Cardiothoracic & vascular anesthesia

Minimally Invasive Approach versus Sternotomy for Cardiac Surgery in Jehovah's Witness Patients

J Cardiothorac Vasc AnesthPublished Retrospective observational study

Authors' conclusion

MICS for JW patients showed favorable early outcomes and mid-term survival compared to conventional sternotomy.

Study context

Population
Jehovah's Witness patients who cannot receive blood transfusions undergoing cardiac surgery, September 2016 to July 2022
Participants
63 patients
Exposure
Minimally invasive cardiac surgery vs sternotomy
  • Minimally invasive cardiac surgery (MICS)n = 19
  • Sternotomyn = 44reference
Outcome
Early mortality, morbidities and overall survival
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

  • No between-group differences in early mortality and morbidities
  • Overall survival did not differ significantly during follow-up (mean 43.9 ± 24.4 months)

Observational data: associations, not effects.

Further findings

Chest tube drainage · first postoperative day

P = 0.022

Hemoglobin level · day of operation

P = 0.042

Hemoglobin level · first postoperative day

P = 0.032

Coronary bypass grafting as operation type

P = 0.005

Coronary bypass grafting as operation type

No difference in other types of operation

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Minimally Invasive Approach versus Sternotomy for Cardiac Surgery in Jehovah's Witness Patients. J Cardiothorac Vasc Anesth. Published 26 April 2024. doi:10.1053/j.jvca.2024.04.041

Composed by AI from the published abstract and checked against it. How Briefs are made →

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