Key result
Off-pump coronary artery bypass significantly reduced service, operative, intensive care, blood transfusion, and total hospital costs compared to conventional CABG.
Why the study?
Does off-pump coronary artery bypass reduce costs compared to conventional CABG in patients with coronary artery disease?
Cohort (n=294)
No
Does off-pump coronary artery bypass reduce costs compared to conventional CABG in patients with coronary artery disease?
Off-pump CABG is associated with significantly lower hospital costs compared to conventional CABG in patients with coronary artery disease.
Off-pump CABG was associated with lower costs; leaves open confirmation in randomized trials before practice change.
Aim: In this study we aimed to compare conventionel coronary artery bypass surgery (CCABG) with offpump coronary artery bypass (OPCAB) for coronary artery disease by means of cost. Methods: The study is a prospective nonrandomized study. Data of 294 patients who have been operated in our clinic for coronary artery disease were prospectively collected between March 2001 and through July 2005. There were 147 patients in conventionel CABG group (Group 1), and 147 patients OPCAB group (Group 2). Results: Group 1 had statistically significant high costs in terms of service costs, operative procedure costs, intensive care costs, blood transfusion costs and total hospitality costs. Conclusion: OPCAB procedure when performed under appropriate indications can be applied with less cost than CCABG and can be achieved safely and with succesful results by experienced surgical teams.
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A 2007 study conducted a cohort in Coronary artery disease (n=294). Off-pump coronary artery bypass (OPCAB) vs. Conventional coronary artery bypass surgery (CCABG) was evaluated on Cost (service, operative procedure, intensive care, blood transfusion, and total hospitality costs). Off-pump coronary artery bypass significantly reduced service, operative, intensive care, blood transfusion, and total hospital costs compared to conventional CABG.
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