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首页> 外文期刊>Journal of Clinical Medicine and Research >Coronary artery by pass grafting and lung lobectomy: Functional outcomes at discharge
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Coronary artery by pass grafting and lung lobectomy: Functional outcomes at discharge

机译：通过移植和肺叶切除术的冠状动脉：出院时的功能预后

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Mortality and complication rates after on-pump versus off-pump coronary artery bypass grafting (CABG), and open lung lobectomy (OL) versus video-assisted lobectomy (VAL), have previously been reported, but further research regarding functional outcomes is needed. This study compared functional recovery at discharge between patients who underwent on-pump versus off-pump CABG, and OL versus VAL. In patients discharged during July to December, from 2006 to 2010, functional recovery was measured by comparing the Barthel index at admission and discharge. Complication rates and functional deterioration were compared in propensity score-matched groups of patients aged over 15 years who underwent isolated CABG of two or more arteries or lobectomy, and survived until discharge. The study included 3,901 on-pump CABG patients, 3,672 off-pump CABG patients, 6,029 OL patients, and 14,378 VAL patients. Patient and hospital characteristics, comorbidities, and preoperative care procedures were associated with on-pump versus off-pump CABG, and OL versus VAL, but functional deterioration was not. The complication rate was lower after VAL than OL. Dependent functional status at admission was associated with functional deterioration in patients who underwent lobectomy. Multidisciplinary treatment strategies to maintain functional status should be developed, and appropriate indications for lobectomy according to functional status at admission should be determined.
机译：先前已经报道了在泵与非泵冠状动脉搭桥术（CABG）以及开放肺叶切除术（OL）与视频辅助肺叶切除术（VAL）之间的死亡率和并发症发生率，但是需要进一步研究功能结局。这项研究比较了接受CABG泵与非泵CABG以及VAL与VAL的患者出院时的功能恢复。在2006年至2010年7月至12月出院的患者中，通过比较入院和出院时的Barthel指数来测量功能恢复。比较了年龄倾向匹配组的15岁以上患者的并发症发生率和功能恶化情况，这些患者分别接受了两个或多个动脉的CABG或肺叶切除术，并且存活直至出院。该研究包括3,901名泵上CABG患者，3,672名泵外CABG患者，6,029名OL患者和14,378名VAL患者。患者和医院的特征，合并症和术前护理程序与泵上CABG与非泵CABG，OL与VAL相关，但功能恶化与否无关。 VAL后的并发症发生率低于OL。接受肺叶切除术的患者入院时依赖的功能状态与功能恶化有关。应制定维持功能状态的多学科治疗策略，并应根据入院时的功能状态确定适当的肺叶切除指征。

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