Research Article
Volume 5 Issue 8 - 2018
Age Influence in Clinical Descends in Patients Submitted to Coronary Artery Bypass Grafting?
Tatiane da Luz Santos1, Rosana de Jesus Santana1, André Luiz Lisboa Cordeiro1,2*, Edmilson da Rocha Júnior1, Inamara de Sousa Andrade Silva3, Giulian Guedes4 and André Raimundo França Guimarães5
1Faculdade Nobre, Feira de Santana, Bahia
2Escola Bahiana de Medicina e Saúde Pública
3Centro Universitário Estácio, Santa Catarina
4Hospital Estadual da Criança, Feira de Santana, Bahia
5Instituto Nobre de Cardiologia, Feira de Santana, Bahia
*Corresponding Author: André Luiz Lisboa Cordeiro, Bahian School of Medicine and Public Health, Brazil.
Received: June 04,2018; Published: July 31, 2018
Citation: André Luiz Lisboa Cordeiro., et al. “Age Influence in Clinical Descends in Patients Submitted to Coronary Artery Bypass Grafting?”. EC Cardiology 5.8 (2018): 606-611.
Abstract
Background: Cardiovascular diseases are more prevalent in the elderly as well as the need for surgical intervention. It is also known that the complication rate is higher in this population, which may influence the clinical outcomes in the postoperative period of cardiac surgery. Objective: To evaluate whether age influences the clinical outcomes of patients undergoing coronary artery bypass grafting. Methodology: This is a prospective cohort. The patients were divided into two groups: elderly (60 years of age or older) and young (less than 60 years of age). Clinical variables were compared between the groups, such as postoperative pulmonary complications, comorbidities rate, time of cardiopulmonary bypass, mechanical ventilation, intensive care unit stay, hospital stay and death. Quantitative variables were expressed as mean and standard deviation and their differences were verified using the independent Student t test or Mann-Whitney test. Results: A total of 99 patients were included, 58 males (59%) and mean age 58 ± 9 years. There was an impact of age on a primary outcome, with a statistically significant difference (p = 0.02) with 6 events in the elderly group and 3 in the young. Regarding the clinical outcomes, there was a difference between groups in intensive care unit time variables (3.3 ± 1.4 vs. 2.5 ± 0.7, (p < 0.001)), hospital time (p < 0.001) and incidence of pneumonia with 11 in the elderly group versus 7 in the young group (p = 0.02). Conclusion: Based on these findings, it is concluded that age negatively influences clinical outcomes, especially death, pneumonia and length of hospital stay.
Keywords: Elderly; Cardiac Surgery; Intensive Care Unit.
Copyright: © 2018 André Luiz Lisboa Cordeiro., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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