Cost-effectiveness analysis of frailty assessment in older patients undergoing coronary artery bypass grafting (CABG) surgery

ConclusionsFrailty assessment may be good value for money. However, limited availability of geriatric consultation services, may hinder implementation. Thus, the estimated benefits of frailty screening may not be achievable in practice.
Source: Canadian Journal of Cardiology - Category: Cardiology Source Type: research

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Is a stent always the answer for people with chest pain? Maybe not. But they do need to do some work, new research finds, including sticking to medication and changing behaviors. www.nbcnews.com Study Finds Limited Benefits of Stent Use for Millions With Heart Disease Stents and coronary artery bypass surgery are no more effective than intensive drug treatment and better health habits in preventing millions of Americans from heart attacks and death, a large study fou...
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Topics in Healthcare Source Type: forums
Conclusions: Despite a paucity of published reports, diabetes insipidus after discontinuation of vasopressin infusion appears not to be a rare phenomenon, and is likely to be encountered by intensivists who regularly employ vasopressin for the treatment of vasoplegic shock. Previous reports consisted predominantly of neurosurgical patients. Our findings demonstrate the occurrence of diabetes insipidus after discontinuation of vasopressin infusion among patients with septic shock as well as vasoplegic shock after cardiothoracic intervention. The mechanism of diabetes insipidus after discontinuation of vasopressin infusion...
Source: Critical Care Medicine - Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research
Coronary revascularization in patients with multi-vessel coronary artery disease (CAD) and diabetes has been an area of intense investigation. Diabetic patients currently comprise approximately 25% of all patients who undergo multi-vessel revascularization, either by percutaneous coronary intervention (PCI) or by coronary artery bypass grafting (CABG) surgery [1]. In comparison to non-diabetic patients, diabetes confers complex multi-vessel disease with more extensive and diffuse CAD [1,2]. Furthermore, diabetic patients experience worse outcomes than nondiabetic patients undergoing either CABG or PCI [1,2].
Source: International Journal of Cardiology - Category: Cardiology Authors: Tags: Editorial Source Type: research
AbstractBackgroundConduits used in coronary artery bypass artery grafting (CABG) have different properties and flow profiles. We compared intraoperative mean graft flow (MGF) between arterial and venous conduits, off ‐pump CABG (OPCABG) and on‐pump CABG (ONCABG) procedures, skeletonized and pedicled internal mammary artery (IMA) grafts, and pulsatility index (PI) between OPCABG and ONCABG, in pairwise meta‐analyses.MethodsFollowing a systematic literature search, all studies comparing MGF in arterial and venous grafts, were included. The primary endpoint was comparison of pooled MGF between arterial and venous g...
Source: Journal of Cardiac Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: ORIGINAL ARTICLE Source Type: research
AbstractObjectivesMorbidity associated with coronary artery bypass grafts and embolization during aortic cannulation is strongly related to patient characteristics/comorbidities, arterial cannulation site used and the shape of arterial cannulae tips. The desired features of an arterial cannula should be to mitigate the morbid effects of these cannulas and to focus on achieving higher blood flows with lower cannula pressures (CPs).Materials and MethodsTo evaluate the in vivo performance of two aortic dispersion flow cannulas: the Optiflow (Sorin Group, Italy) and EZ Glide (Edwards Lifesciences). They were evaluated for CPs,...
Source: Journal of Cardiac Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: ORIGINAL ARTICLE Source Type: research
AbstractA 74 ‐year‐old woman with left main and three‐vessel coronary artery disease was scheduled for off‐pump coronary artery bypass grafting and developed acute severe cholecystitis preoperatively. Percutaneous gallbladder drainage was placed to achieve gallbladder decompression and infection control. Two weeks later, CABG and laparoscopic cholecystectomy were successfully performed at the same time.
Source: Journal of Cardiac Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: CASE REPORT Source Type: research
We present a patient who underwent triple coronary artery bypass grafting with two saphenous vein grafts and a free‐graft left IMA and suffered an acute myocardial infarction 6 weeks aft er surgery. Emergency coronary angiography revealed occlusion of the grafts and an amazing branch arising from the proximal stump of the surgically‐cut and clipped IMA, leading to the anterior wall of the heart, functionally creating an effective natural bypass, probably stimulated both by anterio r wall ischemia and interrupted flow within the proximal left IMA.
Source: Journal of Cardiac Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: CASE REPORT Source Type: research
AimRisk stratification is an important tool in preoperative decision ‐making, counseling, informed consent and quality improvement. The European System for Cardiac Operative Risk Evaluation (logistic EuroSCORE) and EuroSCORE II were designed for the assessment of surgical risk. However, there are significant geographical and demographic differences between European and Hong Kong patients. The Queen Mary Hospital (QMH) risk score is a risk model designed to predict in‐hospital mortality for patients undergoing coronary artery bypass grafting (CABG) and valve surgery based on local data. In the present study, we compared...
Source: Surgical Practice - Category: Surgery Authors: Tags: ORIGINAL ARTICLE Source Type: research
The relationship between serum vitamin D and atrial fibrillation (AF) or postoperative atrial fibrillation (POAF) in patients undergoing coronary artery bypass graft (CABG) is still debated. It is also unclear...
Source: Nutrition Journal - Category: Nutrition Authors: Tags: Review Source Type: research
The use of post-acute care (PAC) for cardiovascular conditions is highly variable across geographical regions. Although PAC benefits include lower readmission rates, better clinical outcomes, and lower mortali...
Source: BMC Medical Informatics and Decision Making - Category: Information Technology Authors: Tags: Research article Source Type: research
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