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January 1, 2018Japanese Clinical MedicineOpen Access

There was no significant difference in the 1-year composite outcome of all-cause death, myocardial infarction, and stroke between patients with prior PCI versus prior CABG (HR: 1.50; 95% CI: 0.76-2.93; P = .24).

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Why the study?

Does prior PCI compared to prior CABG affect the risk of death, MI, or stroke in patients undergoing noncardiac surgery?

Population

413 patients with a history of coronary revascularization (>6 months prior) scheduled for noncardiac surgery

Comparison

Prior percutaneous coronary intervention vs Prior coronary artery bypass graft surgery

Design

Cohort

Follow-up

1 year

Authors

JPJungchan ParkSLSeung Hwa LeeSLSeung Hwa Lee

Discussion

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Member takes

Overview

Supports similar 1-year outcomes after noncardiac surgery regardless of prior PCI or CABG; leaves open need for randomized confirmation.

Structured PICO

Does prior PCI compared to prior CABG affect the risk of death, MI, or stroke in patients undergoing noncardiac surgery?

P
Population
413 patients with a history of coronary revascularization (>6 months prior) scheduled for noncardiac surgery
I
Intervention
Prior percutaneous coronary intervention (PCI) (performed on average 42 months prior to surgery)
C
Comparator
Prior coronary artery bypass graft (CABG) surgery (performed on average 50 months prior to surgery)
O
Outcome
Composite of all-cause death, myocardial infarction, and stroke at 1-year follow-upcomposite

In patients undergoing noncardiac surgery, a history of prior PCI versus prior CABG (>6 months prior) is associated with comparable 1-year postoperative clinical outcomes.

Cite This Study

Park et al. (2018) studied this question.

synapsesocial.com/papers/6a7c197024f98b6d3fc2b4f2https://doi.org/10.1177/1179670717748945
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