Cardiothoracic & vascular anesthesia

Association Between COVID-19 Infection and Postoperative Outcomes Following Coronary Artery Bypass Grafting: A Retrospective Cohort Study

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

COVID-19 infection within 2 weeks before CABG is associated with a significantly increased risk of complications.

Study context

Population
Adults undergoing coronary artery bypass grafting (CABG) during the COVID-19 pandemic, diverse US healthcare settings
Exposure
Preoperative COVID-19 infection vs no history of COVID-19
Outcome
Postoperative complications (ICD codes): Venous thromboembolism (VTE), sepsis, AKI, surgical site infection, acute myocardial infarction (AMI), 30-day mortality and 1-year mortality
Methodological detailsmulti-institutional, N3C database
  • Multi-institutional
  • N3C database

Main finding

As reported in the abstract

Postoperative complications, COVID-19 0 to 2 weeks before surgery
0 to 2 weeks vs COVID-19-negativeOdds ratio (95% CI)P value
VTE
2.29(1.36–3.59)
P = 0.001
Sepsis
1.74(1.01–2.81)
P = 0.032
30-day mortality
3.60(2.32–5.35)
P < 0.0001
1-year mortality
3.10(2.24–4.21)
P < 0.0001
Surgical site infection
.94(0.48–1.64)
P = 0.849
Acute MI
1.21(0.84–1.69)
P = 0.274

Observational data: associations, not effects.

Original publication

Association Between COVID-19 Infection and Postoperative Outcomes Following Coronary Artery Bypass Grafting: A Retrospective Cohort Study. J Cardiothorac Vasc Anesth. Published 27 July 2025. doi:10.1053/j.jvca.2025.07.022

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