Title

Predicting coronary artery bypass graft surgery in acute coronary syndromes

UMMS Affiliation

Center for Outcomes Research; Department of Medicine, Division of Cardiovascular Medicine

Publication Date

2007-02-01

Document Type

Article

Subjects

Acute Coronary Syndrome; Coronary Artery Bypass

Disciplines

Cardiovascular Diseases | Health Services Research | Surgical Procedures, Operative | Therapeutics

Abstract

Aims: To identify features predictive of hospital coronary artery bypass graft (CABG) surgery in patients with acute coronary syndromes (ACSs).

Methods and results: Data from 17,434 patients enrolled in an observational study were analysed. Patients in private hospitals were more likely to undergo CABG than those in public hospitals (10.3% vs. 6.9%, P10% of their ACS patients.

Conclusions: Identifying ACS patients likely to undergo CABG using clinical features alone remains difficult. In hospitals with higher rates of surgical revascularisation, a subgroup of patients with an approximate 30% likelihood of CABG can be identified. Therapy in these patients can be tailored to minimise bleeding risk without compromising outcomes.

Source

EuroIntervention. 2007 Feb;2(4):452-8.

Journal/Book/Conference Title

EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology

Related Resources

Link to Article in PubMed

PubMed ID

19755284

Link to Full Text

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