ArticleJournal of cardiothoracic surgery2016
Gender differences in outcomes following isolated coronary artery bypass grafting: long-term results.
Article in Journal of cardiothoracic surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Sex-related differences in long-term mortality after coronary artery bypass graft surgery: A systematic review and meta-analysis.International journal of cardiology. Cardiovascular risk and prevention · 2026Article
- Association between female sex and short-term mortality after coronary artery bypass grafting: a retrospective cohort study.Journal of cardiothoracic surgery · 2026Article
- Article
- Long-term outcomes of women compared to men after off-pump coronary artery bypass grafting-a propensity-matched analysis.Indian journal of thoracic and cardiovascular surgery · 2025Article
- Sex Disparities in In-Hospital Outcomes After Percutaneous Coronary Intervention (PCI) in Patients With Acute Myocardial Infarction and a History of Coronary Artery Bypass Grafting (CABG): A Cross-Sectional Study.Health science reports · 2024Article
- Navigating the aftermath: Risk factors of recurrence following coronary bypass surgery in Indonesia.Narra J · 2024Observational
- Prediction of Male Coronary Artery Bypass Grafting Outcomes Using Body Surface Area Weighted Left Ventricular End-diastolic Diameter: Multicenter Retrospective Cohort Study.Interactive journal of medical research · 2023Article
- The safety of immediate extubation, and factors associated with delayed extubation, in cardiac surgical patients receiving fast-track cardiac anesthesia: An integrative review.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2023Review
- Females have an increased risk of short-term mortality after cardiac surgery compared to males: Insights from a national database.Journal of cardiac surgery · 2022Article
- Review
- Incidence and Outcomes of Postoperative Atrial Fibrillation after Coronary Artery Bypass Grafting of a Randomized Controlled Trial: A Blinded End-of-cycle Analysis.Reviews in cardiovascular medicine · 2022Article
- Long-term survival of female versus male patients after coronary artery bypass grafting.PloS one · 2022Article
- Article
- Impact of gender on 10-year outcome after coronary artery bypass grafting.Interactive cardiovascular and thoracic surgery · 2021Article
- Sex-Based Considerations in the Evaluation of Chest Pain and Management of Obstructive Coronary Artery Disease.Current atherosclerosis reports · 2020Review
- Sex Differences in Long-Term Survival After Major Cardiac Surgery: A Population-Based Cohort Study.Journal of the American Heart Association · 2019Article
- Total Arterial Off-Pump Coronary Artery Bypass Grafting: A 10-Year Experience.Chinese medical journal · 2018Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe main purpose of this study was to evaluate the impact of gender on outcomes after isolated coronary artery bypass grafting, in terms of 5-year rates of overall death, cardiac-related death, myocardial infarction, re-hospitalization, repeat percutaneous or surgical revascularization, stroke, new pacemaker implantation, postoperative renal failure, heart failure and need for long-term care.
methodsTwo propensity-score matched cohorts, each of 1331 patients, undergoing isolated surgical coronary revascularization at the regional public and private centers of Emilia-Romagna region (Italy) from January 1st 2003 to December 31th 2013, were used to compare long-term outcomes of male (5976 patients) versus female gender (1332 patients).
resultsIn the matched cohort, males received significantly more bypass grafts (3.0 ± 1.0 vs 2.8 ± 1.0, p = 0.001). Left internal mammary artery use and total arterial revascularization were similarly performed in both matched subgroups. Both groups reported similar cumulative rate of all-cause, cardiac-related mortality and stroke at five years. Females experienced significantly higher rate of myocardial infarction, and not significantly higher occurrence of heart failure, and need for long-term care. Males experienced significantly higher rate of cumulative re-hospitalization and higher need for pacemaker implantation. Female gender was not an independent predictor of death at long-term follow-up.
conclusionsWomen are more likely to be readmitted with myocardial infarction and congestive heart failure after CABG but experience survival similar to that observed in men. Female gender was not an independent risk factor for mortality. Prevention of new occurrence of postoperative myocardial infarction and enhancement of complete coronary revascularization should be future endpoints.
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