Gender influence in isolated coronary artery bypass graft surgery: a propensity match score analysis of early outcomes.

General Thoracic and Cardiovascular Surgery
Bassel Suffian Al-AlaoVincent K Young

Abstract

The female gender has been shown as high-risk factor for mortality and morbidity. We sought to assess the influence of female gender on coronary artery bypass graft (CABG) surgery from our own experience. This is a retrospective analysis of prospectively collected database from a single centre. Patients were grouped according to gender and potential differences in pre-operative, intra-operative and post-operative factors were explored. Significant high-risk factors were then fitted in a multivariate model to account for differences in predicting gender influence on surgical outcomes. Two thousand eight hundred and four consecutive patients underwent isolated first-time CABG between February 2000 and December 2008; 562 (20%) patients were females. Pre-operatively, females were more likely to have significant comorbidities (age, congestive cardiac failure, hypercholesterolemia, hypertension, ischemic heart disease, peripheral vascular disease, pre-op arrhythmias, small body surface area and poor ejection fraction (p < 0.001)) consistent with higher Euroscore (p > 0.0001) and more urgent surgery (p < 0.002). Intra-operatively, they showed less extent pattern of disease requiring less bypass and cross-clamp time (p < 0.001). Observ...Continue Reading

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Citations

Apr 29, 2014·The Journal of Thoracic and Cardiovascular Surgery·Felix GirrbachFriedrich-Wilhelm Mohr
Nov 19, 2015·Cardiovascular Engineering and Technology·Shirin Masjedi, Zannatul Ferdous
Oct 11, 2012·International Journal of Cardiology·Waleed T KayaniSalim S Virani
Jan 19, 2015·The American Journal of Cardiology·Benjamin PollockGiovanni Filardo
Oct 8, 2016·Journal of Cardiothoracic Surgery·Francesco NicoliniUNKNOWN RERIC (Registro dell’Emilia Romagna degli Interventi Cardiochirurgici) Investigators
Jul 3, 2020·Journal of Cardiothoracic Surgery·Anthony LemaireLeonard Y Lee
Jan 17, 2021·World Journal of Surgery·Byron L CrapeKarapet Davtyan
Oct 29, 2020·Annals of Cardiac Anaesthesia·Feridoun Sabzi, Atefeh Asadmobini
Dec 15, 2020·Journal of Cardiac Surgery·Dmitry PevniYanai Ben-Gal
Jul 22, 2021·Seminars in Thoracic and Cardiovascular Surgery·Eilon RamEhud Raanani
Sep 4, 2021·Interactive Cardiovascular and Thoracic Surgery·N Bryce RobinsonMario Gaudino

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