Árangur kransæðahjáveituaðgerða á Íslandi 20022006
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Allur texti - Full text In Iceland over 3500 coronary artery bypass operations have been performed, both On-Pump, using cardiopulmonary bypass and Off-Pump, surgery on a beating heart. The aim was to stu...
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Læknafélag Íslands, Læknafélag Reykjavíkur
2012
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Online Access: | http://hdl.handle.net/2336/251472 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/251472 2023-05-15T16:46:50+02:00 Árangur kransæðahjáveituaðgerða á Íslandi 20022006 Outcome of myocardial revascularisation in Iceland Hannes Sigurjónsson Sólveig Helgadóttir Sæmundur J. Oddsson Martin Ingi Sigurđsson Arnar Geirsson Þórarinn Arnórsson Tómas Guðbjartsson Department of Cardiothoracic Surgery, Landspítala-The National University Hospital of Iceland, Faculty of Medicine, University of Iceland, Reykjavik, Iceland. 2012-11-08 http://hdl.handle.net/2336/251472 ice is ice Læknafélag Íslands, Læknafélag Reykjavíkur http://www.laeknabladid.is Læknablaðið 2012, 98(9):451-6 0023-7213 22947627 http://hdl.handle.net/2336/251472 Læknablaðið Archived with thanks to Læknablađiđ Open Access - Opinn aðgangur Hjartalækningar Hjartasjúkdómar Kransæðasjúkdómar Coronary Artery Bypass Off-Pump Coronary Artery Disease Female Hospitals University Humans Iceland Length of Stay Male Multivariate Analysis Outcome and Process Assessment (Health Care) Postoperative Complications Quality Indicators Health Care Reoperation Retrospective Studies Risk Assessment Risk Factors Survival Analysis Time Factors Treatment Outcome Article Hjartaskurðlækningar 2012 ftlandspitaliuni 2022-05-29T08:21:49Z Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Allur texti - Full text In Iceland over 3500 coronary artery bypass operations have been performed, both On-Pump, using cardiopulmonary bypass and Off-Pump, surgery on a beating heart. The aim was to study their outcome. This was a retrospective study on 720 consecutive patients who underwent surgical revascularisation at Landspítali-The National University Hospital of Iceland between 2002-2006; 513 On-Pump and 207 Off-Pump patients. Complications and operative mortality (<30 days) were compared between the groups and predictors of survival identified using multivariate analysis. The number of males was significantly higher in the On-Pump group, but other risk factors of coronary artery disease, including age and high body mass index, were comparable, as were the number of distal anastomoses and EuroSCORE. The Off-Pump procedure took 25 minutes longer on average and chest tube output was significantly increased, but the amount of transfusions administered was similar. The rate of minor complications was higher in the On-Pump group. Of the major complications, stroke rates were similar in both groups (2%) but the rate of reoperation for bleeding was higher in the On-Pump group. Mean length of hospital stay was one day longer for On-Pump patients but operative mortality was similar for both groups (4% vs. 3%, p=0.68) as was 5 year survival (92% in both groups). In multivariate analysis both EuroSCORE and age predicted outcome of operative mortality and long term survival but type of surgery (On-Pump vs. Off-Pump) was not a predictive variant. Outcome of myocardial revascularisation in Iceland is good as regards operative mortality and long term survival. This applies to both conventional On-Pump and Off-Pump procedures. Inngangur: Á Íslandi hafa verið framkvæmdar um 3500 kransæðahjáveituaðgerðir, annað hvort með hjarta- og lungnavél (HLV) eða á sláandi hjarta (SH). Tilgangur rannsóknarinnar var að kanna árangur ... Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Hjarta ENVELOPE(13.784,13.784,66.771,66.771) Smella ENVELOPE(29.443,29.443,69.896,69.896) |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
Icelandic |
topic |
Hjartalækningar Hjartasjúkdómar Kransæðasjúkdómar Coronary Artery Bypass Off-Pump Coronary Artery Disease Female Hospitals University Humans Iceland Length of Stay Male Multivariate Analysis Outcome and Process Assessment (Health Care) Postoperative Complications Quality Indicators Health Care Reoperation Retrospective Studies Risk Assessment Risk Factors Survival Analysis Time Factors Treatment Outcome |
spellingShingle |
