Coronary Artery Bypass Graph Case Study
Rationale for selecting article:
As a nurse, I have interacted with patients who have required coronary artery bypass graphs, although this is a recent experience; before this I had not been involved in these procedures. It is a serious medical procedure, as most procedures involving the internal organs are, particularly with regard to the human heart. CABG are used by surgeons to treat people with coronary heart disease (CHD). Plague within the heart hardens and then narrows the coronary arteries, reducing flow of blood to the heart which can result in a blood clot. CABG allow for the needed blood to get through the heart by bypassing the blocked artery. During the procedures, patients are anesthetized and then a healthy artery or vein is taken from another part of the body and connected to the blocked coronary artery. The article chosen is entitled “Percutaneous Coronary Intervention vs. Coronary-Artery Bypass Grafting for Severe Coronary Artery Disease” and examines the treatments available for patients with CAD and CHD and whether or not CABG is still a viable solution.
2. Problem Statement:
Researchers looked at both percutaneous coronary intervention and CABG to determine which of the two methods would best treat patients with CHD in modern hospital settings (Serruys et. Al. 2009,-page 961). There is as yet no one treatment which has gained universal acceptance as a means of treating or curing patients dealing with heart disease. CABG is a method which has been around longer and most medical technicians believe that it is the best treatment of all the ones available for treating coronary heart disease, but percutaneous coronary intervention also has its supporters. The two methods have never been directly compared in scientific research, which is the reason this survey was conducted.
A SYNTAX trial was conducted which looked at the consecutive enrollment of all eligible patients who had been diagnosed with three-vessel or left main coronary artery disease.
4. Research Design:
85 different medical sites were chosen to participate in the experiment to get a wider range of results and thereby increase the validity and universality of the findings. These testing sites were in 17 different countries throughout both Europe and the United States (Surruys et. Al 2009,-page 963). The intention was to get as wide an array of subjects as possible in order to eliminate biases in the test.
b. Subjects included in the research:
A panel of medical professionals determined which patients of those who were diagnosed with the heart condition but who had not yet been treated should be included in the experiment. Criterion included whether they had had previous treatment and this was a recurrence which would have eliminated them from the study. Patients involved were chosen at random to have either CABG or PCI treatment. Those patients who could not safely be involved in the randomization where placed in a second registry: either the PCI registry for CABG-ineligible patients or the CABG registry for PCI-ineligible patients (Surruys et. Al 2009,-page 965).
c. Sample size / number of subjects in the study:
Of 4,337 patients who were examined as potential subjects for the tests, only about 3,000 were included in the study. Of that number, some 1,800 patients were randomly assigned to have CABG treatment (Surruys et. Al 2009,-page 967). The other 1200 patients were randomly assigned to have the PCI treatment for their condition.
d. Conditions under which data was collected:
Angiograms and electrocardiograms were reviewed by staff members; members were not aware which of the two designated treatments the patient had been assigned to. This insured that the results of treatment were not biased based upon personal opinion of the person reviewing the data. The numbers were then compared to the patient’s pre-surgical statistics. In this way, researchers were able to find which was statistically more successful in treating patients, CABG or PCI.
e. Researcher’s plan to analyze findings:
After the researchers received the data, they were to look at it and try to assess just the numbers, which patients had a better recovery and which ones had less successful recoveries. Being blinded as to the results of which treatment provided what sample, the researchers hoped to eliminate personal bias and to find unbiased data.
5. Application of evidence-based nursing:
The application of the results of this study to the nursing profession is to show which treatment, CABG or PCI will best help patients with Coronary Heart Disease. As a nurse, it is part of the job to suggest treatments which are effective and will help the patient recover from illness and injury. Understanding the best likelihood for a successful surgery will assist the patient and hopefully increase the probability of the patient’s successful recovery.
6. Results / Findings of the study:
Following the study, researchers found that the level of success between patients who had CAPG treatment and those who had PCI treatment were relatively balanced. There were certain indications revealed with regard to other symptoms. For example, blood pressure percentages were significantly higher in patients who had PCI treatment than those who had CAPG. There was a larger number of patients who had blood pressure readings higher than 130/80. The patients treated were all high-risk and therefore had little to lose by participating in the treatment. Of this number, about 20% were left permanently weakened by either surgery, indicating no difference on this front. On average, more than four “clinically significant coronary lesions were treated per patient” (Serruys et. Al 2009,-page 970). Of that number, the patients who underwent CABG were approximately 1% more successful than the patients who underwent PCI. Other indications of the test comparison similarly showed CABG to be the superior procedures. Overall, the researchers determined that CABG was a more successful treatment method, with a better likely outcome and far less complications for patients following the surgery and suggest that this method be used rather than PCI.
Serruys, P., Morice, M., Kappetein, P., Colombo, A., Holmes, D., Mack, M., Stahle, E.,
Feldman, T., van den Brand, M., Bass, E., Van Dyck, N., Leadley, K., Dawkins, K., and Mohr, F. (2009). Percutaneous coronary intervention vs. coronary-artery bypass grafting for severe coronary artery disease. The New England Journal of Medicine. 360. 961-72.
Get Professional Assignment Help Cheaply
Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?
Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.
Why Choose Our Academic Writing Service?
- Plagiarism free papers
- Timely delivery
- Any deadline
- Skilled, Experienced Native English Writers
- Subject-relevant academic writer
- Adherence to paper instructions
- Ability to tackle bulk assignments
- Reasonable prices
- 24/7 Customer Support
- Get superb grades consistently
Online Academic Help With Different Subjects
Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.
Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.
While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.
Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.
In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.
Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.
We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!
We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.
Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.
What discipline/subjects do you deal in?
We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.
Are your writers competent enough to handle my paper?
Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.
What if I don’t like the paper?
There is a very low likelihood that you won’t like the paper.
- When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
- We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.
In the event that you don’t like your paper:
- The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
- We will have a different writer write the paper from scratch.
- Last resort, if the above does not work, we will refund your money.
Will the professor find out I didn’t write the paper myself?
Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.
What if the paper is plagiarized?
We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.
When will I get my paper?
You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.
Will anyone find out that I used your services?
We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.
How our Assignment Help Service Works
1. Place an order
You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.
2. Pay for the order
Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.
3. Track the progress
You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.
4. Download the paper
The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.
PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!