiu,Kexiangeng2019-11-28T00:00:00Zoai:scielo:S0102-76382019000400008Revistahttp://www.rbccv.org.br/https://old.scielo.br/oai/scielo-oai.php||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br1678-97410102-7638opendoar:2019-11-28T00:00Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)false
dc.title.none.fl_str_mv Early Outcomes of Low Postoperative Bleeding after Off-Pump Coronary Artery Bypass Grafting
title Early Outcomes of Low Postoperative Bleeding after Off-Pump Coronary Artery Bypass Grafting
spellingShingle Early Outcomes of Low Postoperative Bleeding after Off-Pump Coronary Artery Bypass Grafting
Wang,Weitie
Off-Pump Coronary Artery Bypass
Respiration, Artificial
Coronary Artery Disease
Reoperation
Hemodynamics
title_short Early Outcomes of Low Postoperative Bleeding after Off-Pump Coronary Artery Bypass Grafting
title_full Early Outcomes of Low Postoperative Bleeding after Off-Pump Coronary Artery Bypass Grafting
title_fullStr Early Outcomes of Low Postoperative Bleeding after Off-Pump Coronary Artery Bypass Grafting
title_full_unstemmed Early Outcomes of Low Postoperative Bleeding after Off-Pump Coronary Artery Bypass Grafting
title_sort Early Outcomes of Low Postoperative Bleeding after Off-Pump Coronary Artery Bypass Grafting
author Wang,Weitie
author_facet Wang,Weitie
Wang,Yong
Piao,Hulin
Li,Bo
Wang,Tiance
Li,Dan
Zhu,Zhicheng
Xu,Rihao
Liu,Kexiang
author_role author
author2 Wang,Yong
Piao,Hulin
Li,Bo
Wang,Tiance
Li,Dan
Zhu,Zhicheng
Xu,Rihao
Liu,Kexiang
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Wang,Weitie
Wang,Yong
Piao,Hulin
Li,Bo
Wang,Tiance
Li,Dan
Zhu,Zhicheng
Xu,Rihao
Liu,Kexiang
dc.subject.por.fl_str_mv Off-Pump Coronary Artery Bypass
Respiration, Artificial
Coronary Artery Disease
Reoperation
Hemodynamics
topic Off-Pump Coronary Artery Bypass
Respiration, Artificial
Coronary Artery Disease
Reoperation
Hemodynamics
description Abstract Objective: To investigate whether low bleeding influences the early outcomes after off-pump coronary artery bypass grafting (CABG). Methods: Retrospective analysis of ischemic heart disease patients who underwent off-pump CABG from January 2013 to December 2017. Patients were divided into low-bleeding group (n=659) and bleeding group (n=270), according to total drainage from chest tube during the first postoperative 12 hours. Clinical material and early outcomes were compared between the groups. Results: Baseline was similar in the two groups. Operation time was 270±51 min in the low-bleeding group and 235±46 min in the bleeding group (P<0.0001). The low-bleeding group presented smaller drainage during the first 12 h (237±47 ml) and shorter mechanical ventilation time (6.86±3.78 h) than the bleeding group (557±169 ml and 10.66±5.19 h, respectively) (P<0.0001). Hemodynamic status was more stable in the low-bleeding group (P<0.0001) and usage rate of more than two vasoactive agents in this group was lower than in the bleeding group (P<0.0001). Number of distal anastomosis, reoperation for bleeding, suddenly increase in chest tube output, intensive care unit (ICU) stay, hospital stay, and other early outcomes had no statistical significance between the groups (P>0.05). Conclusion: Postoperative bleeding < 300 ml/12 h in off-pump CABG patients did not require blood product transfusion and reoperation and that would contribute to reduction in mechanical ventilation time and maintaining hemodynamic stability. Bleeding < 800 ml during the first postoperative 12 h did not increase infection rates and ICU length of stay.
publishDate 2019
dc.date.none.fl_str_mv 2019-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000400008
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000400008
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.21470/1678-9741-2018-0341
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
dc.source.none.fl_str_mv Brazilian Journal of Cardiovascular Surgery v.34 n.4 2019
reponame:Brazilian Journal of Cardiovascular Surgery (Online)
instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron:SBCCV
instname_str Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron_str SBCCV
institution SBCCV
reponame_str Brazilian Journal of Cardiovascular Surgery (Online)
collection Brazilian Journal of Cardiovascular Surgery (Online)
repository.name.fl_str_mv Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
repository.mail.fl_str_mv ||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br
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