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Elimination of routine chest radiographs following off-pump coronary artery bypass surgery: A randomized controlled trial study
BACKGROUND: Post cardiac surgery routine chest radiographs (CXRs), ordered without any clinical and laboratory indications, is a standard obligatory practice in many cardiothoracic centers. Routine CXRs incur cost, manpower, and radiation. The objective of this study is to assess early outcome in of...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4673704/ https://www.ncbi.nlm.nih.gov/pubmed/26682202 http://dx.doi.org/10.4103/2277-9175.167966 |
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author | Forouzannia, Seyed Khalil Sarvi, Ali Sarebanhassanabadi, Mohammadtaghi Nafisi-Moghadam, Reza |
author_facet | Forouzannia, Seyed Khalil Sarvi, Ali Sarebanhassanabadi, Mohammadtaghi Nafisi-Moghadam, Reza |
author_sort | Forouzannia, Seyed Khalil |
collection | PubMed |
description | BACKGROUND: Post cardiac surgery routine chest radiographs (CXRs), ordered without any clinical and laboratory indications, is a standard obligatory practice in many cardiothoracic centers. Routine CXRs incur cost, manpower, and radiation. The objective of this study is to assess early outcome in off-pump coronary artery bypass (OPCAB) patients with postoperative routine versus clinically indicated CXR protocols. MATERIALS AND METHODS: This study is a randomized clinical trial conducted on 231 OPCAB candidates in Afshar Cardiac Center, Yazd, Iran. Patients were categorized into two groups. All 118 patients in group A had routine postoperative CXRs. The 113 patients in group B were selectively exposed to CXR only on clinical indications. All patients were postoperatively followed up for 30 days. Data gathered from both groups were statistically analyzed. RESULTS: Routine postoperative CXRs obtained in 118 OPCAB group A candidates showed abnormal findings in 20 patients that did not require new intervention. One month follow-up of these patients showed no complications. In 113 OPCAB candidates of group B, 7 on-demand CXRs were obtained on clinical evaluation that required added intervention. In a 1-month follow-up of this group, five patients presented with symptomatic complaints. On re-examination, none needed readmission, intervention, or paraclinical evaluation. No complications were observed due to CXR elimination. CONCLUSION: The study suggests that postoperative CXR selected on clinical grounds in place of routine CXR does not change early postoperative outcome of OPCAB procedure. |
format | Online Article Text |
id | pubmed-4673704 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-46737042015-12-17 Elimination of routine chest radiographs following off-pump coronary artery bypass surgery: A randomized controlled trial study Forouzannia, Seyed Khalil Sarvi, Ali Sarebanhassanabadi, Mohammadtaghi Nafisi-Moghadam, Reza Adv Biomed Res Original Article BACKGROUND: Post cardiac surgery routine chest radiographs (CXRs), ordered without any clinical and laboratory indications, is a standard obligatory practice in many cardiothoracic centers. Routine CXRs incur cost, manpower, and radiation. The objective of this study is to assess early outcome in off-pump coronary artery bypass (OPCAB) patients with postoperative routine versus clinically indicated CXR protocols. MATERIALS AND METHODS: This study is a randomized clinical trial conducted on 231 OPCAB candidates in Afshar Cardiac Center, Yazd, Iran. Patients were categorized into two groups. All 118 patients in group A had routine postoperative CXRs. The 113 patients in group B were selectively exposed to CXR only on clinical indications. All patients were postoperatively followed up for 30 days. Data gathered from both groups were statistically analyzed. RESULTS: Routine postoperative CXRs obtained in 118 OPCAB group A candidates showed abnormal findings in 20 patients that did not require new intervention. One month follow-up of these patients showed no complications. In 113 OPCAB candidates of group B, 7 on-demand CXRs were obtained on clinical evaluation that required added intervention. In a 1-month follow-up of this group, five patients presented with symptomatic complaints. On re-examination, none needed readmission, intervention, or paraclinical evaluation. No complications were observed due to CXR elimination. CONCLUSION: The study suggests that postoperative CXR selected on clinical grounds in place of routine CXR does not change early postoperative outcome of OPCAB procedure. Medknow Publications & Media Pvt Ltd 2015-10-22 /pmc/articles/PMC4673704/ /pubmed/26682202 http://dx.doi.org/10.4103/2277-9175.167966 Text en Copyright: © 2015 Forouzannia. http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Original Article Forouzannia, Seyed Khalil Sarvi, Ali Sarebanhassanabadi, Mohammadtaghi Nafisi-Moghadam, Reza Elimination of routine chest radiographs following off-pump coronary artery bypass surgery: A randomized controlled trial study |
title | Elimination of routine chest radiographs following off-pump coronary artery bypass surgery: A randomized controlled trial study |
title_full | Elimination of routine chest radiographs following off-pump coronary artery bypass surgery: A randomized controlled trial study |
title_fullStr | Elimination of routine chest radiographs following off-pump coronary artery bypass surgery: A randomized controlled trial study |
title_full_unstemmed | Elimination of routine chest radiographs following off-pump coronary artery bypass surgery: A randomized controlled trial study |
title_short | Elimination of routine chest radiographs following off-pump coronary artery bypass surgery: A randomized controlled trial study |
title_sort | elimination of routine chest radiographs following off-pump coronary artery bypass surgery: a randomized controlled trial study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4673704/ https://www.ncbi.nlm.nih.gov/pubmed/26682202 http://dx.doi.org/10.4103/2277-9175.167966 |
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