Document Detail

Is no news good news? Organized follow-up, an absolute necessity for the evaluation of myocardial revascularization.
MedLine Citation:
PMID:  15450554     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The objective of this study is to find out whether follow-up information is registered by a non-organized follow-up representative for mortality and morbidity after myocardial revascularization. METHODS: The follow-up information registered by an organized (OFU) and a non-organized (NOFU) follow-up method is compared. The organized follow-up consists of an annual survey directly to the patient. The non-organized follow-up contains information provided by cardiologists and general practitioners. 1722 patients undergoing a CABG between 1999 and 2002 were included in this study. Completeness of the follow-up was registered as well as mortality and events, defined as return of angina, myocardial infarction, rhythm disturbances, heart failure, stroke and PTCA. RESULTS: The OFU was 98% complete and the NOFU 51.8% (P<0.05). The NOFU registered only 10 deaths; however, in the OFU another 21 patients who died during the first year postoperative were registered (P<0.05). In the OFU, 137 patients were registered with an event and in the NOFU 53 (P<0.05). In NOFU, the mean was 108+/-91 days and median was 78 days. CONCLUSION: OFU improves the completeness of the follow-up, as expected, but informs superior about mortality and events. That in the NOFU, for 50% of the patients, the information is at the most 78 days postoperative old, let us suppose that a lot of early (6 months) postoperative information is even missed by an NOFU. The establishment of an organized follow-up and feedback of mortality and events after myocardial revascularization becomes indispensable.
Constantijn W Wouters; Luc Noyez
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  26     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-09-28     Completed Date:  2004-12-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  667-70     Citation Subset:  IM    
Department of Thoracic and Cardiac Surgery, Heart Center, University Medical Center, St Radboud Nijmegen, 414, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.
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MeSH Terms
Coronary Artery Bypass* / mortality
Follow-Up Studies
Hospital Mortality
Long-Term Care / organization & administration,  standards
Netherlands / epidemiology
Postoperative Period
Treatment Outcome

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