Evidence map›Paper›PMID 15338147›Full record

ArticleZeitschrift fur Kardiologie2004

[Off-pump versus on-pump coronary artery bypass surgery. Comparison of 270 case-matched elderly patients].

Markus K H Fritz, Albrecht Wiebalck, Dirk Buchwald, Delawer Reber, Krzysztof Klak, Axel M Laczkovics

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Article in Zeitschrift fur Kardiologie, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Coronary reoperation with and without cardiopulmonary bypass.Clinical research in cardiology : official journal of the German Cardiac Society · 2006
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Markus K H FritzCardiothoracic Surgery, Bergmannsheil Bochum Ruhr-University Hospital, Bürkle-de-la-Camp-Pl. 1, 44788 Bochum, Germany. markus.k.fritz@ruhr-uni-bochum.de
Albrecht Wiebalck
Dirk Buchwald
Delawer Reber
Krzysztof Klak
Axel M Laczkovics

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOff-pump versus on-pump coronary artery bypass surgery: it still remains a matter of debate which method results in a lower incidence of perioperative morbidity and mortality. This case-matched study evaluates the outcome of elderly patients in both groups.

methodsAll patients aged 75 and older, who underwent CABG from 1998 to 2002, were examined retrospectively. They were matched according to Euroscore and the number of diseased vessels. The Student's t-test and chi-square test were used where appropriate.

results270 CABG patients were considered: 135 off-pump and 135 on-pump patients. Mean age was 78.4 +/- 3.1 versus 77.5 +/- 2.9 years, respectively. EuroSCORE was 7.11 +/- 2.3 in both groups; number of distal anastomoses per patient 1.7 +/- 0.74 versus 2.6 +/- 0.63 (p < 0.001), operation time 138 versus 177 minutes (p < 0.001). There were no significant differences in postoperative complications including hospital mortality 3.0 versus 3.7%, renal failure 8.9 versus 12.1% (new onset), acute myocardial infarction 1.5 versus 4.4% and cerebral events 0 versus 1.5%, respectively. The number of transfused packed cells was 2.6 +/- 2.8 versus 4.6 +/- 5.3 (p < 0.001). Intubation time and ICU stay were similar in both groups.

conclusionOPCAB is not associated with a reduction of perioperative mortality and morbidity in patients aged 75 and older.

Indexed as

Cardiopulmonary BypassAgedAged, 80 and overAge FactorsCoronary Artery BypassData Interpretation, StatisticalFemaleHeart FailureHospital MortalityHumansMaleMyocardial InfarctionPostoperative ComplicationsRisk FactorsTime FactorsTreatment Outcome

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.