Dataset Information

Risk predictors of race disparity in patients undergoing coronary artery bypass grafting: a propensity-matched analysis.

ABSTRACT:

Objectives

The aim of this study was to compare long-term prognosis after isolated coronary artery bypass grafting between white and black patients and to investigate risk factors for poorer outcomes among the latest.

Methods

All consecutive 4766 black and white patients undergoing isolated coronary artery bypass grafting between May 2005 and June 2021 at our institution were included. Primary outcomes were long-term incidence of all-cause death and major adverse cardiovascular and cerebrovascular events in black versus white patients. A propensity-matched analysis was used 2 compare groups.

Results

After matching, 459 patients were included in each black and white groups while groups were correctly balanced. The mean age was 70.4 vs 70.6 years old (P = 0.7) in black and white groups, respectively. Intraoperatively, mean operating room time and blood product transfusion, were higher in the black group while incidence of extubation in the operating room was higher in the white one. Postoperatively, hospital length of stay was higher in the black cohort. Thirty-day all-cause mortality was not different among groups. The median follow-up time was 4 years. Primary outcome of all-cause death was higher in the black versus the white, respectively. Major adverse cardiovascular and cerebrovascular events incidence was twice higher in the black compared to the white cohort (7.6% vs 3.7%, P = 0.013). Risk predictors for all-cause death and major adverse cardiovascular and cerebrovascular events in blacks were creatinine level, chronic obstructive pulmonary disease, ejection fraction <50% and preoperative atrial fibrillation.

Conclusions

Racial disparities persist in a high-volume centre. Despite no preoperative difference, black minority has a higher incidence of major adverse cardiovascular and cerebrovascular events.

SUBMITTER: Dokollari A

PROVIDER: S-EPMC10813744 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature

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Publications

Risk predictors of race disparity in patients undergoing coronary artery bypass grafting: a propensity-matched analysis.

Dokollari Aleksander A Sicouri Serge S Ramlawi Basel B Arora Rakesh C RC Lodge Daniel D Wanamaker Kelly M KM Hosseinian Leila L Erten Ozgun O Torregrossa Gianluca G Sutter Francis P FP

Interdisciplinary cardiovascular and thoracic surgery 20240101 1

<h4>Objectives</h4>The aim of this study was to compare long-term prognosis after isolated coronary artery bypass grafting between white and black patients and to investigate risk factors for poorer outcomes among the latest.<h4>Methods</h4>All consecutive 4766 black and white patients undergoing isolated coronary artery bypass grafting between May 2005 and June 2021 at our institution were included. Primary outcomes were long-term incidence of all-cause death and major adverse cardiovascular an ...[more]

PMID: 38180892

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Dataset Information

Risk predictors of race disparity in patients undergoing coronary artery bypass grafting: a propensity-matched analysis.

Objectives

Methods

Results

Conclusions

Publications

Risk predictors of race disparity in patients undergoing coronary artery bypass grafting: a propensity-matched analysis.

Similar Datasets

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