ArticleArquivos brasileiros de cardiologia2024
More Hospital Complications in Women after Cabg Even for Reduced Surgical Times: Call to Action for Equity in Quality Improvement.
Article in Arquivos brasileiros de cardiologia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Incidence and Predictors of Surgical Site Infection in Patients Undergoing Coronary Artery Bypass Grafting at a Reference Hospital in Brazil: Influence of Sex, Nutritional Risk, and Body Mass Index.Brazilian journal of cardiovascular surgery · 2026Article
- Is Female Gender Associated with Mortality in Coronary Artery Bypass Grafting?Arquivos brasileiros de cardiologia · 2025Observational
- Prediction of Rehospitalization in Cardiac Bypass Surgery.Arquivos brasileiros de cardiologia · 2025Article
- Preoperative Predictors of Hospital Readmission within 5 Years Following CABG: Cohort Analysis of the REPLICCAR II Database.Arquivos brasileiros de cardiologia · 2025Article
- Nothing about Women without Women is for Women.Arquivos brasileiros de cardiologia · 2025Article
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Authors and funding
10 authors.
Funding
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Abstract
backgroundAnalyses of extensive registries indicate adverse outcomes for women undergoing coronary artery bypass grafting (CABG) surgery, while randomized studies often lack representativeness.
objectiveTo compare adjusted hospital outcomes between men and women undergoing CABG.
methodsFrom July 2017 to June 2019, 3991 patients underwent primary isolated CABG, both electively and urgently, in 5 hospitals in the state of São Paulo, Brazil. To mitigate demographic differences between men and women, populations were adjusted using propensity score matching (PSM). The outcomes considered for analysis were those used by the STS Adult Database. The analyses were performed using R software, with a significance set at p<0.05.
resultsAfter PSM (1:1), each group included 1089 patients. Regarding intraoperative variables, men exhibited longer cardiopulmonary bypass (CPB) time (p<0.001), surgical time (p<0.001), a higher number of distal anastomoses (p<0.001), and increased use of arterial grafts. Regarding outcomes, women had a higher incidence of deep sternal wound infection (p=0.006), prolonged Intensive Care Unit stay (p=0.002), increased need for an intra-aortic balloon pump (p=0.04), higher blood transfusion rates (p<0.001), higher 30-day hospital readmission rates after surgery (p=0.002) and higher mortality rate (p=0.03).
conclusionsAlthough men had longer CPB times, a greater number of arterial grafts, and a greater number of distal anastomoses, immediate results after CABG were poorer in women.
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