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• W2106959101 abstract "<h3>Objective:</h3> To determine the effects of socio-economic status (SES) on the outcome of coronary artery bypass grafting (CABG). <h3>Design:</h3> Prospective cohort study. <h3>Setting:</h3> Regional cardiac surgical unit. <h3>Patients:</h3> 1994 consecutive patients undergoing non-emergency CABG. <h3>Measures:</h3> SES was determined from the patient’s postcode using Carstairs tables. The primary end-point was all-cause mortality at 30 days. <h3>Results:</h3> There were 50 deaths (2.5%) within 30 days of surgery. A higher Carstairs score demonstrated a trend towards increased 30-day mortality (odds ratio (OR) 1.09 per unit, 95% CI 1.00 to 1.20, p = 0.06). In a backward conditional model, including other predictors of early mortality, Carstairs scores were independently predictive (OR 1.12 per unit, 95% CI 1.01 to 1.24, p = 0.02). In a model including only Carstairs scores and the EuroSCORE, both were independent predictors of this outcome (OR for Carstairs score 1.11 per unit, 95% CI 1.00 to 1.22, p = 0.04). The 30-day mortality increases in each quartile of Carstairs scores, with patients in quartile 4 (most deprived) at significantly higher risk compared with quartile 1 (uncorrected OR 2.53 per unit, 95% CI 1.04 to 6.15; OR corrected for EuroSCORE, 2.56 per unit, 95% CI 1.03 to 6.34, p = 0.04 for both). Similarly, patients in the least affluent quartile were twice as likely to suffer a serious complication as those in the most affluent quartile (OR 2.14 per unit, 95% CI 1.32 to 3.46, p = 0.002). This increased risk was also independent of the EuroSCORE. <h3>Conclusions:</h3> Lower SES is associated with a poorer early outcome following CABG and is independent of other recognised risk factors." @default.
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• W2106959101 date "2009-03-19" @default.
• W2106959101 modified "2023-09-23" @default.
• W2106959101 title "Socio-economic status and early outcome from coronary artery bypass grafting" @default.
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• W2106959101 doi "https://doi.org/10.1136/hrt.2008.149849" @default.
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