| Sex- and ethnic group-specific nationwide trends in the use of coronary artery bypass grafting in the United States. | |
| | |
MedLine Citation:
|
PMID: 19853869 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: This study examined nationwide trends in use of coronary artery bypass grafting between 1988 and 2004. METHODS: The Nationwide Inpatient Sample database was used to calculate age-adjusted rate of coronary artery bypass grafting from 1988 to 2004. Specific International Classification of Diseases, Ninth Revision, Clinical Modification codes for coronary artery bypass grafting were used to compile data. Patient demographic data were also analyzed. RESULTS: The database recorded 1,145,285 patients older than 40 years who underwent coronary artery bypass grafting from 1988 to 2004. Mean age was 60.21 +/- 10.55 years. Male patients underwent coronary artery bypass grafting more than twice as frequently as female patients (70.6% vs 29.4%). From 1988, total age-adjusted rate gradually increased for 10 years until 1997 (79.29 per 100,000 with 95% confidence interval 70.88-87.71 per 100,000 in 1988, 131.31 per 100,000 with 95% confidence interval 119.02-143.59 per 100,000 in 1997, P < .01), with ensuing rapid decline to nearly the lowest level at end of study in 2004 (83.01 per 100,000 with 95% confidence interval 75.68-90.33 per 100,000, P < .01). Although trends were similar across ethnicity and sex, female and ethnic minority patients had lower rates of bypass surgery than did male and white patients. CONCLUSIONS: Use of coronary artery bypass grafting has decreased dramatically in recent years, with even lower use among female and ethnic minority patients. This decline may be related to significant advances in percutaneous coronary interventions and improved medical treatment of atherosclerosis in the past 10 years. |
| | |
Authors:
|
Mohammad Reza Movahed; Mehrtash Hashemzadeh; Ali Khoynezhad; M Mazen Jamal; Radhakrishnan Ramaraj |
Related Documents
:
|
16482929 - Physiological comparison of off-pump and on-pump coronary artery bypass grafting in pat... 21670669 - Rare roentgenologic manifestations of pulmonary edema. 22156009 - Simultaneous bilateral contrast injection in computed tomography pulmonary angiography. 22056249 - Long-term follow-up of type ii endoleak embolization reveals the need for close surveil... 22171229 - Coexistence of vasospasm and microembolism detected by transcranial doppler ultrasonogr... 21933769 - Diagnostic approach in symptomatic or asymptomatic aneurismal disease of the coronary a... 9562009 - Coronary endothelial dysfunction after kawasaki disease: evaluation by intracoronary in... 16482929 - Physiological comparison of off-pump and on-pump coronary artery bypass grafting in pat... 827939 - Retinal detachment and pathology following experimental embolization of choroidal and r... |
Publication Detail:
|
Type: Journal Article Date: 2009-10-23 |
Journal Detail:
|
Title: The Journal of thoracic and cardiovascular surgery Volume: 139 ISSN: 1097-685X ISO Abbreviation: J. Thorac. Cardiovasc. Surg. Publication Date: 2010 Jun |
Date Detail:
|
Created Date: 2010-05-24 Completed Date: 2010-06-16 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0376343 Medline TA: J Thorac Cardiovasc Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 1545-7 Citation Subset: AIM; IM |
Copyright Information:
|
Published by Mosby, Inc. |
Affiliation:
|
The Southern Arizona VA Health Care System and University of Arizona Sarver Heart Center, 1501 N Campbell Ave, Tucson, AZ 85724, USA. rmova@aol.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Coronary Artery Bypass
/
statistics & numerical data*,
utilization* Ethnic Groups* Female Humans Male Middle Aged Sex Factors United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The unidirectional valve patch provides no benefits to early and long-term survival in patients with...
Next Document: MB49 Murine Urothelial Carcinoma: Molecular and Phenotypic Comparison to Human Cell Lines as a Model...