Does Gender Influence Resource Utilization in Patients Undergoing Off-Pump Coronary Artery Bypass Surgery?
The purpose of the present study was to examine if gender influences duration of tracheal intubation, blood transfusion needs, intensive care unit length of stay (ICULOS), postoperative length of stay (PLOS), and total length of stay (LOS) in patients undergoing off-pump coronary artery bypass (OPCA...
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| Veröffentlicht in: | Journal of cardiothoracic and vascular anesthesia 2003-06, Vol.17 (3), p.346-351 |
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| creator | Scott, Bharathi H Seifert, Frank C Glass, Peter S.A |
| description | The purpose of the present study was to examine if gender influences duration of tracheal intubation, blood transfusion needs, intensive care unit length of stay (ICULOS), postoperative length of stay (PLOS), and total length of stay (LOS) in patients undergoing off-pump coronary artery bypass (OPCAB) surgery.
Retrospective study of consecutive patients undergoing OPCAB surgery.
University teaching hospital. Tertiary care referral center for cardiac surgery.
Three hundred seventy-two consecutive male and female patients undergoing OPCAB surgery. There were 110 women and 262 men.
None.
Gender, duration of tracheal intubation, units of blood transfused, ICULOS, PLOS, and LOS were collected from the records of patients undergoing OPCAB surgery at the authors’ institution over a period of 16 months. There were a total of 372 patients: 110 women and 262 men. Median intubation time was 4.5 hours for women and 4.0 hours for men (
p = 0.749); 59.1% of women received red blood cells versus 31.3% of men (
p < 0.001). Median ICU LOS was 1 day for women and 1 day for men (
p = 0.597) Median PLOS was 4 days for women and 4 days for men. Median LOS was 8 days for women and 6 days for men (
p = 0.001).
Female sex was a predictor of increased blood transfusion and longer PLOS and LOS in patients undergoing OPCAB surgery. The study implies that female sex does not predict increased duration of tracheal intubation and mechanical ventilation and ICULOS in this group of patients. Females undergoing OPCAB surgery require increased resource utilization as measured by increases in blood transfusion, PLOS, and LOS. |
| doi_str_mv | 10.1016/S1053-0770(03)00048-X |
| format | Article |
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Retrospective study of consecutive patients undergoing OPCAB surgery.
University teaching hospital. Tertiary care referral center for cardiac surgery.
Three hundred seventy-two consecutive male and female patients undergoing OPCAB surgery. There were 110 women and 262 men.
None.
Gender, duration of tracheal intubation, units of blood transfused, ICULOS, PLOS, and LOS were collected from the records of patients undergoing OPCAB surgery at the authors’ institution over a period of 16 months. There were a total of 372 patients: 110 women and 262 men. Median intubation time was 4.5 hours for women and 4.0 hours for men (
p = 0.749); 59.1% of women received red blood cells versus 31.3% of men (
p < 0.001). Median ICU LOS was 1 day for women and 1 day for men (
p = 0.597) Median PLOS was 4 days for women and 4 days for men. Median LOS was 8 days for women and 6 days for men (
p = 0.001).
Female sex was a predictor of increased blood transfusion and longer PLOS and LOS in patients undergoing OPCAB surgery. The study implies that female sex does not predict increased duration of tracheal intubation and mechanical ventilation and ICULOS in this group of patients. Females undergoing OPCAB surgery require increased resource utilization as measured by increases in blood transfusion, PLOS, and LOS.</description><identifier>ISSN: 1053-0770</identifier><identifier>EISSN: 1532-8422</identifier><identifier>DOI: 10.1016/S1053-0770(03)00048-X</identifier><identifier>PMID: 12827584</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Body Surface Area ; Cohort Studies ; Coronary Artery Bypass - statistics & numerical data ; Coronary Disease - epidemiology ; Coronary Disease - therapy ; Erythrocyte Transfusion - statistics & numerical data ; Female ; gender ; Health Resources - statistics & numerical data ; Humans ; Intensive Care Units ; Intubation, Intratracheal - statistics & numerical data ; Length of Stay ; Male ; Mammary Arteries - transplantation ; Middle Aged ; Multivariate Analysis ; New York ; off-pump CABG ; resource utilization ; Retrospective Studies ; Risk Factors ; Sex Factors ; Statistics as Topic ; Stroke Volume - physiology ; Treatment Outcome</subject><ispartof>Journal of cardiothoracic and vascular anesthesia, 2003-06, Vol.17 (3), p.346-351</ispartof><rights>2003 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c361t-d5edaba6afc2255f122b89496277861adfbfea0c09a143c851d334a59c55c9563</citedby><cites>FETCH-LOGICAL-c361t-d5edaba6afc2255f122b89496277861adfbfea0c09a143c851d334a59c55c9563</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S105307700300048X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12827584$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Scott, Bharathi H</creatorcontrib><creatorcontrib>Seifert, Frank C</creatorcontrib><creatorcontrib>Glass, Peter S.A</creatorcontrib><title>Does Gender Influence Resource Utilization in Patients Undergoing Off-Pump Coronary Artery Bypass Surgery?</title><title>Journal of cardiothoracic and vascular anesthesia</title><addtitle>J Cardiothorac Vasc Anesth</addtitle><description>The purpose of the present study was to examine if gender influences duration of tracheal intubation, blood transfusion needs, intensive care unit length of stay (ICULOS), postoperative length of stay (PLOS), and total length of stay (LOS) in patients undergoing off-pump coronary artery bypass (OPCAB) surgery.
