Prognostic value of chronic obstructive pulmonary disease in coronary artery bypass grafting☆

Fuster, Rafael García; Argudo, J.A. Montero; Albarova, Oscar Gil; Sos, Fernando Hornero; López, Sergio Cánovas; Codoñer, María Bueno; Miñano, J.; Albarrán, Ignacio Rodríguez

doi:10.1016/j.ejcts.2005.11.015

Cited by 78 publications

(88 citation statements)

References 23 publications

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“…This reflects previous reports on this topic. [6][7][8][9] Also similar to prior studies, 35,36 payor status was associated with PLOS in our analysis. Because maintaining airway pressures of 10 cm H 2 O has been observed to significantly reduce atelectasis, pneumonia, and reintubation, 37,38 prophylactic continuous positive airway pressure may benefit COPD patients following CABG.…”

Section: Discussionsupporting

confidence: 79%

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Long-Term Survival after Cardiac Surgery in Patients with Chronic Obstructive Pulmonary Disease

Efird

Griffin

O’Neal

et al. 2016

American Journal of Critical Care

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Background Although many patients with chronic obstructive pulmonary disease (COPD) require a prolonged length of stay (PLOS) following coronary artery bypass grafting (CABG), the impact of PLOS on long-term survival has not been examined in this population. Objectives To determine the association between PLOS and long-term survival among COPD and non-COPD patients after CABG and to examine consequent policy and practice-based implications. Methods A retrospective cohort study of CABG patients was conducted between 2002 and 2011. Long-term survival was compared in patients with and without COPD and stratified by PLOS. Hazard ratios (HR) and 95% confidence intervals (CI) were computed using a Cox regression model. Conclusions COPD and PLOS are 2 of many factors that affect long-term mortality in postoperative CABG patients. Aggressive treatment strategies aimed at early weaning off of mechanical ventilation and prevention of reintubation among COPD patients must be considered carefully as a means to reduce length of stay after CABG. Our results also have important implications for the long-term management of these patients and strategies for containing costs over the life course of the patient.

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Section: Discussionsupporting

confidence: 79%

“…[3][4][5] Among CABG patients, COPD is a predictor of prolonged length of stay (PLOS), prolonged mechanical ventilation, and postoperative complications (eg, pneumonia). [6][7][8][9] COPD also is an important predictor of long-term survival following CABG. [3][4][5] However, little is known about the synergistic effect of PLOS and COPD on survival.…”

mentioning

confidence: 99%

Long-Term Survival after Cardiac Surgery in Patients with Chronic Obstructive Pulmonary Disease

Efird

Griffin

O’Neal

et al. 2016

American Journal of Critical Care

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“…The incidence of complications increases with patient age and the severity of chronic obstructive pulmonary disease, as measured with pulmonary function testing. 1204,1205 None of these studies, however, address the relative risks and benefits of CABG in subjects with chronic obstructive pulmonary disease, thereby precluding a specific recommendation regarding the performance of CABG in these patients. In preparation for CABG, optimizing pulmonary function is imperative.…”

Section: Patients With Diabetes Mellitusmentioning

confidence: 99%

2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery

et al. 2011

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“…Unwanted events of the respiratory system, such as respiratory failure and pneumonia, can cause postoperative complication in COPD patients on whom CABG is performed [7]. There are studies showing that as the stages of COPD increase so does morbidity and mortality in COPD patients on whom coronary artery surgery is performed [8,9]. It has been reported in many studies that postoperative complications are most frequently seen in the COPD patient group when compared to the control group [6][7][8][9].…”

Section: Discussionmentioning

confidence: 99%

“…Futer et al [8] have evaluated mortality and morbidity according to obstruction severity in COPD patients and mortality has been found to be associated with the degree of obstruction. The patients whose FEV 1 value was under 60% was found to be specifically higher than those whose mortality was over 60% (24.6% vs. 1.4%) (p< 0.001).…”

Section: Discussionmentioning

confidence: 99%

Arterial Blood Gas Analysis in Chronic Obstructive Pulmonary Disease Patients Undergoing Coronary Artery Bypass Surgery

İlhan¹,

Günay

Özkan

et al. 2016

Turk Toraks Dergisi

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OBJECTIVES:We aimed to investigate the impact of arterial blood gas (ABG) on morbidity and mortality in chronic obstructive pulmonary disease (COPD) patients undergoing CABG surgery. MATERIAL AND METHODS:The records for 75 COPD patients who underwent elective CABG surgery our institution clinic between November 2008 to 2011 and had a forced expiratory volume in 1 second (FEV 1 ) /forced vital capacity (FVC) ≤ 70% value in the pulmonary function tests (PFT) performed prior to the surgery were evaluated retrospectively. COPD patients were divided into two groups; Group 1; FEV 1 ≥ 60% and Group 2; FEV 1 ≤ 59%. Groups were compared for mortality and adverse events after identification of other preoperative and postoperative factors that could affect mortality and adverse events. An ABG was obtained immediately before and 3 to 6 hours after surgery to study the predictive value of ABG in seperate COPD groups. RESULTS:There were no significant differences in patients with high partial pressure carbondioxide (PaCO 2 ) preoperative values compared to patients with normal values. Also there were no significant differences in patients with lower partial pressure of oxygen (PaO 2 ) preoperative values compared to patients with normal values in terms of mortality. Postoperative myocardial infarction (MI) was significantly higher in patients with low PaO 2 values (p< 0.05). CONCLUSION:In conclusion, in our study, there could not be found a relation between the degree of preoperative obstruction and mortality for COPD patients who underwent CABG surgery. ABG was not found useful for predicting mortality in COPD patients undergoing CABG surgery, but could be useful to predict postoperative MI in patients with COPD.

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Prognostic value of chronic obstructive pulmonary disease in coronary artery bypass grafting☆

Cited by 78 publications

References 23 publications

Long-Term Survival after Cardiac Surgery in Patients with Chronic Obstructive Pulmonary Disease

Long-Term Survival after Cardiac Surgery in Patients with Chronic Obstructive Pulmonary Disease

2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery

Arterial Blood Gas Analysis in Chronic Obstructive Pulmonary Disease Patients Undergoing Coronary Artery Bypass Surgery

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