Details

Autor(en) / Beteiligte

• Grimsley, Emily A.
• Torikashvili, Johnathan V.
• Janjua, Haroon M.
• Read, Meagan D.
• Verhagen, Nate B.
• Pietrobon, Ricardo
• Rogers, Michael P.
• Wilcox, Adam B.
• Lee, Adam M.
• Manna, Amin
• Saha, Amit
• Olex, Amy
• Zhou, Andrea
• Williams, Andrew E.
• Southerland, Andrew
• Girvin, Andrew T.
• Walden, Anita
• Sharathkumar, Anjali A.
• Amor, Benjamin
• Bates, Benjamin
• Patel, Brijesh
• Alexander, Caleb
• Bramante, Carolyn
• Ward-Caviness, Cavin
• Madlock-Brown, Charisse
• Suver, Christine
• Chute, Christopher
• Gabriel, Davera
• Eichmann, David A.
• Mazzotti, Diego
• Brown, Don
• Boudreau, Eilis
• Hill, Elaine
• Marti, Emily Carlson
• Pfaff, Emily R.
• Mariona, Federico
• Prior, Fred
• Sokos, George
• Mehta, Hemalkumar
• Liu, Hongfang
• Sidky, Hythem
• Pincavitch, Jami
• Harper, Jeremy Richard
• Ge, Jin
• Gagnier, Joel
• Saltz, Joel
• Buse, John
• Mathew, Jomol
• Rutter, Joni L.
• McMurry, Julie A.
• Starren, Justin
• Crowley, Karen
• Bradwell, Katie Rebecca
• Walters, Kellie M.
• Wilkins, Ken
• Cato, Kenrick Dwain
• Murray, Kimberly
• Kostka, Kristin
• Northington, Lavance
• Misquitta, Leonie
• Portilla, Lili
• Deacy, Mariam
• Bissell, Mark M.
• Clark, Marshall
• Emmett, Mary
• Saltz, Mary Morrison
• Palchuk, Matvey B.
• Adams, Meredith
• Temple-O'Connor, Meredith
• Kurilla, Michael G.
• Morris, Michele
• Qureshi, Nabeel
• Safdar, Nasia
• Sharafeldin, Noha
• Sadan, Ofer
• Francis, Patricia A.
• Burgoon, Penny Wung
• Robinson, Peter
• Payne, Philip R.O.
• Fuentes, Rafael
• Patel, Rena
• Moffitt, Richard A.
• Zhu, Richard L.
• Kamaleswaran, Rishi
• Hurley, Robert
• Bozzette, Samuel
• Mallipattu, Sandeep
• Vedula, Satyanarayana
• O'Neil, Shawn T.
• Setoguchi, Soko
• Hong, Stephanie S.
• Johnson, Steve
• Bennett, Tellen D.
• Topaloglu, Umit
• Sheikh, Usman
• Gordon, Valery
• Subbian, Vignesh
• Hernandez, Wenndy
• Cooper, Will
• Hillegass, William

Titel

Nonelective coronary artery bypass graft outcomes are adversely impacted by Coronavirus disease 2019 infection, but not altered processes of care: A National COVID Cohort Collaborative and National Surgery Quality Improvement Program analysis

Ist Teil von

• JTCVS open, 2023-12, Vol.16, p.342-352

Ort / Verlag

Netherlands: Elsevier Inc

Erscheinungsjahr

2023

Link zum Volltext

Quelle

Electronic Journals Library - Freely accessible e-journals

Beschreibungen/Notizen

• The effects of Coronavirus disease 2019 (COVID-19) infection and altered processes of care on nonelective coronary artery bypass grafting (CABG) outcomes remain unknown. We hypothesized that patients with COVID-19 infection would have longer hospital lengths of stay and greater mortality compared with COVID-negative patients, but that these outcomes would not differ between COVID-negative and pre-COVID controls. The National COVID Cohort Collaborative 2020-2022 was queried for adult patients undergoing CABG. Patients were divided into COVID-negative, COVID-active, and COVID-convalescent groups. Pre-COVID control patients were drawn from the National Surgical Quality Improvement Program database. Adjusted analysis of the 3 COVID groups was performed via generalized linear models. A total of 17,293 patients underwent nonelective CABG, including 16,252 COVID-negative, 127 COVID-active, 367 COVID-convalescent, and 2254 pre-COVID patients. Compared to pre-COVID patients, COVID-negative patients had no difference in mortality, whereas COVID-active patients experienced increased mortality. Mortality and pneumonia were higher in COVID-active patients compared to COVID-negative and COVID-convalescent patients. Adjusted analysis demonstrated that COVID-active patients had higher in-hospital mortality, 30- and 90-day mortality, and pneumonia compared to COVID-negative patients. COVID-convalescent patients had a shorter length of stay but a higher rate of renal impairment. Traditional care processes were altered during the COVID-19 pandemic. Our data show that nonelective CABG in patients with active COVID-19 is associated with significantly increased rates of mortality and pneumonia. The equivalent mortality in COVID-negative and pre-COVID patients suggests that pandemic-associated changes in processes of care did not impact CABG outcomes. Additional research into optimal timing of CABG after COVID infection is warranted. [Display omitted]