Gender and functional outcome after coronary artery bypass
Background: Female gender is an established risk factor for increased mortality and morbidity after coronary artery bypass graft (CABG) surgery. However, the impact of gender on functional outcome after CABG is not well established. Methods: Functional status was assessed at baseline and at 6 months...
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| Veröffentlicht in: | Surgery 1999-08, Vol.126 (2), p.184-190 |
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| creator | Stewart, Robert D. Blair, Jennifer L. Emond, Christopher E. Lahey, Stephen J. Levitsky, Sidney Campos, Christian T. |
| description | Background: Female gender is an established risk factor for increased mortality and morbidity after coronary artery bypass graft (CABG) surgery. However, the impact of gender on functional outcome after CABG is not well established.
Methods: Functional status was assessed at baseline and at 6 months with the Duke Activity Status Index (DASI) in 196 consecutive patients undergoing isolated primary CABG. Follow-up data were complete in 158 (81%) patients. The functional status of the 54 (34%) female and the 104 (66%) male patients was compared.
Results: The mean DASI score was significantly lower in women at baseline (19.3 ± 13.8 vs 28.3 ± 16.8,
P = .001) and at 6 months (22.7 ± 16.3 vs 32.8 ± 18.2,
P = .0007); however, the 6-month change in DASI score (3.3 ± 16.9 vs 4.5 ± 20.0,
P = .7) was comparable. A similar proportion of women and men (54% vs 53%) had improved above their baseline functional level at 6 months.
Conclusions: These data demonstrate that women undergo CABG at a significantly lower functional level than men; however, the functional improvement after CABG is similar across genders. (Surgery 1999;126:184-90.) |
| doi_str_mv | 10.1016/S0039-6060(99)70153-4 |
| format | Article |
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Methods: Functional status was assessed at baseline and at 6 months with the Duke Activity Status Index (DASI) in 196 consecutive patients undergoing isolated primary CABG. Follow-up data were complete in 158 (81%) patients. The functional status of the 54 (34%) female and the 104 (66%) male patients was compared.
Results: The mean DASI score was significantly lower in women at baseline (19.3 ± 13.8 vs 28.3 ± 16.8,
P = .001) and at 6 months (22.7 ± 16.3 vs 32.8 ± 18.2,
P = .0007); however, the 6-month change in DASI score (3.3 ± 16.9 vs 4.5 ± 20.0,
P = .7) was comparable. A similar proportion of women and men (54% vs 53%) had improved above their baseline functional level at 6 months.
Conclusions: These data demonstrate that women undergo CABG at a significantly lower functional level than men; however, the functional improvement after CABG is similar across genders. (Surgery 1999;126:184-90.)</description><identifier>ISSN: 0039-6060</identifier><identifier>EISSN: 1532-7361</identifier><identifier>DOI: 10.1016/S0039-6060(99)70153-4</identifier><identifier>PMID: 10455882</identifier><identifier>CODEN: SURGAZ</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Activities of Daily Living ; Adult ; Aged ; Biological and medical sciences ; Coronary Artery Bypass - mortality ; Coronary Artery Bypass - rehabilitation ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Multivariate Analysis ; Sex Factors ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart</subject><ispartof>Surgery, 1999-08, Vol.126 (2), p.184-190</ispartof><rights>1999 Mosby, Inc.</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-fbfe5d99aee30fc8b42ad38a89eadcdcb0ddabf56e5c8210f1ed78b9162972b43</citedby><cites>FETCH-LOGICAL-c390t-fbfe5d99aee30fc8b42ad38a89eadcdcb0ddabf56e5c8210f1ed78b9162972b43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0039-6060(99)70153-4$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,3550,23930,23931,25140,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1928739$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10455882$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stewart, Robert D.</creatorcontrib><creatorcontrib>Blair, Jennifer L.</creatorcontrib><creatorcontrib>Emond, Christopher E.</creatorcontrib><creatorcontrib>Lahey, Stephen J.</creatorcontrib><creatorcontrib>Levitsky, Sidney</creatorcontrib><creatorcontrib>Campos, Christian T.</creatorcontrib><title>Gender and functional outcome after coronary artery bypass</title><title>Surgery</title><addtitle>Surgery</addtitle><description>Background: Female gender is an established risk factor for increased mortality and morbidity after coronary artery bypass graft (CABG) surgery. However, the impact of gender on functional outcome after CABG is not well established.
Methods: Functional status was assessed at baseline and at 6 months with the Duke Activity Status Index (DASI) in 196 consecutive patients undergoing isolated primary CABG. Follow-up data were complete in 158 (81%) patients. The functional status of the 54 (34%) female and the 104 (66%) male patients was compared.
Results: The mean DASI score was significantly lower in women at baseline (19.3 ± 13.8 vs 28.3 ± 16.8,
P = .001) and at 6 months (22.7 ± 16.3 vs 32.8 ± 18.2,
P = .0007); however, the 6-month change in DASI score (3.3 ± 16.9 vs 4.5 ± 20.0,
P = .7) was comparable. A similar proportion of women and men (54% vs 53%) had improved above their baseline functional level at 6 months.
