In-Hospital Outcomes and Complications of Coronary Artery Bypass Grafting in the United States Between 2008 and 2012
| Autor: | Christine Gerula, James Maher, Elena Dolmatova, Alfonso H. Waller, Marc Klapholz, Kasra Moazzami, Justin T. Sambol |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Bypass grafting Adolescent Databases Factual Psychological intervention Comorbidity 030204 cardiovascular system & hematology Postoperative Hemorrhage 03 medical and health sciences Young Adult 0302 clinical medicine Age Distribution Postoperative Complications Risk Factors medicine Humans 030212 general & internal medicine Hospital Mortality Coronary Artery Bypass Aged Retrospective Studies Aged 80 and over business.industry Cabg surgery Middle Aged United States Surgery Patient population Anesthesiology and Pain Medicine medicine.anatomical_structure Treatment Outcome Hospital outcomes Female Cardiology and Cardiovascular Medicine Complication business Comorbidity index Artery |
| Zdroj: | Journal of cardiothoracic and vascular anesthesia. 31(1) |
| ISSN: | 1532-8422 |
| Popis: | To investigate the frequency and predictors of in-hospital complications among patients undergoing coronary artery bypass grafting (CABG) in the United States.Retrospective national database analysis SETTINGS: United States hospitals.A weighted sample of 1,910,236 patients undergoing CABG surgery identified from the National (Nationwide) Inpatient Sample from 2008 to 2012.CABG surgery MEASUREMENTS AND MAIN RESULTS: The number of CABG surgeries decreased from 436,275 in 2008 to 339,749 in 2012. The Deyo comorbidity index showed a steady increase from 2008 to 2012. The rate of in-hospital mortality decreased from 2.7% in 2008 to 2.2% in 2012 (p0.001). The most common in-hospital complication was postoperative hemorrhage (30.4%), followed by cardiac (11.34%) and respiratory complications (2.3%). During the 5-year period, the rates of in-hospital cardiac, respiratory and infectious complications decreased (p0.001), while the rate of postoperative hemorrhage showed a 35.8% relative increase in 2012 compared to 2008.The annual number of CABG surgeries is declining in the United States. While the burden of comorbidities is increasing, the rates of mortality and most in-hospital complications are improving. The increasing rate of postoperative bleeding necessitates the need to develop strategies to improve the risk of bleeding in this patient population. |
| Databáze: | OpenAIRE |
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