Hjartalækningar Hjartasjúkdómar Kransæðasjúkdómar Coronary Artery Bypass Off-Pump Coronary Artery Disease Female Hospitals University Humans Iceland Length of Stay Male Multivariate Analysis Outcome and Process Assessment (Health Care) Postoperative Complications Quality Indicators Health Care Reoperation Retrospective Studies Risk Assessment Risk Factors Survival Analysis Time Factors Treatment Outcome Hannes Sigurjónsson Sólveig Helgadóttir Sæmundur J. Oddsson Martin Ingi Sigurđsson Arnar Geirsson Þórarinn Arnórsson Tómas Guðbjartsson Árangur kransæðahjáveituaðgerða á Íslandi 20022006 |
topic_facet |
Hjartalækningar Hjartasjúkdómar Kransæðasjúkdómar Coronary Artery Bypass Off-Pump Coronary Artery Disease Female Hospitals University Humans Iceland Length of Stay Male Multivariate Analysis Outcome and Process Assessment (Health Care) Postoperative Complications Quality Indicators Health Care Reoperation Retrospective Studies Risk Assessment Risk Factors Survival Analysis Time Factors Treatment Outcome |
description |
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Allur texti - Full text In Iceland over 3500 coronary artery bypass operations have been performed, both On-Pump, using cardiopulmonary bypass and Off-Pump, surgery on a beating heart. The aim was to study their outcome. This was a retrospective study on 720 consecutive patients who underwent surgical revascularisation at Landspítali-The National University Hospital of Iceland between 2002-2006; 513 On-Pump and 207 Off-Pump patients. Complications and operative mortality (<30 days) were compared between the groups and predictors of survival identified using multivariate analysis. The number of males was significantly higher in the On-Pump group, but other risk factors of coronary artery disease, including age and high body mass index, were comparable, as were the number of distal anastomoses and EuroSCORE. The Off-Pump procedure took 25 minutes longer on average and chest tube output was significantly increased, but the amount of transfusions administered was similar. The rate of minor complications was higher in the On-Pump group. Of the major complications, stroke rates were similar in both groups (2%) but the rate of reoperation for bleeding was higher in the On-Pump group. Mean length of hospital stay was one day longer for On-Pump patients but operative mortality was similar for both groups (4% vs. 3%, p=0.68) as was 5 year survival (92% in both groups). In multivariate analysis both EuroSCORE and age predicted outcome of operative mortality and long term survival but type of surgery (On-Pump vs. Off-Pump) was not a predictive variant. Outcome of myocardial revascularisation in Iceland is good as regards operative mortality and long term survival. This applies to both conventional On-Pump and Off-Pump procedures. Inngangur: Á Íslandi hafa verið framkvæmdar um 3500 kransæðahjáveituaðgerðir, annað hvort með hjarta- og lungnavél (HLV) eða á sláandi hjarta (SH). Tilgangur rannsóknarinnar var að kanna árangur ... |
author2 |
Department of Cardiothoracic Surgery, Landspítala-The National University Hospital of Iceland, Faculty of Medicine, University of Iceland, Reykjavik, Iceland. |
format |
Article in Journal/Newspaper |
author |
Hannes Sigurjónsson Sólveig Helgadóttir Sæmundur J. Oddsson Martin Ingi Sigurđsson Arnar Geirsson Þórarinn Arnórsson Tómas Guðbjartsson |
author_facet |
Hannes Sigurjónsson Sólveig Helgadóttir Sæmundur J. Oddsson Martin Ingi Sigurđsson Arnar Geirsson Þórarinn Arnórsson Tómas Guðbjartsson |
author_sort |
Hannes Sigurjónsson |
title |
Árangur kransæðahjáveituaðgerða á Íslandi 20022006 |
title_short |
Árangur kransæðahjáveituaðgerða á Íslandi 20022006 |
title_full |
Árangur kransæðahjáveituaðgerða á Íslandi 20022006 |
title_fullStr |
Árangur kransæðahjáveituaðgerða á Íslandi 20022006 |
title_full_unstemmed |
Árangur kransæðahjáveituaðgerða á Íslandi 20022006 |
title_sort |
árangur kransæðahjáveituaðgerða á íslandi 20022006 |
publisher |
Læknafélag Íslands, Læknafélag Reykjavíkur |
publishDate |
2012 |
url |
http://hdl.handle.net/2336/251472 |
long_lat |
ENVELOPE(13.784,13.784,66.771,66.771) ENVELOPE(29.443,29.443,69.896,69.896) |
geographic |
Hjarta Smella |
geographic_facet |
Hjarta Smella |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://www.laeknabladid.is Læknablaðið 2012, 98(9):451-6 0023-7213 22947627 http://hdl.handle.net/2336/251472 Læknablaðið |
op_rights |
Archived with thanks to Læknablađiđ Open Access - Opinn aðgangur |
_version_ |
1766036929311145984 |