Retrospective study of consecutive patients undergoing OPCAB surgery.
University teaching hospital. Tertiary care referral center for cardiac surgery.
Three hundred seventy-two consecutive male and female patients undergoing OPCAB surgery. There were 110 women and 262 men.
None.
Gender, duration of tracheal intubation, units of blood transfused, ICULOS, PLOS, and LOS were collected from the records of patients undergoing OPCAB surgery at the authors’ institution over a period of 16 months. There were a total of 372 patients: 110 women and 262 men. Median intubation time was 4.5 hours for women and 4.0 hours for men (
p = 0.749); 59.1% of women received red blood cells versus 31.3% of men (
p < 0.001). Median ICU LOS was 1 day for women and 1 day for men (
p = 0.597) Median PLOS was 4 days for women and 4 days for men. Median LOS was 8 days for women and 6 days for men (
p = 0.001).
Female sex was a predictor of increased blood transfusion and longer PLOS and LOS in patients undergoing OPCAB surgery. The study implies that female sex does not predict increased duration of tracheal intubation and mechanical ventilation and ICULOS in this group of patients. Females undergoing OPCAB surgery require increased resource utilization as measured by increases in blood transfusion, PLOS, and LOS.</description><subject>Aged</subject><subject>Body Surface Area</subject><subject>Cohort Studies</subject><subject>Coronary Artery Bypass - statistics & numerical data</subject><subject>Coronary Disease - epidemiology</subject><subject>Coronary Disease - therapy</subject><subject>Erythrocyte Transfusion - statistics & numerical data</subject><subject>Female</subject><subject>gender</subject><subject>Health Resources - statistics & numerical data</subject><subject>Humans</subject><subject>Intensive Care Units</subject><subject>Intubation, Intratracheal - statistics & numerical data</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Mammary Arteries - transplantation</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>New York</subject><subject>off-pump CABG</subject><subject>resource utilization</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Statistics as Topic</subject><subject>Stroke Volume - physiology</subject><subject>Treatment Outcome</subject><issn>1053-0770</issn><issn>1532-8422</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkElLBDEQhYMo7j9ByUn00Jql08tJxnEFQVEHvIVMujJEepIx6Rb015t2Rjx6eq_gvSrqQ-iAklNKaHH2TIngGSlLckz4CSEkr7LXNbRNBWdZlTO2nvxvZAvtxPhGCKVClJtoi7KKlaLKt9HbpYeIb8A1EPCdM20PTgN-guj7kMyks639Up31DluHH5MD10U8GQozb90MPxiTPfbzBR774J0Kn3gUOkhy8blQMeLnPszSeL6HNoxqI-yvdBdNrq9exrfZ_cPN3Xh0n2le0C5rBDRqqgplNGNCGMrYtKrzumBlWRVUNWZqQBFNakVzritBG85zJWothK5FwXfR0XLvIvj3HmIn5zZqaFvlwPdRlpzXNeUsBcUyqIOPMYCRi2Dn6QFJiRwgyx_IciAoSdIBsnxNvcPVgX46h-avtaKaAufLAKQ3PywEGbUduDY2gO5k4-0_J74B_lqNQw</recordid><startdate>20030601</startdate><enddate>20030601</enddate><creator>Scott, Bharathi H</creator><creator>Seifert, Frank C</creator><creator>Glass, Peter S.A</creator><general>Elsevier Inc</general><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>20030601</creationdate><title>Does Gender Influence Resource Utilization in Patients Undergoing Off-Pump Coronary Artery Bypass Surgery?</title><author>Scott, Bharathi H ; Seifert, Frank C ; Glass, Peter S.A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c361t-d5edaba6afc2255f122b89496277861adfbfea0c09a143c851d334a59c55c9563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Aged</topic><topic>Body Surface Area</topic><topic>Cohort Studies</topic><topic>Coronary Artery Bypass - statistics & numerical data</topic><topic>Coronary Disease - epidemiology</topic><topic>Coronary Disease - therapy</topic><topic>Erythrocyte Transfusion - statistics & numerical data</topic><topic>Female</topic><topic>gender</topic><topic>Health Resources - statistics & numerical