ISSN 2149-2263 | E-ISSN 2149-2271
The Anatolian Journal of Cardiology
The Efficiency of Fast Track Protocol in Elderly Patients Underwent Coronary Artery Surgery [Anatol J Cardiol]
Anatol J Cardiol. 2003; 3(1): 8-12

The Efficiency of Fast Track Protocol in Elderly Patients Underwent Coronary Artery Surgery

Kerim Çağlı1, Hasan Uncu1, Zafer İşcan1, Garip Altıntaş1, Ümit Karadeniz2, Kerem M. Vural3, Oğuz Taşdemir1
1Türkiye Yüksek İhtisas Hastanesi Kalp Damar Cerrahisi Kliniği, Sıhhıye/Ankara
2Türkiye Yüksek İhtisas Hastanesi Anesteziyoloji Kliniği, Sıhhıye/Ankara
3Department of Cardiovascular Surgery, Türkiye Yüksek Ihtisas Hospital, Ankara, Turkey

Objective: This study is planned to display the efficiency of fast track protocol and its difference from the conventional anesthesia in patients older than 65 years. Methods: One hundred patients older than 65 years underwent coronary artery surgery between October 2000-March 2001 in cardiovascular surgery clinic were considered in this study. Fifty patients in whom fast track protocol was applied were included into the study group, group A; fifty patients underwent conventional anesthesia technique were referred to the control group, group B. In both groups demographic characteristics, early hospital mortality, operation time, total drainage, number of transfusions, stay in the intensive care unit and discharge time were recorded. Results: The mean age was 69±3 years in group A and 70.4±3.6 years in group B. Early hospital mortality was 2% in group A, 10% in group B (p>0.05). Intensive care unit stay was 22.01±10.12 hours in group A and 60.18±32.23 hours in group B (p<0.05). Discharge time was on 5.5±1.31 day in group A and on 6.9±2.3 day in group B (p<0.05). There were no statistical differences between the two groups in respect to other parameters. Conclusion: Fast track protocol in patients older than 65 years is a suitable technique by using modern cardiac surgery methods. This protocol is successfully used by selecting the suitable patients and following the patients carefully in the postoperative period

Keywords: Fast track, 65 yaş üstü hastalar, koroner arter cerrahisi

Kerim Çağlı, Hasan Uncu, Zafer İşcan, Garip Altıntaş, Ümit Karadeniz, Kerem M. Vural, Oğuz Taşdemir. The Efficiency of Fast Track Protocol in Elderly Patients Underwent Coronary Artery Surgery. Anatol J Cardiol. 2003; 3(1): 8-12
Manuscript Language: English


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