Female sex as a risk factor in minimally invasive direct coronary artery bypass grafting
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00179906%3A_____%2F19%3A10398625" target="_blank" >RIV/00179906:_____/19:10398625 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11150/19:10398625
Result on the web
<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=8MVT7uU.oV" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=8MVT7uU.oV</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1080/14017431.2019.1612088" target="_blank" >10.1080/14017431.2019.1612088</a>
Alternative languages
Result language
angličtina
Original language name
Female sex as a risk factor in minimally invasive direct coronary artery bypass grafting
Original language description
Objectives. Female sex has been generally accepted as a risk factor for short-term mortality and adverse events in surgical myocardial revascularization. However, there have been no data published yet about sex differences in minimally invasive settings. The aim of our study was to analyse short- and long- term outcomes of minimally invasive direct coronary artery bypass grafting (MIDCAB) in terms of sex comparison. Design. We retrospectively analysed the in-hospital data of all patients (n=384) undergoing MIDCAB at our department in years 2006-2016. Subsequently, the data were enriched by long-term outcomes from national registries. Results. There were 96 women in our group (25%). Females were significantly older (67.1 vs 63.8 years; p<.01) and were more often diabetic (43.8% vs. 31.8%; p<.01). Surgery time was longer in females (160 vs 155min; p=.02), and also the need for blood transfusion (19.8% vs 10.4%; p=.02) and wound complications (15.6% vs 2.4%; p<.001) were more frequent in women. After multivariate analysis, the wound complications risk (p<.001) and longer surgery times (p<.01) remained associated with sex. All-cause in-hospital mortality (2.1% vs 0.7%; p=.26), long-term mortality (p=.73), and the risk of coronary intervention post-operatively (p=.16) were the same in both sexes. Higher incidence of cardiac cause of death in women was observed from long-term aspect (69.6% vs 38.7%; p=.01). However, after adjustment it lost its significance. Conclusions. Female sex is not connected with higher risk of mortality or other major events in MIDCAB. Wound healing complications remain the leading attribute associated with female sex.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30201 - Cardiac and Cardiovascular systems
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2019
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Scandinavian Cardiovascular Journal
ISSN
1401-7431
e-ISSN
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Volume of the periodical
53
Issue of the periodical within the volume
3
Country of publishing house
NO - NORWAY
Number of pages
7
Pages from-to
141-147
UT code for WoS article
000476940600005
EID of the result in the Scopus database
2-s2.0-85065673936