In:
Journal of Cardiothoracic Surgery, Springer Science and Business Media LLC, Vol. 18, No. 1 ( 2023-02-01)
Abstract:
We aimed to identify in-hospital outcomes in young (≤ 65 years) and old ( 〉 65 years) patients after coronary artery bypass grafting (CABG) by analyzing the effect of age on adverse events after on-pump or off-pump CABG. Methods Patients older than 65 years were defined as older patients and others were defined as younger patients. The qualitative data were compared by chi-square or Fisher's exact tests. The quantitative data were compared by the two-sample independent t-test or Mann–Whitney U test. Multifactor binary logistic regression was used to control for confounders and to investigate the effect of age on dichotomous outcome variables such as death. Results In the on-pump CABG population, the postoperative in-hospital mortality, the incidence of postoperative symptomatic cerebral infarction (POSCI) and postoperative atrial fibrillation (POAF) was higher in older patients than in younger patients ( P value 〈 0.05), and age 〉 65 years was associated with postoperative in-hospital mortality ( OR = 2.370, P value = 0.031), POSCI ( OR = 5.033, P value = 0.013), and POAF ( OR = 1.499, P value 〈 0.001). In the off-pump CABG population, the incidence of POAF was higher in older patients than in younger patients ( P value 〈 0.05), and age 〉 65 years was associated with POAF ( OR = 1.392, P value = 0.011). Conclusion In-hospital outcomes after CABG are strongly influenced by age. In on-pump CABG, the risk of postoperative death, POSCI, and POAF was higher in older patients, and in off-pump CABG, the risk of POAF was higher in older patients.
Type of Medium:
Online Resource
ISSN:
1749-8090
DOI:
10.1186/s13019-023-02163-y
Language:
English
Publisher:
Springer Science and Business Media LLC
Publication Date:
2023
detail.hit.zdb_id:
2227224-0
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