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[Coronary bypass surgery at the Rigshospitalet 1993-1995. Results after 1.000 consecutive operations]
P S Olsen1, J J Thiis, P Stentoft
1Thoraxkirurgisk afdeling RT, H:S Rigshospitalet, København O.
Insights
Coronary bypass surgery outcomes at Rigshospitalet are comparable to international standards. Further improvements in treating perioperative ischemia may enhance results, particularly for urgent and reoperation cases.
Area of Science:
- Cardiovascular Surgery
- Cardiac Surgery Outcomes
- Surgical Patient Data Analysis
Abstract:
During 1993-95 1000 consecutive patients were admitted for coronary bypass surgery. The total 30-day mortality of 1.9% was 0.9% for elective cases, 0.8% for reoperations and 0.2% for urgent cases. Perioperative myocardial infarction occurred in 44 patients of whom 25% had infarction at the start of the operation. Respiratory insufficiency occurred in 1.4% of the patients, 3.6% developed renal insufficiency and 1.8% had neurological defects postoperatively. Reoperation for bleeding occurred in 6%, and 0.2% developed sternal or mediastinal infection. This study demonstrates that the results of coronary bypass surgery at Rigshospitalet, Copenhagen are fully comparable to similar results in our neighbouring countries. The results can probably be further improved by more intensive treatment of perioperative ischaemia, especially in reoperations and urgent cases.