Predicting coronary artery bypass graft surgery in acute coronary syndromes
Gore, Joel M.
Piegas, Leopoldo S.
Anderson, Frederick A. Jr.
UMass Chan AffiliationsDepartment of Medicine, Division of Cardiovascular Medicine
Center for Outcomes Research
KeywordsAcute Coronary Syndrome
Coronary Artery Bypass
Health Services Research
Surgical Procedures, Operative
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AbstractAims: 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.
EuroIntervention. 2007 Feb;2(4):452-8.