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Ann Thorac Surg 1998;65:1834
© 1998 The Society of Thoracic Surgeons

Correspondence

Coronary Artery Bypass Grafting: Three-Day Discharge

Inderjit S. Gill, FRCS(C)a

a Department of Cardiothoracic Surgery, University of Ottawa Heart Institute, Ottawa Civic Hospital, Rm H-211, 1053 Carling Ave, Ottawa, ON K1Y 4E9, Canada

To the Editor

In reference to an article by Dr Ott and associates entitled "Coronary Artery Bypass Grafting ‘On Pump’: Role of Three-Day Discharge" [1], I would like Dr Ott and associates to comment on the following points:

  1. What was the total number of patients who underwent aortocoronary bypass from January to September 1996 at their hospital? Were these consecutive cases chosen for the rapid discharge protocol, or were they the total number of cases performed in that institution during this period?
  2. The rates of new-onset atrial fibrillation in this study of 3% and 11% in the two groups are probably the smallest reported in the history of coronary artery bypass grafting. Pooled studies of perioperative atrial fibrillation indicate that the average incidence of atrial fibrillation is more than 30% after coronary artery bypass. My colleagues and I are presenting our data next month at the American Heart Association meeting; the incidence of perioperative atrial fibrillation in our minimally invasive series is 12%. Obviously Dr Ott and associates need to educate the rest of us as to how this can be achieved.
  3. I would also like Dr Ott and associates to comment on whether any patients were readmitted to hospitals elsewhere after they were discharged from their institution.

I also suggest that the title and the conclusion of this article are misleading, as the average hospital stay for the entire series is 4.8 ± 2.4 days and the "three"-day discharge is applicable to only 29% (30 patients).

References

  1. Ott R.A., Gutfinger D.E., Miller M.P., et al. Coronary artery bypass grafting "on pump": role of three-day discharge. Ann Thorac Surg 1997;64:478-481.[Abstract/Free Full Text]




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