Key result
Physician team sex discordance was not associated with 30-day mortality, but isolated CABG patients had longer hospital stays with all-male versus all-female teams (OR 1.07; p=0.049).
Why the study?
While effective teamwork between anaesthesiologists and surgeons is essential for patient safety in cardiac surgery, the role of sex and gender in this relationship has not been investigated.
Does cardiac physician team sex discordance impact all-cause 30-day mortality in adult patients undergoing cardiac surgery?
Population
79 862 adult patients undergoing CABG and/or aortic, mitral or tricuspid valve surgery in Ontario, Canada
Comparison
Cardiac physician team sex discordance vs concordance
Design
Population-based retrospective cohort study
Follow-up
30 days
Authors
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Team sex discordance need not change staffing for mortality; leaves open modest LOS differences in isolated CABG.
Cohort (n=79,862)
Yes
Does cardiac physician team sex discordance impact all-cause 30-day mortality in adult patients undergoing cardiac surgery?
Physician sex discordance does not significantly impact overall 30-day mortality after cardiac surgery, though all-male teams may be associated with slightly longer hospital stays for isolated CABG compared to all-female teams.
Sun et al. (2021) conducted a cohort in Cardiac surgery (CABG and/or valve surgery) (n=79,862). Sex-discordant physician teams vs. Sex-concordant physician teams was evaluated on All-cause 30-day mortality. Physician team sex discordance was not associated with 30-day mortality, but isolated CABG patients had longer hospital stays with all-male versus all-female teams (OR 1.07; p=0.049).
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