@article{Yap_Baladi_Zapolanski_Pliam_Shaw_Shaw_2005, title={Influence of Body Size on Outcomes of Off-Pump Coronary Artery Bypass Surgery}, volume={8}, url={https://journal.hsforum.com/index.php/HSF/article/view/625}, DOI={10.1532/HSF98.20051004}, abstractNote={<P>Objective: Patients of small physical stature may be more likely selected for an on-pump coronary artery surgery (ONCAB) rather than an off-pump procedure (OPCAB). Small patients who do have OPCAB may do poorly. Our hospital demographics afford a unique opportunity to examine a group of small patients. </P><P>Methods: Information was available over the past 4 years on 1015 patients who had isolated CABG and a calculable body surface area. Sixty-one patients had a body surface area of less than 1.5 m<SUP>2</SUP> (SMALL). The 954 remaining patients were classed as larger (LARGER). Patients were compared with respect to preoperative risk factors, operative procedures, and postoperative results. </P><P>Results: Among SMALL patients, 59% were Asian, 89% female, averaged slightly older, had higher STS risk scores, lower hematocrits, more severe NYHA class ratings, and less elective surgical status (P < .05) than LARGER patients. Fifty-one percent of SMALL patients had OPCAB, 44.3% received blood, 90% had an event-free course, and 4.9% died postop (versus 1.2%, P < .05). OPCAB mortality was lower than ONCAB for both SMALL and nonsmall (P < .05). Blood use was greater for SMALL than for LARGER (44% versus 20%, P < .05) but less for SMALL OPCAB than SMALL ONCAB (27% versus 62%, P < .05). No differences were noted in postop MI, CVA, or length of stay, but 30-day readmission was lower for SMALL patients (5.0% versus 7.4%). </P><P>Conclusions: Patients with small physical stature can be safely operated upon using off-pump techniques with good revascularization and postop results, despite apparently higher preop STS risk scores.</P>}, number={3}, journal={The Heart Surgery Forum}, author={Yap, Alexander and Baladi, Naoum and Zapolanski, Alex and Pliam, Michael B. and Shaw, Richard E. and Shaw, Richard E.}, year={2005}, month={Jun.}, pages={E190-E195} }