| Item type |
デフォルトアイテムタイプ_（フル）(1) |
| 公開日 |
2006-03-21 |
| タイトル |
|
|
タイトル |
Cost Performance and Efficacy of Off-pump Coronary Artery Bypass Grafting |
|
言語 |
en |
| 作成者 |
Nomura, Fumikazu
Mukai, Shogo
Tamura, Kentaro
Shimazutsu, Kazufumi
Okuma, Kazuhide
Ihara, Katsuhiko
|
| 寄与者 |
|
|
|
姓名 |
国立情報学研究所 |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Off-Pump CABG |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Cost performance |
| 主題 |
|
|
主題Scheme |
NDC |
|
主題 |
490 |
| 内容記述 |
|
|
内容記述 |
Off-pump coronary artery bypass grafting (Off-Pump CABG) may provide an alternative form of surgical revascularization by avoiding the unwanted complications of cardiopulmonary bypass, particularly in high-risk patients. To clarify the efficacy and cost performance of Off- Pump CABG, we studied the postoperative course of Off-Pump CABG and compared it to On- pump coronary artery bypass grafting (On-Pump CABG). From Aug. 1998 to Feb. 2002, twenty-eight patients who had preoperative complications such as cerebral vascular disease (11), chronic renal failure (4), atheromatous aorta (4), one lung (1), severely impaired left ventricular function (6), re-do CABG (1), and cancer (1) underwent Off- Pump CABG. Another thirty-six patients who underwent On-Pump CABG served as a control. The Off-Pump CABG patients were almost the same age as the On-Pump CABG patients (68 ± 8 vs 64 ± 8 years, ns). The Number of grafts was similar in both groups (2.6 ± 1.0 vs 2.9 ± 1.0, ns). Peak CK, peak CKMB, peak LDH, and peak GOT release were significantly lower in the Off-Pump CABG group compared with the On-Pump CABG group. Graft patency rates were similar in both groups (98 0n Off-Pump CABG vs 98 0n On-Pump CABG). The total cost for surgery and patient care was significantly lower (p<0.0001) in the Off-Pump CABG group ($ 21000 ± 7000) compared with the On-Pump CABG group ($ 33000 ± 4200). Off-Pump CABG is less invasive to the myocardium, is less expensive, and has a similar efficacy in comparison with On-Pump CABG. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
Hiroshima University Medical Press |
| 日付 |
|
|
日付 |
2006-03-21 |
|
日付タイプ |
Created |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0018-2052 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA00664312 |
| 開始ページ |
|
|
開始ページ |
85 |
| 書誌情報 |
Hiroshima Journal of Medical Sciences
Hiroshima Journal of Medical Sciences
巻 51,
号 4,
p. 85-87,
発行日 2002-10
|
| 旧ID |
896 |
KJ00000705968.pdf (389.4 KB)
