Hawkes Anna Louise, Nowak Madeleine, Bidstrup Benjamin, Speare Richard
School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Townsville, Queensland, Australia.
Vasc Health Risk Manag. 2006;2(4):477-84. doi: 10.2147/vhrm.2006.2.4.477.
This review article summarizes the major studies that have investigated the outcomes of coronary artery bypass graft surgery (CABG). The article includes a review of the literature in the areas of: history of CABG; indications for CABG; and measurement of quality of life following CABG, including prolongation of life, physical functioning (ie, relief from angina and dyspnea, physical activity, as well as complications of surgery and re-hospitalization), psychological functioning, and social functioning. Overall, the literature demonstrates that the outcomes of CABG have historically been measured in terms of mortality and morbidity; however, it has now been well recognized that adjustment to CABG is a multidimensional phenomenon that is not fully explained by medical factors. Therefore, in addition to studying mortality and morbidity outcomes following CABG many recent studies have identified that it is important to investigate various physical, psychological, and social variables that have a significant impact on post-operative adjustment to CABG.
这篇综述文章总结了调查冠状动脉旁路移植术（CABG）结果的主要研究。文章包括对以下领域文献的综述：CABG的历史；CABG的适应症；以及CABG后生活质量的测量，包括寿命延长、身体功能（即心绞痛和呼吸困难缓解、身体活动以及手术并发症和再次住院）、心理功能和社会功能。总体而言，文献表明，CABG的结果历来是根据死亡率和发病率来衡量的；然而，现在人们已经充分认识到，对CABG的适应是一个多维度现象，医学因素并不能完全解释这一现象。因此，除了研究CABG后的死亡率和发病率结果外，许多近期研究还发现，调查对CABG术后适应有重大影响的各种身体、心理和社会变量非常重要。
