Document Detail


1993 2003 gender differences in coronary artery revascularization: has anything changed?
MedLine Citation:
PMID:  16485631     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Gender differences abound in patients undergoing coronary artery bypass graft (CABG) surgery. Most research was conducted in the early 1 990s. It is unknown if gender differences have diminished over time.
RESEARCH OBJECTIVES: To determine whether gender differences exist in the current era of CABG surgery by examining preoperative, intraoperative, and postoperative factors known to affect outcomes.
SUBJECTS AND METHODS: In this descriptive, correlational study of all patients undergoing primary, isolated CABG at a large, urban Midwestern healthcare center, data in 1993 and 2003 were analyzed to determine if gender and time differences existed and if there was a time and gender interaction effect. Trained nurses prospectively collected data during the index hospitalization for the institution's Cardiovascular Information Registry.
RESULTS: 2,200 patients were studied; women accounted for one-fourth of the sample. Age over 65 years; current smoking; presence of hypertension, cerebrovascular accident; and insulin-dependent diabetes; symptomatic heart failure and chest pain were significantly associated with female gender (all P' s < .001). Intraoperatively, internal mammary arteries were used less as a graft conduit in women (P < .001); gender differences were most pronounced in patients requiring 2 bypass grafts. Postoperatively, cardiac pump failure and median hospital stay were greater in women (both P' s < .001); however, both decreased over time.
CONCLUSIONS: Gender differences continue to exist in patients undergoing CABG. Differences do not affect hospital mortality rates but play a role in hospital length of stay and may affect postdischarge recovery. Research targeted at modifiable preoperative factors may improve postoperative recovery.
Authors:
Michelle L Edwards; Nancy M Albert; Chaohui Wang; Carolyn Apperson-Hansen
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular nursing     Volume:  20     ISSN:  0889-4655     ISO Abbreviation:  J Cardiovasc Nurs     Publication Date:    2005 Nov-Dec
Date Detail:
Created Date:  2006-02-20     Completed Date:  2006-03-10     Revised Date:  2011-08-25    
Medline Journal Info:
Nlm Unique ID:  8703516     Medline TA:  J Cardiovasc Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  461-7     Citation Subset:  IM; N    
Affiliation:
Clinical Investigations Unit, Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
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MeSH Terms
Descriptor/Qualifier:
Coronary Artery Bypass* / mortality,  nursing,  trends,  utilization
Coronary Disease / diagnosis,  nursing,  physiopathology,  surgery*
Female
Hospital Mortality
Humans
Length of Stay
Linear Models
Logistic Models
Midwestern United States / epidemiology
Patient Selection
Perioperative Care
Sex Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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