Effect of complications on mortality after coronary artery bypass grafting surgery: evidence from New York State.

Effect of complications on mortality after coronary artery bypass grafting surgery: evidence from New York State. Research Abstract Details 

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Effect of complications on mortality after coronary artery bypass grafting surgery: evidence from New York State. Abstract Text:

Laurent G Glance,Turner M Osler,Dana B Mukamel,Andrew W Dick,

OBJECTIVE: Complications are associated with increased risk of death. The objective of this study is to quantify the increased odds of dying from complications after isolated coronary artery bypass grafting surgery. METHODS: We conducted a retrospective cohort study using the New York State Coronary Artery Bypass Grafting Surgery Reporting System for all patients undergoing isolated coronary artery bypass grafting surgery in New York State who were discharged between 1997 and 1999 (51,750 patients; 2.20% mortality). We estimated the independent effect of individual postoperative complications on in-hospital mortality after controlling for patient clinical risk factors and demographics. RESULTS: The mortality rate for patients without complication was 0.77% versus 16.1% for patients with complications (P < .001). After adjusting for preoperative risk factors, transmural myocardial infarction (adjusted odds ratio, 7.90; P < .001), respiratory failure (adjusted odds ratio, 6.02; P < .001), renal failure (adjusted odds ratio, 7.15; P < .001), and stroke within 24 hours (adjusted odds ratio, 4.09; P < .001) were the most strongly associated with mortality. CONCLUSIONS: There is a strong association between postoperative complications and in-hospital mortality. Complications after isolated coronary artery bypass grafting surgery are associated with a 1.4- to 8-fold increase in the odds of death after adjusting for severity of disease and comorbidities. This information might prove valuable to hospitals in their efforts to design quality improvement initiatives and care protocols to improve mortality after coronary artery bypass grafting surgery.

Effect of complications on mortality after coronary artery bypass grafting surgery: evidence from New York State. Publishing Authors By Initials

LG Glance,TM Osler,DB Mukamel,AW Dick,

For similar investigative techniques: epidemiologic methods: statistics as topic: probability: risk: risk assessment research abstracts see: investigative techniques: epidemiologic methods: statistics as topic: probability: risk: risk assessment research

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Effect of complications on mortality after coronary artery bypass grafting surgery: evidence from New York State. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: The Journal of thoracic and cardiovascular surgery

VOLUME: 134

Page Numbers: 53-8

Journal Abbreviation: J. Thorac. Cardiovasc. Surg.

ISSN: 1097-685X

DAY: 3

MONTH: Jul

YEAR: 2007

Effect of complications on mortality after coronary artery bypass grafting surgery: evidence from New York State. Information

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LANGUAGE: eng

NlmUniqueID: 376343

Effect of complications on mortality after coronary artery bypass grafting surgery: evidence from New York State. Keywords Mesh Terms:

KEYWORDS: Risk Assessment

MESH TERMS: etiology

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Grant and Affiliation Information for Effect of complications on mortality after coronary artery bypass grafting surgery: evidence from New York State.

AFFILIATION: University of Rochester School of Medicine, Rochester, NY, USA. Laurent_Glance@urmc.rochester.edu

Country: United States

AGENCY: United States AHRQ

GRANT: R01 HS 13617

ACRONYM: HS

MEDLINETA: J Thorac Cardiovasc Surg

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