Med J Bakirkoy. 2020; 16(4): 374-378 | DOI: 10.5222/BMJ.2020.38247

Comparison Of The Effects Of On-Pump And Off-Pump Techniques On The Quality Of Life In Coronary Artery Bypass Surgery

Nofel Ahmet Binicier¹, Atýf Yolgosteren², Murat Biçer^2
1Bursa City Hospital, Bursa
²Uludað University Faculty Of Medicine, Bursa

Objective: In this study, we aimed to compare the effects between on-pump and off-pump coronary artery bypass surgery on the effect of quality of life.
Methods: Fifty patients who underwent isolated coronary artery bypass (CABG) between 01.08.2012 - 31.01.2013 were divided into two equal groups (group 1: off-pump CABG; group 2: on-pump CABG). The quality of life of all patients was evaluated using the SF-36 questionnaire in the postoperative first week and first month (8 basic parameters in SF-36 questionnaire form: Physical function, pain, physical role, mental health, emotional role, social function, fitness / fatigue, general health)
Results: One week after CABG surgery, physical function, physical role, social function and emotional role were significantly better in group 1 than group 2 (p <0.05). There was no statistically significant difference between the two groups in terms of quality of life, one month after CABG surgery (p> 0.05). Physical function was significantly better in female gender one week after CABG (p <0.05). There was no difference between the two genders in terms of quality of life after one month (p> 0.05).
Conclusion: We think that CABG performed off-pump in order to avoid from negative effects of cardiopulmonary bypass has no significant effect on the quality of life of the patients in the postoperative period. Nevertheless, in order to get a clearer idea on this issue, we think that large series studies should be conducted with a higher number of patients.

Keywords: coronary artery bypass surgery, life quality, SF-36 form

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Koroner Arter Baypas Cerrahisinde On-Pump ve Off-Pump Tekniklerinin Yaþam Kalitesi Üzerine Etkisinin Karþýlaþtýrýlmasý

Nofel Ahmet Binicier¹, Atýf Yolgosteren², Murat Biçer^2
1Bursa Þehir Hastanesi, Bursa
²Uludað Üniversitesi Týp Fakültesi, Bursa

Amaç: Bu çalýþmada çalýþan kalpte yapýlan koroner arter bypass (off-pump) ile kardiyopulmoner bypass altýnda yapýlan koroner arter baypasýn (on-pump) yaþam kalitesi üzerine etkisini karþýlaþtýrmayý amaçladýk.
Metod: Bu çalýþmada 01.08.2012 - 31.01.2013 tarihleri arasýnda izole koroner arter bypas (KABG) yapýlan 50 hasta, iki eþit gruba ayrýlarak çalýþmaya alýndý (grup 1: off-pump KABG; grup 2: on-pump KABG). Gruplarýn yaþam kalitesi SF-36 anket formu kullanýlarak KABG ameliyatýndan 1 hafta ve 1 ay sonra deðerlendirildi (SF-36 anket formunda ki 8 temel parametre: Fiziksel fonksiyon, aðrý, fiziksel rol, mental saðlýk, emosyonel rol, sosyal fonksiyon, zindelik/yorgunluk, genel saðlýk).
Bulgular: KABG ameliyatýndan 1 hafta sonra grup 1’de fiziksel fonksiyon, fiziksel rol, sosyal fonksiyon ve emosyonel rol grup 2’den anlamlý olarak daha iyiydi (p<0.05). 1 ay sonra yaþam kaliteleri açýsýndan iki grup arasýnda istatistiksel olarak fark bulunmadý (p>0.05). KABG’den 1 hafta sonra fiziksel fonksiyon kadýn cinsiyetinde anlamlý olarak daha iyiydi (p<0.05). 1 ay sonra yaþam kalitesi açýsýndan iki cinsiyet arasýnda fark bulunmadý (p>0.05). Sonuç: Kardiyopulmoner baypas’ýn olumsuz etkilerinden kaçýnmak için çalýþan kalpte yapýlan koroner arter baypasýn postoperatif dönemde hastalarýn yaþam kalitelerinin iyileþmesinde anlamlý bir katkýsýnýn olmadýðýný düþünüyoruz. Yine de bu konuda daha net fikir elde edebilmek için hasta sayýsýnýn çok daha fazla olduðu geniþ serili çalýþmalarýn yapýlmasý gerektiðini düþünüyoruz.

Anahtar Kelimeler: koroner arter baypas cerrahisi, yaþam kalitesi, SF-36 formu

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