Increased Long-Term Mortality among Black CABG Patients Receiving Preoperative Inotropic Agents

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Efird, Jimmy T.; Griffin, William F.; Sarpong, Daniel F.; Davies, Stephen W.; Vann, Iulia; Koutlas, Nathaniel T.; Anderson, Ethan J.; Crane, Patricia B.; Landrine, Hope; Kindell, Linda C.; Iqbal, Zahra J.; Ferguson, T. Bruce; Chitwood, W. Randolph; Kypson, Alan P.
Abstract
The aim of this study was to examine racial differences in long-term mortality after coronary artery bypass grafting (CABG), stratified by preoperative use of inotropic agents. Black and white patients who required preoperative inotropic support prior to undergoing CABG procedures between 1992 and 2011 were compared. Mortality probabilities were computed using the Kaplan-Meier product-limit method. Hazard ratios (HR) and 95% confidence intervals (CI) were computed using a Cox regression model. A total of 15,765 patients underwent CABG, of whom 211 received preoperative inotropic agents within 48 hours of surgery. Long-term mortality differed by race (black versus white) among preoperative inotropic category (inotropes: adjusted HR = 1.6, 95% CI = 1.009-2.4; no inotropes: adjusted HR = 1.15, 95% CI = 1.08-1.2; P(interaction) < 0.0001). Our study identified an independent preoperative risk-factor for long-term mortality among blacks receiving CABG. This outcome provides information that may be useful for surgeons, primary care providers, and their patients.
URI
http://hdl.handle.net/10342/5416
Subject
 cardiac surgery; disparities; heart disease; heart failure; inotropes; mortality 
Date
2015-07
Citation:
APA:
Efird, Jimmy T., & Griffin, William F., & Sarpong, Daniel F., & Davies, Stephen W., & Vann, Iulia, & Koutlas, Nathaniel T., & Anderson, Ethan J., & Crane, Patricia B., & Landrine, Hope, & Kindell, Linda C., & Iqbal, Zahra J., & Ferguson, T. Bruce, & Chitwood, W. Randolph, & Kypson, Alan P.. (July 2015). Increased Long-Term Mortality among Black CABG Patients Receiving Preoperative Inotropic Agents. International Journal of Environmental Research and Public Health, (12:7), p.7478-7490. Retrieved from http://hdl.handle.net/10342/5416

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MLA:
Efird, Jimmy T., and Griffin, William F., and Sarpong, Daniel F., and Davies, Stephen W., and Vann, Iulia, and Koutlas, Nathaniel T., and Anderson, Ethan J., and Crane, Patricia B., and Landrine, Hope, and Kindell, Linda C., and Iqbal, Zahra J., and Ferguson, T. Bruce, and Chitwood, W. Randolph, and Kypson, Alan P.. "Increased Long-Term Mortality among Black CABG Patients Receiving Preoperative Inotropic Agents". International Journal of Environmental Research and Public Health. 12:7. (7478-7490.), July 2015. February 23, 2020. http://hdl.handle.net/10342/5416.
Chicago:
Efird, Jimmy T. and Griffin, William F. and Sarpong, Daniel F. and Davies, Stephen W. and Vann, Iulia and Koutlas, Nathaniel T. and Anderson, Ethan J. and Crane, Patricia B. and Landrine, Hope and Kindell, Linda C. and Iqbal, Zahra J. and Ferguson, T. Bruce and Chitwood, W. Randolph and Kypson, Alan P., "Increased Long-Term Mortality among Black CABG Patients Receiving Preoperative Inotropic Agents," International Journal of Environmental Research and Public Health 12, no. 7 (July 2015), http://hdl.handle.net/10342/5416 (accessed February 23, 2020).
AMA:
Efird, Jimmy T., Griffin, William F., Sarpong, Daniel F., Davies, Stephen W., Vann, Iulia, Koutlas, Nathaniel T., Anderson, Ethan J., Crane, Patricia B., Landrine, Hope, Kindell, Linda C., Iqbal, Zahra J., Ferguson, T. Bruce, Chitwood, W. Randolph, Kypson, Alan P.. Increased Long-Term Mortality among Black CABG Patients Receiving Preoperative Inotropic Agents. International Journal of Environmental Research and Public Health. July 2015; 12(7) 7478-7490. http://hdl.handle.net/10342/5416. Accessed February 23, 2020.
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