Yüksel A, Kan II, Yolgösteren A, Velioğlu Y, Çayır MÇ, Gürbüz O, Kumtepe G, Akarsu S, Biçer M, Tok M, Şenkaya I. Are the Early Postoperative Outcomes of Coronary Artery Bypass Grafting Surgery in Elderly Women Worse Compared to Men's?
Braz J Cardiovasc Surg 2017;
32:191-196. [PMID:
28832797 PMCID:
PMC5570389 DOI:
10.21470/1678-9741-2016-0071]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2016] [Accepted: 04/06/2017] [Indexed: 11/13/2022] Open
Abstract
Objective
To investigate the impact of gender difference in early postoperative
outcomes in elderly patients (aged 70 or older) undergoing coronary artery
bypass grafting surgery.
Methods
Between October 2009 and December 2013, a total of 223 elderly patients (aged
70 or older) undergoing isolated primary coronary artery bypass grafting
surgery were included in this retrospective observational cohort study.
Patients were divided into two groups according to their gender. The
patients' medical records were collected, their baseline preoperative
characteristics, operative data, and postoperative outcomes were
retrospectively reviewed, and the effect of gender difference in the early
postoperative outcomes was analyzed.
Results
Group 1 (female patients) and Group 2 (male patients) consisted of 71 and 152
patients, respectively. Mean age of patients was 74.4±3.6 years
(range: 70-84 years). The level of EuroSCORE I, the incidence of
hypertension and hyperlipidemia were significantly higher in Group 1, while
the rate of smoking was significantly higher in Group 2. Mean postoperative
intubation time, length of intensive care unit and hospital stay were longer
in female patients than in male patients, but these differences were not
statistically significant. No statistically significant difference between
two groups in terms of the transfusion of blood products was observed. The
rates of in-hospital mortality and major postoperative complications were
statistically similar between the two groups.
Conclusion
In conclusion, the female gender was not associated with worse early
postoperative outcomes in elderly patients undergoing coronary artery bypass
grafting surgery.
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