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Cost Performance and Efficacy of Off-pump Coronary Artery Bypass Grafting
https://hiroshima.repo.nii.ac.jp/records/2013525
https://hiroshima.repo.nii.ac.jp/records/2013525363f9530-b7e6-43d6-91a8-4aecde8271c7
名前 / ファイル | ライセンス | アクション |
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Item type | デフォルトアイテムタイプ_(フル)(1) | |||||||||||||||||
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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
× Nomura, Fumikazu
× Mukai, Shogo
× Tamura, Kentaro
× Shimazutsu, Kazufumi
× Okuma, Kazuhide
× Ihara, Katsuhiko
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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 |
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旧ID | 896 |