Coronary artery bypass surgery prognosis
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Coronary Artery Bypass Surgery Microchapters | |
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Pathophysiology | |
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Diagnosis | |
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Treatment | |
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Perioperative Monitoring | |
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Surgical Procedure | |
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Special Scenarios | |
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Coronary artery bypass surgery prognosis On the Web | |
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Directions to Hospitals Performing Coronary artery bypass surgery prognosis | |
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Risk calculators for Coronary artery bypass surgery prognosis | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-in-Chief: Cafer Zorkun, M.D., Ph.D. [2], Mohammed A. Sbeih, M.D. [3]
Overview
Prognosis following CABG depends on a variety of factors. In general, CABG improves the chances of survival of patients who are at high risk, such as those patients with left main disease. After approximately 5 years the difference in survival rate between those who have had surgery and those treated by drug therapy diminishes. Age at the time of CABG is critical to the prognosis; consequently younger patients with no complicating diseases have a high probability of greater longevity.
In a cohort of 1,388 patients who were 48.9 years at the time of their first surgery (young by today's standards) survival was as follows:
- 5 years: 93.6%
- 10 years: 81.1%
- 15 years: 62.1%
- 20 years: 46.7%
- 23 years: 38.4%
2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery (DO NOT EDIT)[1]
Public Reporting of Cardiac Surgery Outcomes (DO NOT EDIT)[1]
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| "1. Public reporting of cardiac surgery outcomes should use risk-adjusted results based on clinical data.[2][3][4][5][6][7][8][9] (Level of Evidence: B)" |
- ↑ 1.0 1.1 Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG; et al. (2011). "2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines". Circulation. doi:10.1161/CIR.0b013e31823c074e. PMID 22064599.
- ↑ Geraci JM, Johnson ML, Gordon HS, Petersen NJ, Shroyer AL, Grover FL; et al. (2005). "Mortality after cardiac bypass surgery: prediction from administrative versus clinical data". Med Care. 43 (2): 149–58. PMID 15655428.
- ↑ Hannan EL, Kilburn H, Lindsey ML, Lewis R (1992). "Clinical versus administrative data bases for CABG surgery. Does it matter?". Med Care. 30 (10): 892–907. PMID 1405795.
- ↑ Hannan EL, Racz MJ, Jollis JG, Peterson ED (1997). "Using Medicare claims data to assess provider quality for CABG surgery: does it work well enough?". Health Serv Res. 31 (6): 659–78. PMC 1070152. PMID 9018210.
- ↑ Hartz AJ, Kuhn EM (1994). "Comparing hospitals that perform coronary artery bypass surgery: the effect of outcome measures and data sources". Am J Public Health. 84 (10): 1609–14. PMC 1615096. PMID 7943479.
- ↑ Jones RH, Hannan EL, Hammermeister KE, Delong ER, O'Connor GT, Luepker RV; et al. (1996). "Identification of preoperative variables needed for risk adjustment of short-term mortality after coronary artery bypass graft surgery. The Working Group Panel on the Cooperative CABG Database Project". J Am Coll Cardiol. 28 (6): 1478–87. PMID 8917261.
- ↑ Mack MJ, Herbert M, Prince S, Dewey TM, Magee MJ, Edgerton JR (2005). "Does reporting of coronary artery bypass grafting from administrative databases accurately reflect actual clinical outcomes?". J Thorac Cardiovasc Surg. 129 (6): 1309–17. doi:10.1016/j.jtcvs.2004.10.036. PMID 15942571.
- ↑ Shahian DM, Silverstein T, Lovett AF, Wolf RE, Normand SL (2007). "Comparison of clinical and administrative data sources for hospital coronary artery bypass graft surgery report cards". Circulation. 115 (12): 1518–27. doi:10.1161/CIRCULATIONAHA.106.633008. PMID 17353447.
- ↑ Tu JV, Sykora K, Naylor CD (1997). "Assessing the outcomes of coronary artery bypass graft surgery: how many risk factors are enough? Steering Committee of the Cardiac Care Network of Ontario". J Am Coll Cardiol. 30 (5): 1317–23. PMID 9350934.