Adherence to practice guidelines for coronary artery bypass graft surgery in Shiraz,Iran

Background: there is an increasing tendency to use evidence-based medicine (ebm) 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. © 2015,isfahan university of medical sciences(iums). all rights reserved.