title: Effect of Advanced Age on Off-pump Coronary Artery Bypass Grafting.
abstract: OBJECTIVE
  To investigate the perioperative features of aged patients undergoing off-pump coronary artery bypass grafting (OPCABG) surgery, and identify the perioperative effect of advanced age on OPCABG.
  
  
  METHODS
  A total of 61 aged patients and 585 younger patients from August 2013 to June 2014 were enrolled in this study. The perioperative features were summarized, and the effects of advanced age on intraoperative variables, as well as the postoperative complications were identified using logistic regression analysis.
  
  
  RESULTS
  The anastomosis time of the target coronary artery and intraoperative dosage of vasoconstrictor drugs was significantly longer or higher in the aged patients. The incidence of the postoperative complications, such as atrial fibrillation, repetitive mechanical ventilation, gastrointestinal dysfunction, and renal insufficiency, were significantly higher in the aged patients. The intubation time and postoperative hospital stay were significantly longer in the aged patients. No significant difference was found between the two groups in cardiocerebrovascular accident and mortality. Multivariate logistic regression analysis revealed advanced age was the independent risk factor for coronary artery anastomosis time, vasoconstrictor dosage, repeated mechanical ventilation, atrial fibrillation, gastrointestinal dysfunction, as well as the intubation time and hospital stay.
  
  
  CONCLUSIONS
  OPCABG in aged patients was safe and effective for avoiding a significant increase for cardiocerebrovascular accident and mortality. Relatively, the tolerance of aged heart to stimulation was poor. Atrial fibrillation, repetitive mechanical ventilation, and gastrointestinal dysfunction were more likely to occur in aged patients. Advanced age made intubation time and hospital stay prolonged significantly.
authors: Department of Cardiovascular Surgery, General Hospital of Shenyang Military Command, Shenyang, China.
authors: Renteng
authors: R
authors: Zhang
authors: Department of Cardiovascular Surgery, General Hospital of Shenyang Military Command, Shenyang, China.
authors: Hui
authors: H
authors: Jiang
authors: Department of Cardiovascular Surgery, General Hospital of Shenyang Military Command, Shenyang, China.
authors: Huishan
authors: H
authors: Wang
authors: Department of Cardiovascular Surgery, General Hospital of Shenyang Military Command, Shenyang, China.
authors: Zhonglu
authors: Z
authors: Yang
authors: Department of Cardiovascular Surgery, General Hospital of Shenyang Military Command, Shenyang, China.
authors: Nan
authors: N
authors: Zhou
authors: Department of Cardiovascular Surgery, General Hospital of Shenyang Military Command, Shenyang, China.
authors: Hao
authors: H
authors: Gao
mesh_terms: D000367:Age Factors; D000818:Animals; D001281:Atrial Fibrillation / Q000517:prevention & control; D047549:Coronary Artery Bypass, Off-Pump; D003324:Coronary Artery Disease / Q000601:surgery*; D004195:Disease Models, Animal; D057510:Endovascular Procedures / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control*; D012307:Risk Factors; D013552:Swine