title: A survey of hospital morbidity, mortality and quality of life following coronary artery bypass surgery in a UK Indo-Asian population.
abstract: To survey the in-hospital morbidity, mortality, length of stay in the intensive therapy unit (ITU) and hospital and quality of life in patients of Indo-Asian origin following coronary artery bypass (CABG) surgery, 345 consecutive patients (mean age 58 years; SD 8.9; range 32-88 years) undergoing primary, isolated CABG were studied. Non-elective CABG was undertaken in 41% of patients. The left anterior descending artery (LAD) was grafted in 89%, although in 30% of these the internal mammary artery (IMA) was not used. Following CABG, the hospital morbidity and mortality was within the expected range, although there was a trend towards higher in-hospital mortality in the Parsonnet low risk group of patients. The length of ITU and hospital stay was not prolonged. Using the SF-36 questionnaire in postoperative patients, low quality of life scores were obtained for six of the eight modalities tested including physical functioning, bodily pain and general health perception. The low quality of life scores and IMA usage in Indo-Asians needs to be addressed.
authors.affiliation: Department of Cardiothoracic Surgery, Walsgrave Hospital, Coventry, UK.
authors.forename: I R
authors.initials: IR
authors.lastname: Goldsmith
authors.forename: G Y
authors.initials: GY
authors.lastname: Lip
authors.forename: P P
authors.initials: PP
authors.lastname: Kumar
authors.forename: R L
authors.initials: RL
authors.lastname: Patel
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001208:Asia / Q000208:ethnology; D001026:Coronary Artery Bypass / Q000401:mortality*; D003327:Coronary Disease / Q000209:etiology / Q000601:surgery*; D004739:England / Q000453:epidemiology; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D011788:Quality of Life