Does off-pump surgery offer benefit in high respiratory risk patients?. A respiratory risk stratified analysis in a propensity-matched cohort

European Journal of Cardio-thoracic Surgery

Volumn 30, Issue 1, 2006, Pages 126-131

  Reddy, Shekar L C ^a   Grayson, Antony D ^a   Oo, Aung Y ^a   Pullan, Mark D ^a   Poonacha, Thejaswi ^a   Fabri, Brian M ^a  

^a LIVERPOOL HEART AND CHEST HOSPITAL   (United Kingdom)

Author keywords

Alveolar arterial gradient; CABG; Off pump; Propensity matching; Respiratory risk; Ventilation

Indexed keywords

ADULT; AGED; ANALYTIC METHOD; ANAMNESIS; ARTICLE; BODY MASS; COHORT ANALYSIS; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; DISEASE SEVERITY; DYSPNEA; FEMALE; FORCED EXPIRATORY VOLUME; FRIEDMAN TEST; HIGH RISK PATIENT; HUMAN; LUNG ALVEOLUS; LUNG ARTERY; LUNG VENTILATION; MAJOR CLINICAL STUDY; MALE; MEASUREMENT; OFF PUMP CORONARY SURGERY; POSTOPERATIVE PERIOD; PREDICTION; PREOPERATIVE PERIOD; PRIORITY JOURNAL; RESPIRATORY TRACT DISEASE; RISK ASSESSMENT; SCORING SYSTEM; SMOKING; SURGICAL PATIENT; SURGICAL RISK; TIME;

AGED; BODY MASS INDEX; COHORT STUDIES; CORONARY ARTERY BYPASS, OFF-PUMP; DYSPNEA; FEMALE; FORCED EXPIRATORY VOLUME; HUMANS; MALE; MIDDLE AGED; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; RESPIRATION, ARTIFICIAL; RESPIRATORY DISTRESS SYNDROME, ADULT; RISK ASSESSMENT; SMOKING;

EID: 33744921143     PISSN: 10107940     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ejcts.2006.03.045     Document Type: Article

References (16)

1. Hammerschmidt D.E., Stroncek D.F., Bowers T.K., Lammi-Keefe C.J., Kurth D.M., Ozalins A., Nicoloff D.M., Lillehei R.C., Craddock P.R., and Jacob H.S. Complement activation and neutropenia during cardiopulmonary bypass. J Thorac Cardiovasc Surg 81 (1981) 370-377
2. Royston D., Flemming J.S., Desai J.B., Westaby S., and Taylor K.M. Increased production of peroxidation products associated with cardiac operations. Evidence for free radical generation. J Thorac Cardiovasc Surg 91 (1986) 759-766
3. Torii K., Iida K.I., Miyazaki Y., Saga S., Kondoh Y., Taniguchi H., Taki F., Takagi K., Matsuyama M., and Suzuki R. Higher concentrations of matrix metalloproteinase in bronchoalveolar levage fluid of patients with adult respiratory syndrome. Am J Respir Crit Care Med 155 (1997) 43-46
4. Guler M., Kirali K., Toker M.E., Bozbuga N., Omeroglu S.N., Akinci E., and Yakut C. Different CABG methods in patients with chronic obstructive pulmonary disease. Ann Thorac Surg 71 (2001) 152-157
5. Cox C.M., Ascione R., Cohen A.M., Davies I.M., Ryder I.G., and Angelini G.D. Effect of cardiopulmonary bypass on pulmonary gas exchange: a prospective randomized study. Ann Thorac Surg 69 (2000) 140-145
6. Montes F.R., Maldonado J.D., Paez S., and Ariza F. Off-pump versus on-pump coronary artery bypass surgery and postoperative pulmonary dysfunction. J Cardiothor Vasc Anesth 18 (2004) 698-703
7. Patel N.C., Deodhar A.P., Grayson A.D., Pullan D.M., Keenan D.J.M., Hasan R., and Fabri B.M. Neurological outcomes in coronary surgery: independent effect of avoiding cardiopulmonary bypass. Ann Thorac Surg 74 (2002) 400-406
8. Wynne K., Jackson M., Grotte G., Bridgewater B., and On behalf of the Northwest Regional Cardiac Surgery Audit Steering Group. Limitations of the Parsonnet score for measuring risk stratified mortality in the north west of England. Heart 84 (2000) 71-78
9. Maya Martinez M., Carrion Valero F., Diaz Lopez J., and Marin Pardo J. Barometric pressure and respiratory quotient for estimating the Alveolar-arterial oxygen gradient. Ann Med Int 17 5 (2000) 243-246
10. Helmholz Jr. H.F. The abbreviated alveolar air equation. Chest 75 6 (1979) 748
11. Blackstone E. Comparing apples and oranges. J Thorac Cardiovasc Surg 123 (2002) 8-15
12. Hosmer D., and Lemeshow S. Applied logistic regression (1989), John Wiley & Sons Inc., New York, NY
13. Parsons L.S. Reducing bias in a propensity score match-pair sample using greedy matching techniques. Proceedings of the 26th Annual SAS Users Group International Conference. Long Beach, CA (2001), SAS Institute Inc., Cary, NC
14. Magnunsson L., Zemgulis V., Wicky S., Tyden H., Thelin S., and Hendenstierna G. Atelectasis is a major cause of hypoxemia and shunt after cardiopulmonary bypass. Anesthesiology 87 (1996) 1153-1163
15. Staton G.W., Williams W.H., Mahoney E.M., Hu J., Chu H., Duke P.G., and Puskas J.D. Pulmonary outcomes of off-pump vs on-pump coronary artery bypass surgery in a randomized trial. Chest 127 (2005) 892-901
16. Cimen S., Ozkul V., Ketenci B., Yurtseven N., Gunay R., Ketenci B., Gercekoglu H., and Demirtas M. Daily comparison of respiratory functions between on-pump and off-pump patients undergoing CABG. Eur J Cardio-Thorac Surg 23 (2003) 589-594