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Delay in coronary artery bypass grafting for STEMI patients improves hospital morbidity and mortality

Journal of Cardiothoracic Surgery May 16, 2020

Lemaire A, Vagaonescu T, Ikegami H, et al. - Since there is a lack of clarity about the optimal timing of coronary artery bypass grafting (CABG) in patients with ST elevated acute myocardial infarction (STEMI), researchers assessed as well as compared the results in STEMI patients who had CABG within the various time intervals within the first 7 days of either emergent or urgent hospital admission. For this purpose, the National Inpatient Sample 2010–2014 was utilized. The participants aged 30 years old and older and were split into 3 cohorts as per the timing of surgery: within 24 h (group A), 2nd-3rd day (group B), and 4th–7th day (group C). Experts found increased hospital morbidity as well as mortality in patients who underwent CABG within the first 24 h following non-elective hospital admission, despite the urgency and severity of STEMI. Patient outcomes may benefit from a delay in surgery beyond the first 24 h. In addition, delay in surgery afforded a significant cost effectiveness by decreasing hospital length of stay as well as subsequent hospital costs.

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