Immediate coronary artery bypass graft surgery for acute coronary syndrome - Outcomes and trends over the past eight years

Jiří Bárta; Radim Brát; Jaroslav Gaj; Martin Kolek; Kamil Novobílský; Martin Porzer

doi:10.1016/j.crvasa.2015.02.013

April 1, 2015Cor et VasaOpen Access

Immediate coronary artery bypass graft surgery for acute coronary syndrome - Outcomes and trends over the past eight years

View Full Paper

Ask AI

Bookmark

Share

Why the study?

Does the risk profile and 30-day mortality of patients undergoing immediate CABG for ACS change over time?

Key Points

To evaluate clinical outcomes and temporal trends in patients undergoing immediate coronary artery bypass graft surgery for acute coronary syndrome across an eight-year period.
Retrospective analysis of Czech National Cardiac Surgery Registry data (2006–2013) comparing two time periods: 2006–2009 (N=184) and 2010–2013 (N=112).
Patients were stratified into three indication subgroups: unstable angina pectoris, acute myocardial infarction, and cardiogenic shock.
The primary endpoint was 30-day postoperative mortality, with secondary endpoints evaluating length of hospital and intensive care stay, intubation duration, and major postoperative complications.
Immediate bypass operations accounted for an average of 6.45% of annual surgical volume, declining from 7.7% in 2006–2009 to 5.2% in 2010–2013.
Surgical indications shifted significantly over time: unstable angina decreased from 39% to 25%, whereas acute myocardial infarction rose from 50% to 55% and cardiogenic shock doubled from 11% to 20%.
Overall 30-day postoperative mortality reached 16.5%, increasing from 12.4% during 2006–2009 to 20.5% during 2010–2013 alongside higher baseline risk factors.

Structured PICO

Does the risk profile and 30-day mortality of patients undergoing immediate CABG for ACS change over time?

P

Population

297 patients with acute coronary syndrome (ACS) indicated for immediate coronary artery bypass graft (CABG) surgery, mean age ~66, ~70% male, single-center in the Czech Republic.

I

Intervention

Immediate coronary artery bypass graft (CABG) surgery for ACS in the period 2010-2013

C

Comparator

Immediate coronary artery bypass graft (CABG) surgery for ACS in the period 2006-2009

O

Outcome

Postoperative mortality within 30 days from the procedurehard clinical

Immediate CABG for ACS is associated with high mortality, which increased over time due to a shift towards operating on higher-risk patients with acute myocardial infarction and cardiogenic shock.

Limitations

Retrospective design
Single-center study
Small sample size in subgroups

Implication

Mortality risk in immediate CABG for ACS may be rising with higher-risk cases; leaves open whether refined selection improves outcomes.

Abstract

No abstract yet. The journal hasn't published one we can show.

Discussion

No takes yet. Share an insight, caveat, or question.

Cite This Study

Bárta et al. (2015) studied this question.

synapsesocial.com/papers/6a0f12c353f874f2b223218b https://doi.org/10.1016/j.crvasa.2015.02.013

View Full Paper

Ask AI

Bookmark

Share

Immediate coronary artery bypass graft surgery for acute coronary syndrome - Outcomes and trends over the past eight years

Key Points

Structured PICO

Limitations

Implication

Abstract

Discussion

Cite This Study

Immediate coronary artery bypass graft surgery for acute coronary syndrome - Outcomes and trends over the past eight years

Key Points

Structured PICO

Limitations

Implication

Abstract

Discussion

Cite This Study

Keep reading

More related papers

More from Cor et Vasa

Keep reading

More related papers

More from Cor et Vasa