Changes in coronary bypass surgery leading to improved survival. 1981

S H Rahimtoola, and G L Grunkemeier, and J F Teply, and L E Lambert, and D R Thomas, and Y F Suen, and A Starr

Coronary bypass surgery was performed on 439 patients between the years 1969 and 1973 (group A) and on 1,760 patients between the years 1974 and 1979 (group B). The operative mortality for group A was 3.9%; for group B, 1.3%; four-year survival for group A patients was 88.9% +/- 1.5% (mean +/- SE); for group B patients, 92.5% +/- 0.9%. The difference between the relative four-year survival rates (based on age- and sex-matched Oregon population) between group B and A was 6.2%; the lower operative mortality would account for only 2.6%. We conclude that the results of coronary bypass surgery have improved because of (1) a lower operative mortality, and (2) other factors that cannot be precisely defined at the present time but probably are the long-term result of better and more complete operative and perioperative techniques.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009922 Oregon State bounded on the north by Washington, on the east by Idaho, on the south by California and Nevada, and on the west by the Pacific Ocean.
D010043 Outcome and Process Assessment, Health Care Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically. Outcome and Process Assessment (Health Care),Donabedian Model,Donabedian Triad,Outcome and Process Assessment,Structure Process Outcome Triad,Model, Donabedian,Triad, Donabedian
D003327 Coronary Disease An imbalance between myocardial functional requirements and the capacity of the CORONARY VESSELS to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels. Coronary Heart Disease,Coronary Diseases,Coronary Heart Diseases,Disease, Coronary,Disease, Coronary Heart,Diseases, Coronary,Diseases, Coronary Heart,Heart Disease, Coronary,Heart Diseases, Coronary
D003331 Coronary Vessels The veins and arteries of the HEART. Coronary Arteries,Sinus Node Artery,Coronary Veins,Arteries, Coronary,Arteries, Sinus Node,Artery, Coronary,Artery, Sinus Node,Coronary Artery,Coronary Vein,Coronary Vessel,Sinus Node Arteries,Vein, Coronary,Veins, Coronary,Vessel, Coronary,Vessels, Coronary
D005260 Female Females
D006352 Heart Ventricles The lower right and left chambers of the heart. The right ventricle pumps venous BLOOD into the LUNGS and the left ventricle pumps oxygenated blood into the systemic arterial circulation. Cardiac Ventricle,Cardiac Ventricles,Heart Ventricle,Left Ventricle,Right Ventricle,Left Ventricles,Right Ventricles,Ventricle, Cardiac,Ventricle, Heart,Ventricle, Left,Ventricle, Right,Ventricles, Cardiac,Ventricles, Heart,Ventricles, Left,Ventricles, Right
D006439 Hemodynamics The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM. Hemodynamic
D006745 Hospital Bed Capacity, 300 to 499 The number of beds from 300 to 499 which a hospital has been designed and constructed to contain. It may also refer to the number of beds set up and staffed for use.

Related Publications

S H Rahimtoola, and G L Grunkemeier, and J F Teply, and L E Lambert, and D R Thomas, and Y F Suen, and A Starr
January 1984, Cardiology,
S H Rahimtoola, and G L Grunkemeier, and J F Teply, and L E Lambert, and D R Thomas, and Y F Suen, and A Starr
November 1978, The American journal of cardiology,
S H Rahimtoola, and G L Grunkemeier, and J F Teply, and L E Lambert, and D R Thomas, and Y F Suen, and A Starr
September 1992, Journal of the Royal Society of Medicine,
S H Rahimtoola, and G L Grunkemeier, and J F Teply, and L E Lambert, and D R Thomas, and Y F Suen, and A Starr
April 1980, The Thoracic and cardiovascular surgeon,
S H Rahimtoola, and G L Grunkemeier, and J F Teply, and L E Lambert, and D R Thomas, and Y F Suen, and A Starr
October 1979, The American journal of cardiology,
S H Rahimtoola, and G L Grunkemeier, and J F Teply, and L E Lambert, and D R Thomas, and Y F Suen, and A Starr
December 2012, The Thoracic and cardiovascular surgeon,
S H Rahimtoola, and G L Grunkemeier, and J F Teply, and L E Lambert, and D R Thomas, and Y F Suen, and A Starr
October 2007, Circulation,
S H Rahimtoola, and G L Grunkemeier, and J F Teply, and L E Lambert, and D R Thomas, and Y F Suen, and A Starr
October 2012, Scandinavian cardiovascular journal : SCJ,
S H Rahimtoola, and G L Grunkemeier, and J F Teply, and L E Lambert, and D R Thomas, and Y F Suen, and A Starr
January 1981, Scandinavian journal of thoracic and cardiovascular surgery,
S H Rahimtoola, and G L Grunkemeier, and J F Teply, and L E Lambert, and D R Thomas, and Y F Suen, and A Starr
January 1980, Transactions of the Association of Life Insurance Medical Directors of America,
Copied contents to your clipboard!