Off-pump versus on-pump coronary artery bypass grafting in patients with diabetes: a meta-analysis

Wang, Yushu; Shi, Xiuli; Du, Rongsheng; Chen, Yu‐Cheng; Zhang, Qing

doi:10.1007/s00592-016-0951-0

Cited by 16 publications

(12 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Many studies in the literature have shown that the amount of postoperative bleeding is higher in on-pump surgery compared with off-pump surgery, and thus more blood products are used with this technique [van Dijk 2001;Hussain 2016;Wang 2017]. Consistently with the literature, in our study, higher amounts of postoperative bleeding and the use of blood products were observed in the On-Pump Group.…”

Section: Discussionsupporting

confidence: 91%

Effects of Coronary Artery Bypass Grafting Surgery on Olfactory and Taste Functions

Erdem

Uçaroğlu²,

Şehitoğulları³

et al. 2019

HSF

View full text Add to dashboard Cite

Background: Olfactory and taste sensations have a high impact on the quality of life. Impaired olfactory and taste functions may have a negative effect on physical and mental well-being, personal hygiene, and nutritional satisfaction, leading to the occurrence of depressive symptoms and impaired quality of life. Therefore, the recovery period of patients with disturbed olfactory and taste functions may be prolonged, and return to active life may be delayed. We designed this study to determine whether on-pump and off-pump coronary artery bypass grafting (CABG) surgeries have any effects on olfactory and taste functions and compare these functions between the surgical groups. Methods: A total of 60 patients, who underwent elective isolated first-time CABG, were included in this study. Patients were divided into two groups as Off-Pump and On-Pump CABG groups with 30 patients in each group. In addition to patients' primary clinical and laboratory data, olfactory and taste functions were evaluated pre- and postoperatively in both groups separately, and then these functions were compared between the groups. Olfactory functions were evaluated by the Brief Smell Identification Test, while taste functions by the Burghart Taste test. Results: Olfactory functions significantly were disrupted in the postoperative period in patients undergoing on-pump CABG (P value < .05), while these functions significantly were not affected in patients undergoing off-pump CABG (P value > .05). During the preoperative period, advanced age and smoking were detected to be independent predictors of impaired olfactory function for the study population. During the postoperative period, smoking, amount of postoperative bleeding and serum low-density lipoprotein (LDL) level were found to be independent predictors of impaired olfactory function for just the On-Pump CABG Group. In both groups, no significant deterioration in taste functions occurred during the postoperative period (P value > .05). Conclusion: Our study demonstrated that olfactory function was impaired in patients, who underwent on-pump CABG in the postoperative period, and significant impairment in taste function was present in neither off-pump nor on-pump CABG patients. However, the results of our study should be supported by more comprehensive, prospective, randomized controlled trials with more extensive patient series and by further tests.

show abstract

Section: Discussionsupporting

confidence: 91%

Effects of Coronary Artery Bypass Grafting Surgery on Olfactory and Taste Functions

Erdem

Uçaroğlu²,

Şehitoğulları³

et al. 2019

HSF

View full text Add to dashboard Cite

show abstract

“…The inflammatory response to OPCAB may be different but remains significant. 15,16 The occurrence of euDKA in the presence of both CABG and OPCAB in our case series suggests that, in the presence of SGLT2i, any major surgery is a sufficient precipitating factor.…”

Section: Discussionmentioning

confidence: 73%

Perioperative implications of sodium-glucose cotransporter-2 inhibitors: a case series of euglycemic diabetic ketoacidosis in three patients after cardiac surgery

Lau

Bruce

Wang

et al. 2017

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

Anesthesiologists should recognize that patients receiving SGLT2i preoperatively are at risk of developing euDKA. Hence, based on the pharmacokinetics of SGLT2i, discontinuing the medication at least two days prior to surgery should minimize the risk. Diagnosing euDKA is challenging and often delayed because of its nonspecific signs and symptoms. When suspected, serum and urine ketones should be monitored to reduce the time to diagnosis and treatment.

show abstract

“…In a meta-analysis including 543,220 diabetic patients and comparing on- and off-pump outcomes, the overall mortality was comparable between the techniques, but OPCAB was associated with significantly decreased incidence of cerebrovascular events (OR 0.45; 95% CI 0.31-0.65; P <0.0001), an impressive 55% reduction [19] .…”

Section: High-risk Patientsmentioning

confidence: 99%

On- or Off-pump Coronary Artery Bypass Surgery. Is the Debate Settling Down?

Gomes¹,

Angelini²

2019

Braz J Cardiovasc Surg

View full text Add to dashboard Cite

Off-pump versus on-pump coronary artery bypass grafting in patients with diabetes: a meta-analysis

Cited by 16 publications

References 43 publications

Effects of Coronary Artery Bypass Grafting Surgery on Olfactory and Taste Functions

Effects of Coronary Artery Bypass Grafting Surgery on Olfactory and Taste Functions

Perioperative implications of sodium-glucose cotransporter-2 inhibitors: a case series of euglycemic diabetic ketoacidosis in three patients after cardiac surgery

On- or Off-pump Coronary Artery Bypass Surgery. Is the Debate Settling Down?

Contact Info

Product

Resources

About