Coronary artery bypass surgery prognosis
Coronary Artery Bypass Surgery Microchapters
Coronary artery bypass surgery prognosis On the Web
Prognosis following CABG depends on a variety of factors. In general, CABG improves the chances of survival of patients who are at high risk, such as those patients with left main disease. After approximately 5 years the difference in survival rate between those who have had surgery and those treated by drug therapy diminishes. Age at the time of CABG is critical to the prognosis; consequently younger patients with no complicating diseases have a high probability of greater longevity.
In a cohort of 1,388 patients who were 48.9 years at the time of their first surgery (young by today's standards) survival was as follows:
- 5 years: 93.6%
- 10 years: 81.1%
- 15 years: 62.1%
- 20 years: 46.7%
- 23 years: 38.4%
2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery (DO NOT EDIT)
Public Reporting of Cardiac Surgery Outcomes (DO NOT EDIT)
|"1. Public reporting of cardiac surgery outcomes should use risk-adjusted results based on clinical data. (Level of Evidence: B)"|
Use of Outcomes or Volume as CABG Quality Measures (DO NOT EDIT)
|"1. All cardiac surgery programs should participate in a state, regional, or national clinical data registry and should receive periodic reports of their risk-adjusted outcomes. (Level of Evidence: C)"|
|"1. When credible risk-adjusted outcomes data are not available, volume can be useful as a structural metric of CABG quality. (Level of Evidence: B)"|
|"1. Affiliation with a high-volume tertiary center might be considered by cardiac surgery programs that perform fewer than 125 CABG procedures annually. (Level of Evidence: C)"|
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