ArticleHeart (British Cardiac Society)1998
Analysis of deaths while waiting for cardiac surgery among 29,293 consecutive patients in Ontario, Canada. The Steering Committee of the Cardiac Care Network of Ontario.
Article in Heart (British Cardiac Society), 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04393636 (Randomized Controlled Trial of Digital Cardiac Counseling in Patients With Delayed Cardiac Surgical Treatment Due to Covid-19 Pandemic), which is not on this map. Cited by 25 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Randomized Controlled Trial of Digital Cardiac Counseling in Patients With Delayed Cardiac Surgical Treatment Due to Covid-19 Pandemic (DCC Trial)
Who cites it
25 citing papers in PubMed.
- Clinical and demographic moderators of self-care and hospitalizations in pre-coronary artery bypass grafting patients: A cross-sectional study.Journal of clinical nursing · 2025Article
- Quality and process improvement of the multidisciplinary Heart Team meeting using Lean Six Sigma.BMJ open quality · 2023Article
- [COVID-19: retrospective analysis of cardiac surgery capacity in German heart centers].Zeitschrift fur Herz-, Thorax- und Gefasschirurgie · 2022Article
- Personalized teleprehabilitation in elective cardiac surgery: a study protocol of the Digital Cardiac Counselling randomized controlled trial.European heart journal. Digital health · 2021Article
- Article
- Elective cardiac surgery during the COVID-19 pandemic: Proceed or postpone?Best practice & research. Clinical anaesthesiology · 2020Review
- The occurrence of adverse events in relation to time after registration for coronary artery bypass surgery: a population-based observational study.Journal of cardiothoracic surgery · 2013Article
- Evaluation of supply-side initiatives to improve access to coronary bypass surgery.BMC health services research · 2012Article
- Assessing the cost effectiveness of using prognostic biomarkers with decision models: case study in prioritising patients waiting for coronary artery surgery.BMJ (Clinical research ed.) · 2010Article
- Delay in admission for elective coronary-artery bypass grafting is associated with increased in-hospital mortality.BMC health services research · 2008Article
- Survival benefit of coronary-artery bypass grafting accounted for deaths in those who remained untreated.Journal of cardiothoracic surgery · 2008Article
- Timing of bypass surgery in stable patients after acute myocardial infarction.The Canadian journal of cardiology · 2007Review
- Cumulative incidence for wait-list death in relation to length of queue for coronary-artery bypass grafting: a cohort study.Journal of cardiothoracic surgery · 2006Article
- The risk of death associated with delayed coronary artery bypass surgery.BMC health services research · 2006Article
- Treating the right patient at the right time: Access to cardiac catheterization, percutaneous coronary intervention and cardiac surgery.The Canadian journal of cardiology · 2006Review
- True versus reported waiting times for valvular aortic stenosis surgery.The Canadian journal of cardiology · 2006Article
- Should patients with stenosis of the left main coronary artery waiting for bypass grafting be given priority?CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2005Article
- Disease progression and adverse events in patients listed for elective percutaneous coronary intervention.Postgraduate medical journal · 2005Article
- Time on wait lists for coronary bypass surgery in British Columbia, Canada, 1991-2000.BMC health services research · 2005Article
- Flawed analysis, implausible results--move on.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2004Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess death rates among patients waiting for cardiac valve surgery or isolated coronary artery bypass surgery (CABG), and to determine independent risk factors for death while waiting for isolated CABG.
designProspective cohort analysis based on an inclusive registry.
settingNine cardiac surgical units in Ontario, Canada. PATIENTS: 29,293 consecutive patients scheduled for cardiac surgery between October 1991 and June 1995.
main outcome measuresDeath rates while waiting for surgery were determined among patients scheduled for isolated CABG, isolated valve surgery, or combined procedures. Predictors of death among patients with isolated CABG were determined from multivariate analysis.
resultsThere were 141 deaths (0.48%) among 29,293 patients. Adjusting for age, sex, and waiting time, patients waiting for valve surgery had a significantly increased risk of death compared with patients waiting for CABG alone (adjusted odds ratio 1.88, 95% confidence interval (CI) 1.23 to 2.88, p = 0.004). Results were similar for patients waiting for combined valve and CABG procedures compared with those who were waiting for isolated CABG. Independent risk factors for death while waiting for isolated CABG included: impaired left ventricular function (odds ratio 2.47, 95% CI 1.59 to 3.84, p < 0.001); advancing age (for each decade, odds ratio 1.41, 95% CI 1.10 to 1.80, p = 0.007); male sex (odds ratio 1.95, 95% CI 1.00 to 3.81, p = 0.05); and waiting longer than the maximum time recommended in Canadian guidelines for a patient's clinical profile (odds ratio 1.59, 95% CI 1.01 to 2.51, p = 0.044). After scaling waiting time to surgery or death continuously in days, the same predictors emerged.
conclusionsPatients waiting for valve surgery have a higher risk of death than patients waiting for isolated CABG. Guidelines to promote safer and fairer queuing for non-CABG cardiac surgery are needed. Shorter waiting lists, better compliance with existing guidelines, and guideline revisions to upgrade patients with left ventricular dysfunction could generate additional reductions in the already low risk of death for patients waiting for isolated CABG.
Indexed as
Identifiers
9616340PMC1728656What OpenQuestion holds
Registered trials
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