Mortality after coronary artery revascularization of patients with rheumatoid arthritis

The Journal of Thoracic and Cardiovascular Surgery
Joji J VargheseMark L Francis

Abstract

Patients with rheumatoid arthritis have an increased risk for accelerated atherosclerosis. It is not known, however, whether this disorder is associated with a higher risk of complications after coronary artery revascularization. We conducted a cross-sectional study of patients in the 2003-2005 Nationwide Inpatient Sample. To determine whether patients with rheumatoid arthritis had higher in-hospital mortality after coronary artery revascularization, we used logistic regression to adjust for age, sex, race/ethnicity, income, rural-urban residency, diabetes, hypertension, hyperlipidemia, Charlson comorbidities (including myocardial infarction, congestive heart failure, and diabetes), elective admission, weekend admission, and primary payer. Among patients undergoing coronary artery revascularization, those with rheumatoid arthritis were 49% less likely to die while hospitalized compared with those without rheumatoid arthritis (odds ratio, 0.51; 95% confidence interval, 0.40-0.65) after adjusting for the above confounders. In subgroup analyses that adjusted for the same confounders, patients with rheumatoid arthritis also had a 61% improvement of in-patient mortality when they underwent percutaneous coronary interventions (odds r...Continue Reading

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Citations

Feb 19, 2013·The Journal of Rheumatology·Sara S McCoySherine E Gabriel
Jan 24, 2012·The American Journal of Cardiology·Jiunn-Horng KangHerng-Ching Lin
Dec 30, 2014·The Journal of Thoracic and Cardiovascular Surgery·Chao-Han LaiChung-Yi Li
Dec 15, 2011·The Heart Surgery Forum·Christina M VassilevaStephen Hazelrigg
Feb 28, 2015·Current Atherosclerosis Reports·Rekha Mankad
May 31, 2020·Annals of the Rheumatic Diseases·Brian Bridal LøgstrupMichael Maeng

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