Clinical predictors of coronary artery bypass graft surgery in patients hospitalized for Non-ST acute coronary syndrome - Buenos Aires I and ReSCAR22 registries.
Arch Peru Cardiol Cir Cardiovasc
; 5(1): 1-6, 2024.
Article
em En
| MEDLINE
| ID: mdl-38596606
ABSTRACT
Objectives:
To identify predictors of coronary artery bypass graft surgery (CABG) requirement as a revascularization method in in real-world non-ST-segment elevation acute coronary syndrome (NSTE-ACS) patients. Materials andmethods:
. An individual pre-specified analysis of patients with NSTE-ACS was performed from two prospective Argentine registries between 2017 and 2022. We analyzed the difference in baseline characteristics between patients who required CABG and those who did not require this intervention. Then, a logistic regression analysis was performed to determine independent predictors in patients who received CABG as a method of revascularization.Results:
A total of 1848 patients with a median age of 54.8 (interquartile range [IQR] 53.7-56) years and an ejection fraction of 42.1% (IQR 41.2-43.1) were included. A total of 233 patients required CABG (12.6%). Baseline characteristics between the two groups were similar, except in patients requiring CABG, who were younger (51.5 vs. 55.7 years; p=0.010), more frequently diabetic (38.2% vs. 25.7%; p=0.001) and male (90.1% vs. 73.7%; p=0.001). In addition, they had, to a lesser extent, previous cardiac surgery (2.1% vs. 11.2%; p=0.011). After multivariable analysis, the following were independently associated with CABG age (Odds Ratio [OR] 0.99, 95% confidence interval [CI] 0.98-0.99; p=0.008), male sex (OR 3.08, 95% CI 1.87-5.1; p=0.001), history of previous CABG (OR 0.14, 95% CI 0.05-0.30; p=0.001) and diabetes (OR 1.84, 95% CI 1.31- 2.57; p=0.001).Conclusions:
In this analysis of two NSTEACS registries, younger age, male sex, a diagnosis of diabetes and the absence of previous surgery were independent predictors of the requirement for inpatient CABG.
Texto completo:
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Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Arch Peru Cardiol Cir Cardiovasc
Ano de publicação:
2024
Tipo de documento:
Article
País de publicação:
Peru