Clinical Outcome and Cost in Patients with Off-pump vs. On-Pump Coronary Artery Bypass Surgery
Forouzannia، Seyed Khalil نويسنده Department of Cardiac Surgery, Afshar Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , , Abdollahi، Mohammad Hassan نويسنده Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. , , Mirhosseini، Seyed Jalil نويسنده Department of Cardiac Surgery, Afshar Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , , Hosseini، Habibollah نويسنده Cardiovascular Research Center, Afshar Hospital, Shahid Sadooghi University of Medical Sciences, Yazd, Iran. Hosseini, Habibollah , Moshtaghion، Seyed Hossein نويسنده Cardiovascular Research Center, Afshar Hospital, Shahid Sadooghi University of Medical Sciences, Yazd, Iran. Moshtaghion, Seyed Hossein , Golzar، Azam نويسنده Children Growth Disorder Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , , Naserzadeh، Naeimeh نويسنده Cardiovascular Research Center, Afshar Hospital, Shahid Sadooghi University of Medical Sciences, Yazd, Iran. Naserzadeh, Naeimeh , Ghoraishian، Seyed Mohammad نويسنده Cardiovascular Research Center, Afshar Hospital, Shahid Sadooghi University of Medical Sciences, Yazd, Iran. Ghoraishian, Seyed Mohammad , Emami Meybodi، Tohid نويسنده Medical Student, Student Research Committee, Department of Medicine, School of Medicine, Shahid Sadoughi University of Medical Science, Yazd, Iran. ,
General concept and major emphasis on off-pump coronary artery bypass surgery (OPCAB) is maintaining quality of care and patient safety while reducing cost and resource utilization. OPCAB probably avoids the potential complications of cardiopulmonary bypass. However its acceptance depends on clinical and economic outcome. The aim of this study is to compare clinical and economic outcome of off-pump and on pump coronary artery bypass surgery. This is a report of an analytic cross-sectional study on 304 patients underwent coronary artery bypass surgery that were randomized into conventional on pump and off-pump groups. Variables and costs were obtained for each group and these data were analyzed using parametric methods. There was no difference between the two groups with respect to perioperative and intraoperative patientʹs variables. OPCAB reduced the need for postoperative transfusion requirement (P0.05). There were no statistically significant differences in surgical re exploration and length of stay between the two groups. The mean cost for an on pump surgery was 8312000 ± 2859 Rials per patient that was significantly higher than an off-pump surgery. Based on the findings of this study, clinical outcome has no statistically significant difference between on pump and off-pump CABG but the costs are significantly higher in the on pump group.