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Int J Angiol 2005; 14(3): 141-143
DOI: 10.1007/s00547-005-1083-5
© Georg Thieme Verlag KG Stuttgart · New York

Advanced care for patients after coronary artery bypass graft

Sibu P. Saha, Norma Lake, Cindy Browning, Victor A. Ferraris
  • Baptist Heart Institute, Lexington, Kentucky, USA
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Publication History

Publication Date:
27 April 2011 (online)

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Abstract

There was an increase in respiratory failure after coronary artery bypass graft (CABG) at Baptist Heart Institute during the first three quarters of 2000. Thirteen percent of patients required ventilation over 24 hours. The reintubation rate after initial extubation was 18.3% and the mortality rate in the group was 19.7%. After instituting an advanced care team during the first three quarters of 2002, the prolonged ventilation requirement was 7%, reintubation was 4.2%, and the mortality rate 15.4%. These results suggest that an advanced care team could improve clinical outcome and reduce health care costs.