Korean J Anesthesiol.  2007 Apr;52(4):415-421. 10.4097/kjae.2007.52.4.415.

Effect of Gender on Outcomes of Off-pump Coronary Artery Bypass Surgery

• Kim CS
• Bang SO
• Choi YS
• Shin BH
• Shim JK
• Kwak YL

• KMID: 1937569
• DOI: http://doi.org/10.4097/kjae.2007.52.4.415

Abstract

BACKGROUND
Although female gender is associated with higher prevalence of perioperative morbidity and mortality than male gender in conventional coronary artery bypass surgery (CABG) using cardiopulmonary bypass, the impact of gender as an independent risk factor for morbidity and mortality following off-pump CABG (OPCAB) is controversial. Therefore, we prospectively investigated the impact of gender on intraoperative variables and postoperative outcome and complications in OPCAB.
METHODS
One hundred patients (69 males and 31 females) undergoing OPCAB by a single cardiac surgeon during 5 months period were prospectively enrolled. Preoperative patient's characteristics, intraoperative hemodynamics and medications and postoperative outcome and complications were recorded during hospital stay.
RESULTS
There were no significant differences in preoperative characteristics including age, NYHA class and incidence of concomitant diseases between the male and female groups, except body surface area which was less in the female group. There were no significant differences in intraoperative hemodynamics and use of cardiotonic drugs between the groups. Frequency and amount of blood transfusion were greater, and length of ventilatory care and stay in intensive care unit were longer in female group. Other postoperative outcomes were similar between the groups.
CONCLUSIONS
Gender did not significantly affect postoperative outcome, except use of blood products, length of ventilatory care and stay in intensive care unit in OPCAB. These results may be attributable to comparable preoperative patient's characteristics between the groups.

Keyword

female; gender; off-pump coronary artery bypass graft surgery; postoperative outcomes

MeSH Terms

Blood Transfusion
Body Surface Area
Cardiopulmonary Bypass
Cardiotonic Agents
Coronary Artery Bypass
Coronary Artery Bypass, Off-Pump*
Female
Hemodynamics
Humans
Incidence
Intensive Care Units
Length of Stay
Male
Mortality
Prevalence
Prospective Studies
Risk Factors
Cardiotonic Agents