Conclusions: These data demonstrate that women undergo CABG at a significantly lower functional level than men; however, the functional improvement after CABG is similar across genders. (Surgery 1999;126:184-90.)</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Coronary Artery Bypass - mortality</subject><subject>Coronary Artery Bypass - rehabilitation</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Sex Factors</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><issn>0039-6060</issn><issn>1532-7361</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtLxDAQgIMo7rr6E5QeRPRQzaNNEy8ii67Cggf1HNJkApU-1qQV9t-b3S7qzdMwM988-BA6JfiaYMJvXjFmMuWY40sprwpMcpZme2gaI00Lxsk-mv4gE3QUwgfGWGZEHKIJwVmeC0Gn6HYBrQWf6NYmbmhNX3WtrpNu6E3XQKJdH5um87Hq14n2MV0n5XqlQzhGB07XAU52cYbeHx_e5k_p8mXxPL9fpoZJ3KeudJBbKTUAw86IMqPaMqGFBG2NNSW2Vpcu55AbQQl2BGwhSkk4lQUtMzZDF-Pele8-Bwi9aqpgoK51C90QFJdSME5FBPMRNL4LwYNTK1818W9FsNpIU1tpamNESam20tTmwNnuwFA2YP9MjZYicL4DdDC6dl63pgq_nKSiYDJidyMG0cZXBV4FU0FrwFYeTK9sV_3zyTfYyYnl</recordid><startdate>19990801</startdate><enddate>19990801</enddate><creator>Stewart, Robert D.</creator><creator>Blair, Jennifer L.</creator><creator>Emond, Christopher E.</creator><creator>Lahey, Stephen J.</creator><creator>Levitsky, Sidney</creator><creator>Campos, Christian T.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19990801</creationdate><title>Gender and functional outcome after coronary artery bypass</title><author>Stewart, Robert D. ; Blair, Jennifer L. ; Emond, Christopher E. ; Lahey, Stephen J. ; Levitsky, Sidney ; Campos, Christian T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-fbfe5d99aee30fc8b42ad38a89eadcdcb0ddabf56e5c8210f1ed78b9162972b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Coronary Artery Bypass - mortality</topic><topic>Coronary Artery Bypass - rehabilitation</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Sex Factors</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the heart</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stewart, Robert D.</creatorcontrib><creatorcontrib>Blair, Jennifer L.</creatorcontrib><creatorcontrib>Emond, Christopher E.</creatorcontrib><creatorcontrib>Lahey, Stephen J.</creatorcontrib><creatorcontrib>Levitsky, Sidney</creatorcontrib><creatorcontrib>Campos, Christian T.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stewart, Robert D.</au><au>Blair, Jennifer L.</au><au>Emond, Christopher E.</au><au>Lahey, Stephen J.</au><au>Levitsky, Sidney</au><au>Campos, Christian T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gender and functional outcome after coronary artery bypass</atitle><jtitle>Surgery</jtitle><addtitle>Surgery</addtitle><date>1999-08-01</date><risdate>1999</risdate><volume>126</volume><issue>2</issue><spage>184</spage><epage>190</epage><pages>184-190</pages><issn>0039-6060</issn><eissn>1532-7361</eissn><coden>SURGAZ</coden><abstract>Background: Female gender is an established risk factor for increased mortality and morbidity after coronary artery bypass graft (CABG) surgery. However, the impact of gender on functional outcome after CABG is not well established.
Methods: Functional status was assessed at baseline and at 6 months with the Duke Activity Status Index (DASI) in 196 consecutive patients undergoing isolated primary CABG. Follow-up data were complete in 158 (81%) patients. The functional status of the 54 (34%) female and the 104 (66%) male patients was compared.
Results: The mean DASI score was significantly lower in women at baseline (19.3 ± 13.8 vs 28.3 ± 16.8,
P = .001) and at 6 months (22.7 ± 16.3 vs 32.8 ± 18.2,
P = .0007); however, the 6-month change in DASI score (3.3 ± 16.9 vs 4.5 ± 20.0,
P = .7) was comparable. A similar proportion of women and men (54% vs 53%) had improved above their baseline functional level at 6 months.
Conclusions: These data demonstrate that women undergo CABG at a significantly lower functional level than men; however, the functional improvement after CABG is similar across genders. (Surgery 1999;126:184-90.)</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>10455882</pmid><doi>10.1016/S0039-6060(99)70153-4</doi><tpages>7</tpages></addata></record> |
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| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Activities of Daily Living Adult Aged Biological and medical sciences Coronary Artery Bypass - mortality Coronary Artery Bypass - rehabilitation Female Humans Male Medical sciences Middle Aged Multivariate Analysis Sex Factors Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart |
| title | Gender and functional outcome after coronary artery bypass |
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