Outcomes of coronary artery bypass grafting in @entity1 with inflammatory XXXX : An 11-year nationwide cohort study.

@entity1 @entity627 @entity583 @entity1252 @entity1691 @entity453 @entity309
OBJECTIVE: @entity1 with inflammatory @entity627 have an increased risk of developing @entity453 . However, outcomes of surgical revascularization in these @entity1 have been rarely studied. We aimed to determine whether, or which, inflammatory @entity627 may pose effects on mortality and adverse cardiac outcomes after coronary artery bypass grafting. METHODS: By using the National Health Insurance Research Database of Taiwan, we identified 40,639 adult @entity1 who underwent first-time coronary artery bypass grafting between 2000 and 2010. Among these @entity1 , 101 had @entity309 , 56 had @entity1252 , and 73 had @entity1691 . The odds ratios (ORs) of operative mortality and hazard ratios (HRs) of overall mortality and adverse cardiac outcomes after coronary artery bypass grafting (ie, @entity583 and repeat revascularization) in relation to @entity309 , @entity1252 , and @entity1691 were estimated. RESULTS: With adjustment for potential confounders including @entity1 characteristics, hospital levels, and combined surgery, @entity1252 was an independent predictor for operative mortality (adjusted OR, 2.63; 95% confidence interval [CI], 1.04-6.65; P  =  .04) and @entity1691 was marginally associated with operative mortality (adjusted OR, 2.41; 95% CI, 0.99-5.88; P  =  .054). @entity1252 was a significantly independent predictor for overall mortality during the follow-up period (adjusted HR, 2.23; 95% CI, 1.51-3.31; P  <  .0001) and might increase the risk of repeat revascularization (adjusted HR, 1.89; 95% CI, 0.97-3.68; P  =  .06). Neither @entity309 nor @entity1691 was significantly associated with overall mortality and adverse cardiac outcomes. CONCLUSIONS: Our study may help surgeons and physicians recognize the potential risks inherent to @entity1252 and @entity1691 when conducting coronary artery bypass grafting and providing follow-up care.
