Key result
Immediate postoperative extubation and ICU bypass after off-pump coronary artery bypass grafting was safe and reduced costs to $1265 per patient compared to $6405 for standard ICU admission.
Why the study?
Does immediate postoperative extubation and ICU bypass reduce costs and maintain safety in patients undergoing off-pump coronary artery bypass grafting compared to routine ICU admission?
Population
85 patients undergoing off-pump aortocoronary bypass grafting, mean age 63.4 years, 71 males/14 females…
Comparison
Immediate postoperative extubation with high… vs 304 OR-extubated patients who spent 21+/-6 hours…
Design
Cohort
Follow-up
Immediate postoperative period
Authors
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Should not yet change ICU protocols after off-pump CABG; hypothesis-generating for cost reduction pending randomized confirmation.
Observational (n=85)
No
Does immediate postoperative extubation and ICU bypass reduce costs and maintain safety in patients undergoing off-pump coronary artery bypass grafting compared to routine ICU admission?
Absolute Event Rate: 1265% vs 6405%
Bypassing the ICU after off-pump CABG with immediate extubation is safe and significantly reduces hospital costs.
Noiseux et al. (2007) conducted an observational in Off-pump aortocoronary bypass grafting (OPCABG) (n=85). Immediate postoperative extubation and no ICU stay vs. Standard ICU admission was evaluated on Cost from leaving the OR until the patient reached the cardiac ward. Immediate postoperative extubation and ICU bypass after off-pump coronary artery bypass grafting was safe and reduced costs to $1265 per patient compared to $6405 for standard ICU admission.
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