Off-pump Coronary Artery Bypass Grafting in BMA Medical College and Vajira Hospital

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dc.contributor.authorSuksan Kanoksinen_US
dc.contributor.authorSuphakarn Techapongsatornen_US
dc.contributor.authorPetchsree Charoensombatamornen_US
dc.contributor.authorSiriwan Tankittiwaten_US
dc.date.accessioned2011-02-22T09:11:17Z
dc.date.available2011-02-22T09:11:17Z
dc.date.created2010-01-13en_US
dc.date.issued2010-01-13en_US
dc.description.abstractAbstract Off-pump Coronary Artery Bypass Grafting in BMA Medical College and Vajira Hospital Suksan        Kanoksin                         MD, FICST* Suphakarn Techapongsatorn          MD, FICST* Petchsree  Charoensombatamorn BS (nursing)** Siriwan       Tankittiwat                      BN, MSc (nursing administration)** * Department of Surgery, BMA Medical College and Vajira Hospital ** Nursing Department, BMA Medical College and Vajira Hospital Objective: To compare the results between off-pump and on-pump coronary artery bypass grafting. Study design: Cross-sectional study. Subjects: A total of sixty-two patients with coronary heart disease underwent coronary bypass at the Department of Surgery, Bangkok Metropolitan Administrtion Medical College and Vajira Hospital during November 2003 to April 2005 were enrolled. Methods: Hospital records and operative note records were collected and analyzed. Main outcome measures: Preoperative risk factors, intra-operative clinical markers and postoperative outcomes. Results: From the study, the differences between both groups in terms of age, sex, blood pressure, hyperlipidemia and diabetic mellitus were not significant. But there were statistically significant differences between both groups in terms of chronic obstructive pulmonary disease, renal disease, heart failure and number of vessel disease. According to result from intraoperative clinical markers, there was statistically significant differences between both groups in terms of numbers of bypass grafts. From the result of postoperative outcomes, on-pump coronary artery bypass group had more mortality rate, stroke incidence, wound infection rate, reoperation rate for stop bleeding, blood transfusion, drainage volume, rising of cardiac enzyme, longer period of ICU stay, longer ventilator dependence period, and longer hospital admission period. Conclusion: The outcomes of off-pump coronary artery bypass grafting was better than on-pump coronary artery bypass grafting for treatment of coronary heart disease patients. This procedure can reduce the post-operative blood transfusion, post-operative ventilation usage, post-operative ICU stay, and hospital stay. Vajira Med J 2007 ; 51 : 171 - 177en_US
dc.identifier.citationVajira Medical Journal; Vol. 51 No. 3 September - December 2007; 171-177en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/133187
dc.language.isoen_USen_US
dc.publisherVajira Medical Journalen_US
dc.rightsFaculty of Medicine, Vajira Hospital, University of Bangkok Metropolis, Bangkok, Thailanden_US
dc.source.urihttps://thailand.digitaljournals.org/index.php/VMJ/issue/archiveen_US
dc.source.urihttps://thailand.digitaljournals.org/index.php/VMJ/article/view/691en_US
dc.titleOff-pump Coronary Artery Bypass Grafting in BMA Medical College and Vajira Hospitalen_US
dc.typeOriginal Articlesen_US
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