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Right arrow Coronary disease
Asian Cardiovasc Thorac Ann 2007;15:144-148
© 2007 Asia Publishing EXchange Ltd

ORIGINAL CONTRIBUTIONS

Influence of Fast-Track Recovery after Coronary Artery Bypass in the Elderly

Nicholas Charokopos, MD, Polychronis Antonitsis, MD, Michalis Toumbouras, MD, John Konstantinopoulos, MD, Efthymia Rouska, MD

First Department of Thoracic and Cardiovascular Surgery, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, Greece

For reprint information contact: Nicholas Charokopos, MD Tel: 30 23 1034 0034 Fax: 30 23 1099 4871 Email: charokoposnick{at}hotmail.com, 22, Grigoriou E’ St., Panorama, 55 236 Thessaloniki, Greece.

We retrospectively analyzed 711 consecutive patients who had isolated coronary artery bypass grafting between January 2000 and December 2004; 572 younger patients (< 70 years) were compared with 139 elderly patients (≥ 70 years). A rapid recovery program based on an anesthetic protocol for early extubation was applied to all patients. The overall hospital mortality rate was 3.3% for the younger group and 4.3% for the elderly group. There were no significant differences in rates of hospital mortality and postoperative complications between the two groups. Early extubation was achieved in significantly more younger (71%) compared to elderly (57%) patients. Rapid recovery with discharge before the 5th postoperative day was achieved in 19% of the elderly compared to 48% of the younger patients. Patients in the younger group were discharged from hospital earlier (6.8 ± 0.3 vs 8.0 ± 8.5 days). Application of fast-track treatment in an elderly population appears to be a safe and effective approach if used on a selective basis when criteria for early extubation are met.






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