Impact of Gender on Coronary Bypass Operative Mortality

作者: Fred H. Edwards , Joseph S. Carey , Frederick L. Grover , Joseph W. Bero , Renee S. Hartz

DOI: 10.1016/S0003-4975(98)00358-0

关键词: Risk factorMultivariate analysisIndependent predictorRisk modelSurgeryMedicineFemale patientInternal medicineOperative mortalityCardiac surgeryUnivariate analysis

摘要: Background. In spite of many reports investigating the influence gender on coronary artery operations, it is still uncertain whether an independent risk factor for operative mortality. A major problem previous has centered around fact that men and women constitute quite different populations, thereby making direct comparisons difficult. Methods. The Society Thoracic Surgeons National Cardiac Surgery Database was used to retrospectively examine 344,913 patients undergoing bypass graft operations from 1994 through most recent data harvest. mortality male female compared a variety single factors combinations factors. logistic model account all important patient parameters so individuals could be stratified into comparable categories allowing risk-matched patients. Results. univariate analysis showed 97,153 carried significantly higher each examined. multivariate stratification had as equally matched in low- medium-risk part spectrum, but high-risk patients, there no difference between Conclusions. Gender predictor except very categories.

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