Related Experiment Video

Updated: Oct 8, 2026

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery
09:12

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery

Published on: March 27, 2018

Effect of gender on fast-track recovery after coronary artery bypass graft surgery

M Capdeville1, J H Lee, A L Taylor

  • 1Department of Anesthesiology, University Hospitals of Cleveland/Case Western Reserve University, Cleveland OH 44106-5007, USA. michelle.capdeville@uhhs.com

Journal of Cardiothoracic and Vascular Anesthesia
|April 20, 2001
PubMed

Insights

Women undergoing coronary artery bypass graft (CABG) surgery experienced longer mechanical ventilation and hospital stays compared to men. These findings highlight potential gender-based disparities in recovery after CABG surgery.

Area of Science:

  • Cardiovascular Surgery
  • Outcomes Research
  • Gender Disparities in Medicine

Background:

  • Coronary artery bypass graft (CABG) surgery is a common cardiac procedure.
  • Understanding factors influencing patient recovery is crucial for optimizing care.
  • Previous research has not fully elucidated gender-specific differences in post-CABG recovery timelines.

Purpose of the Study:

  • To investigate the impact of gender on the duration of mechanical ventilation.
  • To compare intensive care unit (ICU) and overall hospital length of stay (LOS) between men and women after CABG.
  • To identify potential gender-based differences in recovery following cardiac surgery.

Main Methods:

  • Retrospective analysis of 561 patients (376 men, 185 women) who underwent CABG surgery.
  • Data collected from a tertiary care university teaching hospital between January 1995 and December 1997.
  • Outcomes assessed included time to extubation, ICU LOS, and hospital LOS.

Main Results:

  • Women had a significantly lower rate of early extubation (64%) compared to men (74%) (p=0.03).
  • Women had a longer overall postoperative hospital length of stay (6.5 days) than men (5.7 days) (p=0.003).
  • No significant differences were observed in morbidity or mortality between genders.

Conclusions:

  • Women undergoing CABG surgery, even with a standardized fast-track protocol, experience longer intubation times and hospital stays.
  • These findings suggest a need for further investigation into gender-specific factors affecting recovery after CABG.
  • Clinical protocols may require tailoring to address gender-based differences in post-cardiac surgery recovery.
Abstract

More Related Videos

Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft05:25

Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft

Published on: September 15, 2023

Related Concept Videos

Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...