Robotic Coronary Artery Bypass Grafting Decreases 30-Day Complication Rate, Length of Stay, and Acute Care Facility Discharge Rate Compared with Conventional Surgery

Leyvi, Galina; Forest, S.; Srinivas, Vankeepuram S.; Greenberg, Mark A.; Wang, Nan; Mais, Alec; Snyder, Max; DeRose, Joseph J.

doi:10.1177/155698451400900507

Cited by 5 publications

(1 citation statement)

References 16 publications

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“…The surgical approach to CABG is performed endoscopically or by thoracotomy. Recent surgeries are performed using the Da-Venice robot to minimize the risk of complications and improve prognosis by reducing the recovery period [2,3].…”

Section: Introductionmentioning

confidence: 99%

Incidence Rate of Post Coronary Artery Shunt Complications; Age Dependent!

Marzoog

2024

CHAMC

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Background:: Numerous complications, such as postoperative arrhythmia and stroke, have been observed following coronary artery bypass graft (CABG) surgery. Aims:: This study sought to examine the impact of aging on the incidence of post-coronary artery shunt complications. Objectives:: Aging is a physiological process experienced by every living cell, beginning early in development. Age plays a crucial role in determining postoperative complications, including those related to CABG. Materials and Methods:: A retrospective analysis was conducted on 290 patients who underwent CABG at the Mordovian Republic Hospital between 2017 and 2021. The sample was divided into two age-based groups: the first group comprised 126 patients (mean age range: 55.21-60.00), and the second group included 163 patients (mean age range: 66.11-80.00). Statistical analyses employed in this study encompassed descriptive statistics, Chi-square test, T-test, one-way ANOVA test, ROC analysis, and Pearson correlation using Statistica 12 software. Results:: Elderly patients in the second group demonstrated a higher incidence of post-CABG arrhythmia (p<0.012528). Moreover, the second group experienced markedly longer ICU and total hospitalization days following CABG, with p-values of less than 0.000000 and 0.000072, respectively. Notably, elderly individuals in the second group faced an increased risk of developing psychosis after CABG surgery (p<0.007379). Furthermore, psychosis was found to be significantly associated with longer ICU hospitalization (p<0.000140). Postoperative stroke occurred more frequently among the elderly (second group) with a p-value of less than 0.037736. Consequently, postoperative stroke was associated with extended ICU hospitalization (p<0.000747). The usage of internal thoracic arteries (ITAs) was lower among the elderly (second group), with a p-value of less than 0.016145. Regarding correlations, a direct association was observed between age and ICU days, total hospitalization days, and the number of complications, with correlation coefficients (r) of 0.189046, 0.141415, and 0.138565, respectively. Conclusion:: Elderly individuals in the second group who undergo CABG face a greater risk of developing psychosis, arrhythmia, prolonged total and ICU hospitalization, and stroke. The presence of arrhythmia, which is commonly observed in patients aged 63 years and older, significantly affects total hospitalization days. The number of complications is influenced by age, cardiopulmonary bypass (CPB) time, aortic cross-clamp time, ICU hospitalization, and total hospitalization duration.

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Section: Introductionmentioning

confidence: 99%

Incidence Rate of Post Coronary Artery Shunt Complications; Age Dependent!

Marzoog

2024

CHAMC

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Incidence Rate of Post Coronary Artery Shunt Complications; Age Dependent!

Marzoog

2022

Preprint

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Background: Post-coronary artery shunt remains one of the most frequently used revascularization in emergency. Aims: Asses the role of age advancement in the incidence rate of post coronary artery shunt complications. Objectives: Several complications are reported after coronary artery bypass graft (CABG) surgery, such as postoperative arrythmia and postoperative stroke. However, the risk factors for the development remain not elaborated. Materials and methods: Retrospective analysis of the 290 patients who underwent coronary artery bypass graft from the Mordovia republic hospital for the period of 2017-2021. The results of the descriptive statistics demonstrated age dependent complications. Therefore, the sample subdivided into two groups, first group 126 patients (mean age: min; max, 55.21:41.00;60.00) and the second group 163 (M age: min; max, 66.11: 61.00; 80.00). For statistical analysis, we used the T test, one-way ANOVA test, and Pearson correlation test by using the Statistica 12 programme. Results: Post-CABG arrythmia developed in elderly patients, t-value -2.51307, p<0.012528. Subsequently, post-CABG arrythmia increased ICU and total hospitalisation days, t value -5.83306, p< 0.000000; t-value -4.02907, p< 0.000072, respectively. Elderly people are at higher risk of psychosis after CABG surgery, t value 2.69885, p <0.007379. psychosis significantly increases hospitalisation days in the ICU, t-value 3.86094, p < 0.000140. Postoperative stroke occurs more frequently in elderly people, t-value 2.087585, p < 0.037736. Subsequently, postoperative stroke increases the ICU hospitalization days, t-value 3.409293, p <0.000747. The number of ITAs used is less in the elderly people, t-value 2.41992, p < 0.016145. In terms of correlation, exist a direct association between age and ICU / total hospitalization days/number of complications, r= 0.189046, 0.141415, 0.138565; respectively. Conclusions: The number of complications is determined by age increase, CPB time, aortic cross-clamp time, the days of hospitalization in the ICU and total hospitalization days. Elderly people undergoing CABG are at higher risk of psychosis, arrythmia, longer total and ICU hospitalization days, and stroke. Others: Total hospitalization days depend on the presence of arrythmia, which is commonly seen in elderly patients > 63 years old.

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