A nonrandomized comparison of off -pump versus on-pump coronary bypass surgery in Egyptian patients
2011

Comparing Off-Pump and On-Pump Heart Surgery

Sample size: 65 publication Evidence: moderate

Author Information

Author(s): El-Abd H, Salah S

Primary Institution: Cairo University Hospitals

Hypothesis

Does off-pump coronary bypass surgery reduce complications compared to on-pump surgery in Egyptian patients?

Conclusion

Off-pump surgery had a higher incidence of complications and mortality compared to on-pump surgery, but no significant differences in graft patency were found at 6 months.

Supporting Evidence

  • Off-pump patients had a higher mean number of constructed grafts than on-pump patients.
  • Postoperative mortality rate was significantly higher in the off-pump group.
  • No mortality was reported in both groups at 6-month follow-up.

Takeaway

This study looked at two types of heart surgery and found that one type had more problems after surgery, but both types worked similarly over time.

Methodology

A nonrandomized single-centre control trial with 65 patients divided into two groups for surgery.

Potential Biases

Potential selection bias due to nonrandomization.

Limitations

The study was nonrandomized and conducted at a single center.

Participant Demographics

Egyptian patients undergoing coronary artery bypass surgery.

Statistical Information

P-Value

0.02

Statistical Significance

p=0.046

Digital Object Identifier (DOI)

10.1186/cc9430

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