ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Gardner, S. C.
Right arrow Articles by Shroyer, A. L. W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Gardner, S. C.
Right arrow Articles by Shroyer, A. L. W.
Related Collections
Right arrow Coronary disease

Ann Thorac Surg 2001;72:2033-2037
© 2001 The Society of Thoracic Surgeons

Original article: cardiovascular

Risk factors for intermediate-term survival after coronary artery bypass grafting

Sheila C. Gardner, MSa, Gary K. Grunwald, PhDa,b, John S. Rumsfeld, MD, PhDa,c, Todd Mackenzie, PhDb, Dexiang Gao, PhDa, Jonathan B. Perlin, MD, PhDd, Gerald McDonald, MDd, A. Laurie W. Shroyer, PhD*a,c

a Division of Cardiac Research, Denver Department of Veterans Affairs Medical Center, Denver, Colorado, USA
b Department of Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, Denver, Colorado, USA
c Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado, USA
d Office of Quality and Performance, Veterans Health Administration, Washington, DC, USA

Accepted for publication August 6, 2001.

* Address reprint requests to Dr Shroyer, Cardiac Research, Denver Department of Veterans Affairs Medical Center, 820 Clermont St (112R), Denver, CO 80220, USA
e-mail: laurie.shroyer{at}med.va.gov

Background. Risk factors for short-term mortality after coronary artery bypass grafting are well established, but little is known about risk factors for intermediate-term mortality.

Methods. We analyzed the outcomes of 11,815 patients undergoing coronary artery bypass grafting in one of the 43 cardiac surgery programs of the Department of Veteran Affairs. Risk factors for intermediate- and short-term mortality were determined using Cox proportional hazards regression models. Effects of risk factors during these two periods were explicitly compared.

Results. We found important differences in mortality risk-factor sets between the intermediate- and short-term periods after coronary artery bypass grafting. The majority of predictors of intermediate-term mortality were noncardiac-related variables, whereas the majority of predictors of short-term mortality were cardiac-related variables. Impaired functional status, chronic obstructive pulmonary disease, and renal dysfunction had greater effects in the intermediate-term period. Previous heart operation, angina class III or IV, previous myocardial infarction, and preoperative use of an intraaortic balloon pump had greater effects in the short-term period.

Conclusions. The risk factors for intermediate-term mortality identified in this study can augment preoperative risk assessment and counseling of patients. Clinicians should be aware of the importance of noncardiac-related variables as predictors of mortality in the intermediate-term period after coronary artery bypass grafting.




This article has been cited by other articles:


Home page
 ChestHome page
G. Engstrom, M. Gerhardsson de Verdier, M. Dahlback, C. Janson, and L. Lind
BP Variability and Cardiovascular Autonomic Function in Relation to Forced Expiratory Volume: A Population-Based Study
Chest, July 1, 2009; 136(1): 177 - 183.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Heart FailHome page
N. M. Hawkins, Z. Huang, K. S. Pieper, S. D. Solomon, L. Kober, E. J. Velazquez, K. Swedberg, M. A. Pfeffer, J. J.V. McMurray, A. P. Maggioni, et al.
Chronic obstructive pulmonary disease is an independent predictor of death but not atherosclerotic events in patients with myocardial infarction: analysis of the Valsartan in Acute Myocardial Infarction Trial (VALIANT)
Eur J Heart Fail, March 1, 2009; 11(3): 292 - 298.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. A. MacKenzie, D. J. Malenka, E. M. Olmstead, W. D. Piper, C. Langner, C. S. Ross, G. T. O'Connor, and Northern New England Cardiovascular Disease Study
Prediction of survival after coronary revascularization: modeling short-term, mid-term, and long-term survival.
Ann. Thorac. Surg., February 1, 2009; 87(2): 463 - 472.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
B. J. Leavitt, C. S. Ross, B. Spence, S. D. Surgenor, E. M. Olmstead, R. A. Clough, D. C. Charlesworth, R. S. Kramer, G. T. O'Connor, and for the Northern New England Cardiovascular Diseas
Long-Term Survival of Patients With Chronic Obstructive Pulmonary Disease Undergoing Coronary Artery Bypass Surgery
Circulation, July 4, 2006; 114(1_suppl): I-430 - I-434.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. Gao, G. K. Grunwald, J. S. Rumsfeld, L. Schooley, T. MacKenzie, and A. L. W. Shroyer
Time-Varying Risk Factors for Long-Term Mortality After Coronary Artery Bypass Graft Surgery
Ann. Thorac. Surg., March 1, 2006; 81(3): 793 - 799.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
O. V. Hein, J. Birnbaum, K. Wernecke, M. England, W. Konertz, and C. Spies
Prolonged Intensive Care Unit Stay in Cardiac Surgery: Risk Factors and Long-Term-Survival
Ann. Thorac. Surg., March 1, 2006; 81(3): 880 - 885.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
V. Aboyans, P. Lacroix, A. Postil, J. Guilloux, F. Rolle, E. Cornu, and M. Laskar
Subclinical Peripheral Arterial Disease and Incompressible Ankle Arteries Are Both Long-Term Prognostic Factors in Patients Undergoing Coronary Artery Bypass Grafting
J. Am. Coll. Cardiol., September 6, 2005; 46(5): 815 - 820.
[Abstract] [Full Text] [PDF]

Home page
 Nephrol Dial TransplantHome page
M. A. Little, L. Nazar, and K. Farrington
Outcome in glomerulonephritis due to systemic small vessel vasculitis: effect of functional status and non-vasculitic co-morbidity
Nephrol. Dial. Transplant., February 1, 2004; 19(2): 356 - 364.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. Gao, G. K. Grunwald, J. S. Rumsfeld, T. Mackenzie, F. L. Grover, J. B. Perlin, G. O. McDonald, and A. L. W. Shroyer
Variation in mortality risk factors with time after coronary artery bypass graft operation
Ann. Thorac. Surg., January 1, 2003; 75(1): 74 - 81.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
J R Pepper
Risk assessment in coronary artery surgery
Heart, January 1, 2003; 89(1): 1 - 2.
[Full Text] [PDF]

Home page
 Card Surg AdultHome page
Y. J. Woo and T. J. Gardner
Myocardial Revascularization with Cardiopulmonary Bypass
Card. Surg. Adult, January 1, 2003; 2(2003): 581 - 607.
[Full Text]

Home page
 Ann. Thorac. Surg.Home page
J. M. Albes, M. Gross, U. Franke, J. Wippermann, T. U. Cohnert, R. Vollandt, and T. Wahlers
Revascularization during acute myocardial infarction: risks and benefits revisited
Ann. Thorac. Surg., July 1, 2002; 74(1): 102 - 108.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2001 by The Society of Thoracic Surgeons.