data</topic><topic>Humans</topic><topic>Intensive Care Units</topic><topic>Intubation, Intratracheal - statistics & numerical data</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Mammary Arteries - transplantation</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>New York</topic><topic>off-pump CABG</topic><topic>resource utilization</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Statistics as Topic</topic><topic>Stroke Volume - physiology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Scott, Bharathi H</creatorcontrib><creatorcontrib>Seifert, Frank C</creatorcontrib><creatorcontrib>Glass, Peter S.A</creatorcontrib><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>Journal of cardiothoracic and vascular anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Scott, Bharathi H</au><au>Seifert, Frank C</au><au>Glass, Peter S.A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does Gender Influence Resource Utilization in Patients Undergoing Off-Pump Coronary Artery Bypass Surgery?</atitle><jtitle>Journal of cardiothoracic and vascular anesthesia</jtitle><addtitle>J Cardiothorac Vasc Anesth</addtitle><date>2003-06-01</date><risdate>2003</risdate><volume>17</volume><issue>3</issue><spage>346</spage><epage>351</epage><pages>346-351</pages><issn>1053-0770</issn><eissn>1532-8422</eissn><abstract>The purpose of the present study was to examine if gender influences duration of tracheal intubation, blood transfusion needs, intensive care unit length of stay (ICULOS), postoperative length of stay (PLOS), and total length of stay (LOS) in patients undergoing off-pump coronary artery bypass (OPCAB) surgery.
Retrospective study of consecutive patients undergoing OPCAB surgery.
University teaching hospital. Tertiary care referral center for cardiac surgery.
Three hundred seventy-two consecutive male and female patients undergoing OPCAB surgery. There were 110 women and 262 men.
None.
Gender, duration of tracheal intubation, units of blood transfused, ICULOS, PLOS, and LOS were collected from the records of patients undergoing OPCAB surgery at the authors’ institution over a period of 16 months. There were a total of 372 patients: 110 women and 262 men. Median intubation time was 4.5 hours for women and 4.0 hours for men (
p = 0.749); 59.1% of women received red blood cells versus 31.3% of men (
p < 0.001). Median ICU LOS was 1 day for women and 1 day for men (
p = 0.597) Median PLOS was 4 days for women and 4 days for men. Median LOS was 8 days for women and 6 days for men (
p = 0.001).
Female sex was a predictor of increased blood transfusion and longer PLOS and LOS in patients undergoing OPCAB surgery. The study implies that female sex does not predict increased duration of tracheal intubation and mechanical ventilation and ICULOS in this group of patients. Females undergoing OPCAB surgery require increased resource utilization as measured by increases in blood transfusion, PLOS, and LOS.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>12827584</pmid><doi>10.1016/S1053-0770(03)00048-X</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Aged Body Surface Area Cohort Studies Coronary Artery Bypass - statistics & numerical data Coronary Disease - epidemiology Coronary Disease - therapy Erythrocyte Transfusion - statistics & numerical data Female gender Health Resources - statistics & numerical data Humans Intensive Care Units Intubation, Intratracheal - statistics & numerical data Length of Stay Male Mammary Arteries - transplantation Middle Aged Multivariate Analysis New York off-pump CABG resource utilization Retrospective Studies Risk Factors Sex Factors Statistics as Topic Stroke Volume - physiology Treatment Outcome |
| title | Does Gender Influence Resource Utilization in Patients Undergoing Off-Pump Coronary Artery Bypass Surgery? |
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