Journals / Anadolu Kardiyoloji Dergisi / 2003 / Cilt: 3 - Sayı: 1

The efficiency of fast track protocol in elderly patients underwent coronary artery surgery

Koroner arter cerrahisi uygulanan yaşlı hastalarda "Fast Track" protokolünün etkinliği

Pages
8–12
Publication Date
2022-10-10
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Intensive care unit stay was 22.01±10.12 hours in group A and 60.18±32.23 hours in group B (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: This study is planned to display the efficiency of fast track protocol and its difference from the conventional anesthesia in patients older than 65 years.
📊
Key Findings & Data:Methods: One hundred patients older than 65 years underwent coronary artery surgery between October 2000-March 2001 in cardiovascular surgery clinic were considered in this study.
💡
Conclusion & Impact:Intensive care unit stay was 22.01±10.12 hours in group A and 60.18±32.23 hours in group B (p
🔬Design:Research Article
📍Scope:2000 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: This study is planned to display the efficiency of fast track protocol and its difference from the conventional anesthesia in patients older than 65 years. Methods: One hundred patients older than 65 years underwent coronary artery surgery between October 2000-March 2001 in cardiovascular surgery clinic were considered in this study. Fifty patients in whom fast track protocol was applied were included into the study group, group A; fifty patients underwent conventional anesthesia technique were referred to the control group, group B. In both groups demographic characteristics, early hospital mortality, operation time, total drainage, number of transfusions, stay in the intensive care unit and discharge time were recorded. Results: The mean age was 69±3 years in group A and 70.4±3.6 years in group B. Early hospital mortality was 2% in group A, 10% in group B (p>0.05). Intensive care unit stay was 22.01±10.12 hours in group A and 60.18±32.23 hours in group B (p

Özet

Amaç: Koroner arter cerrahisi uygulanan 65 yaş üstü hastalarda "fast track" (erken derlenme) protokolünün etkinliğini ve konvansiyonel anestezi ile olan farklılığını ortaya koymak için bu çalışma planlanmıştır.Yöntem: Kardiyovasküler cerrahisi kliniğinde Ekim 2000-Mart 2001 tarihlerinde koroner baypas yapılan 65 yaş ve üzerindeki 100 hasta çalışmaya alınmıştır. "Fast track" (FT) uygulanan 50 hasta grup A, konvansiyonel anestezi uygulanan 50 hasta ise kontrol grubu olup, grup B olarak ayrılmıştır. Her iki grupta demografik özellikler, erken hastane mortalitesi, operasyon süreleri, drenaj miktarları, transfüzyon miktarları, yoğun bakım kalış süreleri, taburculuk süreleri kaydedilmiştir. Bulgular: Grup A'nın yaş ortalaması 69.0±3.0 yıl iken, grup B'de 70.4±3.6 yıl idi. Erken hastane mortalitesi grup A'da %2, grup B'de %10 idi (p>0.05). Yoğun bakımda kalış süreleri grup A'da 22.01±10.12 saat iken, grup B'de 60.18±32.23 saat idi (P

🔖

Cite This Article

VURAL, K., UNCU, H., İŞCAN, Z., TAŞDEMİR, O., ALTINTAŞ, G., ÇAĞLI, K., KARADENİZ, Ü. (2022). The efficiency of fast track protocol in elderly patients underwent coronary artery surgery. Anadolu Kardiyoloji Dergisi, Cilt: 3 - Sayı: 1, 8–12. https://ajindex.com/articles/437506

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Lee J.H, Swain B, Andrey J, Murrell H.K. Fast track recovery of elderly coronary bypass surgery patients. Ann Thorac Surg 1999; 68:437-41
  2. Engelman R.M, Rousou J. A, Flack J. E, Deaton D.W. Fast track recovery of the coronary bypass patient. Ann Thorac Surg 1994; 58: 1742-6
  3. Engelman R.M, MD. Fast track recovery in the elderly patient. Ann Thorac surg 1997; 63; 606-7
  4. London M.J, Laurie A, Shroyer W, Jernigan V, Fullerton D.A. Fast track cardiac surgery in a department of veterans affairs patient population. Ann Thorac Surg 1997; 64: 134-41
  5. Cheng DHC:Fast track cardiac surgery pathways. Anesthesiology 1998; 88:1429-33
  6. Cheng DHC, Karski J, Peniston C, Asokumar B: Morbidity outcome in early versus conventional tracheal extubation after coronary artery bypass grafting: a prospective randomized controlled trial. J Thorac Cardiovasc Surg 1996; 112:755-64
  7. Silbert BS, Santamaria JD, O’Brien JL, Blyth CM. Early extubation following coronary artery bypass surgery. Chest 1998; 113:1481-8
  8. Toraman F, Karabulut E. H, Alhan C. Fast-track recovery uygulanan hastalarda yoğun bakımda kalış süresine etki eden parametreler. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2000; 8: 605-9
  9. White PF, Watcha MF. Are new drugs cost effective for patients undergoing ambulatory surgery? Anesthesia 1993; 78: 2-5
  10. Quigley RL, Reitnecht FL. A coronary artery bypass ‘’Fast-Track’’ protocol is practical and realistic in a rural environment: Ann Thorac Surg 1997; 64:706-9 11. Ranganathan J. Life in the fast tracks: Health Serv J 1989; 99: 1468-9
  11. Bold J, Jaun N. Economic consideration of the use of new anesthetics: A comparison of propofol, sevofluran, desfluran and isofluran. Anesth Analg 1998; 86: 504-9
  12. Cheng D. Fast track cardiac surgery. Economic implications in post-op care. Vasc Anesth. 1998; 12: 72-9
  13. Prakash O, Jonson B, Meij S, et al. Criteria for early extubation after intracardiac surgery in adult. Anesth Annalg 1977;56: 703
  14. Weintraub WS, Craver JM, Cohen CL, Jones EL, Guyton RA. Influence of age on results of coronary artery surgery. Circulation 1991; 84 (suppl 5): 226-35
  15. Robert HH, Anoar Z, Milo E. Determinants of prolonged mechanical ventilation after coronary artery bypass grafting. Ann Thorac Surg 1996; 62:1164-71
  16. Nevin MK, Chase A. Risks of cardiac operations for elderly patients: reduction of the age factor. Ann Thorac Surg 1997;63:1309-14.