Baseline and operative characteristics of patients awaiting isolated CABG, valvular surgery, combined CABG and valvular surgery, or surgery on the thoracic aorta in Ontario, Oct. 1, 2008, to Sept. 30, 2019, by mortality status
Characteristic | No. (%) of patients* | p value | |
---|---|---|---|
Died n = 269 | Did not die n = 111 997 | ||
Baseline | |||
Demographic | |||
Age, mean ± SD, yr | 70.3 ± 11.0 | 66.4 ± 10.9 | < 0.001 |
Age, median (IQR), yr | 71 (64–79) | 67 (59–74) | |
Female sex | 80 (29.7) | 28 574 (25.5) | 0.1 |
Body mass index, mean ± SD | 28.1 ± 5.7 | 28.8 ± 5.5 | |
Body mass index, median (IQR) | 27 (24–31) | 28 (25–32) | 0.02 |
Rural residence | 42 (15.6) | 17 181 (15.3) | 0.9 |
Hospital type | 0.8 | ||
Community | 76 (28.2) | 30 932 (27.6) | |
Teaching | 193 (71.7) | 81 065 (72.4) | |
Comorbidities | |||
Hypertension | 233 (86.6) | 94 413 (84.3) | 0.3 |
Atrial fibrillation | 54 (20.1) | 19 898 (17.8) | 0.3 |
Recent myocardial infarction | 81 (30.1) | 27 295 (24.4) | 0.03 |
CCS grading of angina pectoris41 | < 0.001 | ||
0 | 85 (31.6) | 27 555 (24.6) | |
1 | 25 (9.3) | 10 812 (9.7) | |
2 | 33 (12.3) | 18 198 (16.2) | |
3 | 29 (10.8) | 16 158 (14.4) | |
4 | 12 (4.5) | 3865 (3.5) | |
Low-risk acute coronary syndrome | 28 (10.4) | 16 632 (14.9) | |
Intermediate-risk acute coronary syndrome | 35 (13.0) | 14 477 (12.9) | |
High-risk acute coronary syndrome | 22 (8.2) | 4300 (3.8) | |
Left main coronary artery or left main coronary artery equivalent disease | 105 (39.0) | 46 651 (41.7) | 0.3 |
Proximal left anterior descending coronary artery disease | 97 (36.1) | 43 483 (38.8) | 0.4 |
Previous percutaneous coronary intervention | 28 (10.4) | 12 393 (11.1) | 0.7 |
Left ventricular ejection fraction, % | < 0.001 | ||
≥ 50 | 135 (50.2) | 78 679 (70.3) | |
35–49 | 77 (28.6) | 22 667 (20.2) | |
20–34 | 47 (17.5) | 8989 (8.0) | |
< 20 | 10 (3.7) | 1662 (1.5) | |
NYHA functional classification42 | < 0.001 | ||
1 | 147 (54.6) | 75 515 (67.4) | |
2 | 57 (21.2) | 17 821 (15.9) | |
3 | 51 (19.0) | 15 241 (13.6) | |
4 | 14 (5.2) | 3420 (3.1) | |
Heart failure | 145 (53.9) | 30 217 (27.0) | < 0.001 |
Moderate to severe mitral regurgitation | 38 (14.1) | 9830 (8.8) | 0.002 |
Moderate to severe aortic regurgitation | 15 (5.6) | 3567 (3.2) | 0.03 |
Severe aortic stenosis | 109 (40.5) | 26 192 (23.4) | < 0.001 |
Endocarditis | 0.02 | ||
None | 260 (96.7) | 110 207 (98.4) | |
Acute | 4–8† | 1260–1264† | |
Subacute | 1–5† | 526–530† | |
Cerebrovascular disease | 41 (15.2) | 11 407 (10.2) | 0.006 |
Peripheral arterial disease | 61 (22.7) | 15 895 (14.2) | < 0.001 |
Smoking status | 0.3 | ||
Never | 121 (45.0) | 52 427 (46.8) | |
Current | 60 (22.3) | 21 085 (18.8) | |
Former | 88 (32.7) | 38 485 (34.4) | |
Chronic obstructive pulmonary disease | 100 (37.2) | 26 035 (23.2) | |
Diabetes | 135 (50.2) | 47 032 (42.0) | 0.007 |
Dyslipidemia | 168 (62.5) | 74 354 (66.4) | 0.2 |
Glomerular filtration rate, mean ± SD, mL/min per 1.73 m2 | 69.4 ± 33.9 | 85.1 ± 34.8 | < 0.001 |
Glomerular filtration rate, median (IQR), mL/min per 1.73 m2 | 64 (47–88) | 81 (61–105) | < 0.001 |
Dialysis | 34 (12.6) | 3093 (2.8) | < 0.001 |
Anemia | 37 (13.8) | 9304 (8.3) | 0.001 |
Liver disease | 9 (3.3) | 1551 (1.4) | 0.006 |
Alcohol abuse | 7 (2.6) | 1500 (1.3) | 0.07 |
Dementia | 6 (2.2) | 1475 (1.3) | 0.2 |
Depression | 7 (2.6) | 1425 (1.3) | 0.05 |
Psychosis | 1–5† | 212–216† | < 0.001 |
Primary cancer | 17 (6.3) | 5611 (5.0) | 0.3 |
Metastatic cancer | 0 (0.0) | 578 (0.5) | 0.2 |
Operative | |||
Surgery type | < 0.001 | ||
Isolated CABG | 118 (43.9) | 72 248 (64.5) | |
Valvular | 81 (30.1) | 24 380 (21.8) | |
CABG + valvular | 63 (23.4) | 11 983 (10.7) | |
Thoracic aorta | 7 (2.6) | 3386 (3.0) | |
Redo sternotomy | 19 (7.1) | 3315 (3.0) | < 0.001 |
Cardiogenic shock | 1–5† | 218–222† | 0.04 |
Operative priority | < 0.001 | ||
Unknown | 67 (24.9) | 13 004 (11.6) | |
Emergent | 18 (6.7) | 3460 (3.1) | |
Urgent | 90 (33.5) | 31 244 (27.9) | |
Semiurgent | 41 (15.2) | 25 799 (23.0) | |
Elective | 53 (19.7) | 38 490 (34.4) | |
Recommend maximum wait time, mean ± SD, d | 23.3 ± 27.8 | 34.9 ± 31.3 | < 0.001 |
Recommend maximum wait time, median (IQR), d | 14 (3–35) | 22 (13–56) | |
Adherence to recommended wait time | 124 (46.1) | 74 809 (66.8) | < 0.001 |