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September 19, 2008BMC Health Services ResearchOpen Access

Delay in admission for elective coronary-artery bypass grafting is associated with increased in-hospital mortality

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Why the study?

Does performing CABG within recommended time periods reduce in-hospital mortality in patients with established coronary artery disease?

Population

7,316 patients with established coronary artery disease who underwent isolated CABG in British Columbia…

Comparison

CABG performed within recommended time periods vs CABG delayed beyond recommended time periods

Design

Cohort

Follow-up

in-hospital

Authors

BSBoris SobolevUniversity of British Columbia HospitalGFGuy FradetUniversity of British ColumbiaRHRobert HaydenPhoenix (United States)

Discussion

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Implication

Timely CABG was associated with lower mortality; leaves open whether expediting wait times improves outcomes in other populations.

Structured PICO

Does performing CABG within recommended time periods reduce in-hospital mortality in patients with established coronary artery disease?

P
Population
7,316 patients with established coronary artery disease who underwent isolated CABG in British Columbia, Canada.
I
Intervention
CABG performed within recommended time periods (6 weeks for semi-urgent surgery and 12 weeks for non-urgent surgery)
C
Comparator
CABG delayed beyond recommended time periods
O
Outcome
In-hospital death during the same hospital admission for CABGhard clinical

Performing elective CABG within recommended wait times is associated with a significant reduction in in-hospital mortality.

Cite This Study

Sobolev et al. (2008) studied this question.

synapsesocial.com/papers/6a22951dcce2ba38c0cd3bbdhttps://doi.org/10.1186/1472-6963-8-185

Topics

Coronary artery disease
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Also Consider

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  1. 1Mortality control charts for comparing performance of surgical units: validation study using hospital mortality data2003 · 83 citations
  2. 2Cumulative incidence for wait-list death in relation to length of queue for coronary-artery bypass grafting: a cohort study2006 · 26 citations
  3. 3Waiting for Cardiac Surgery2001 · 67 citations
  4. 4Analysis of deaths while waiting for cardiac surgery among 29 293 consecutive patients in Ontario, Canada1998 · 85 citations
  5. 5Prioritizing patients for elective surgery: a systematic review2003 · 110 citations