Author + information
- Ilhwan Yeo,
- Luke Kim,
- Harsimran Singh,
- Dmitriy Feldman,
- Robert Minutello,
- Geoffrey Bergman and
- Shing-Chiu Wong
Background: In-hospital clinical outcomes following concomitant coronary artery bypass graft [CABG] with heart valve surgery [HVS] is not well characterized. We sought to delineate the in-hospital outcomes in female patients [FP] following such complex surgery.
Method: All patients [pts] who had combined CABG with HVS in 2003-2013 in the National Inpatient Sample data were analyzed by gender for their in-hospital adverse outcomes (death, MI, permanent pacemaker implant [PPI], stroke, bleeding, acute respiratory failure [ARF], acute kidney injury [AKI] requiring hemodialysis and sepsis). Multivariate logistic regression was performed to assess the association between FP and adverse clinical outcomes.
Results: Of the 262,540 pts who underwent CABG with HVS, 36% were women. FP were older with less PVD, renal disease, and prior CABG but had more pulmonary hypertension, heart failure and anemia. Less aortic valve replacement was performed on FP than men (74% vs 81%). The rates of death (8.8% vs 5.5%), MI (4.7% vs 4.3%), PPI (6.3% vs 5.1%), stroke (4.9% vs 3.6%), ARF (16.2% vs 12.7%) and AKI (2.6% vs 19%) were higher in FP than men (all p < 0.05). After multivariate logistic regression, FP remained an independent predictor of all examined outcomes except MI and bleeding. Mortality decreased over time for both genders (all p trend < 0.0001).
Conclusions: Following CABG with HVS, FP is independently associated with worse in-hospital mortality and morbidity. However mortality decreased over time in both genders.
Poster Hall, Hall C
Sunday, March 19, 2017, 9:45 a.m.-10:30 a.m.
Session Title: Outcomes in Valvular Heart Disease
Abstract Category: 36. Valvular Heart Disease: Clinical
Presentation Number: 1273-027
- 2017 American College of Cardiology Foundation