Adherence to practice guidelines for coronary artery bypass graft surgery in Shiraz, Iran
(ندگان)پدیدآورNegar DarvishMohammad Ali OstovanMehrdad Askarian
BACKGROUND: There is an increasing tendency to use evidence-based medicine and guidelines among physicians. This is also true for concordance of coronary artery bypass graft (CABG) surgery and guidelines; therefore, we aimed to address the adherence to 2011 American College of Cardiology Foundation (ACCF) and the American Heart Association (AHA) guideline for CABG. METHODS: In this cross-sectional study, we assessed 246 patients who underwent CABG in Shiraz, Iran, during 2011-2012, using a data collecting form provided through studying ACCF/AHA guideline 2011. The patients were categorized into clinical subgroups and then grouped into appropriate, in-appropriate and uncertain classes. Chi-square was used to compare categorical variables and t-test was used for continuous variables. RESULTS: Of the 246 patients, 70.3% were grouped into “Class I,” 12.6% into “Class IIa,” 6.9% into “Class IIb” and 10.2% into “Class III.” Therefore, 82.9% of the patients were grouped into “appropriate,” 6.9% into “uncertain,” and 10.2% into group “inappropriate.” CONCLUSION: We suggest that more attention is needed to be paid to these guidelines. Using these guidelines may help surgeons to have a uniform approach for patients.
Coronary Artery Bypass Graft
ناشرIsfahan, Isfahan University of Medical Sciences
سازمان پدید آورندهResident, Department of Community Medicine, School of Medicine, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
Associate Professor, Department of Cardiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Professor, Anesthesiology and Critical Care Research Center AND Department of Community Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran