Coronary artery bypass surgery: are outcomes influenced by demographics or ability to pay?

Annals of Surgery
M C ManciniJ Dansby

Abstract

To examine the relation of financial status and demographics to the outcomes of coronary artery bypass surgery (CABG) in the public hospital setting. Coronary artery bypass surgery is one of the most expensive and frequently performed surgical procedures in the United States. Considerable controversy surrounds the accessibility to quality cardiac care of indigent and minority populations. This study examines the hypothesis that demographics rather than access to care and economics influences outcomes in CABG. A retrospective review of 1,556 charts of patients who underwent CABG at Louisiana State University Health Sciences Center-Shreveport, a public hospital, during a 10-year period was performed. The parameters analyzed included sex, age, race, education, ejection fraction, comorbidities, surgical parameters, economics, complications, and cost of care. Comparisons were made between the insured and uninsured groups. Univariate statistical analysis was used to assess differences between groups. Kaplan-Meier survival curves were also generated. Two thirds of the patients were uninsured. The mean age of the uninsured patients was significantly lower than that of the insured patients. Ejection fractions were comparable. Comorbidit...Continue Reading

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Citations

Feb 6, 2002·Clinics in Plastic Surgery·William C Lineaweaver
Sep 13, 2006·The Journal of Cardiovascular Nursing·Marilyn HravnakJoseph Conigliaro
Dec 4, 2004·Annals of Family Medicine·Arch G MainousWilliam S Pearson
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