Cardiothoracic & vascular anesthesia

Association Between Intraoperative Landiolol Use and In-Hospital Mortality After Coronary Artery Bypass Grafting: A Nationwide Observational Study in Japan

Anesth AnalgPublished Retrospective cohort study

Main findingResult — go to the resultOdds ratio 0.85 95% CI 0.78–0.94

Authors' conclusion

Intraoperative landiolol use was associated with decreased in-hospital mortality in patients undergoing CABG.

Study context

Population
Patients undergoing coronary artery bypass grafting (CABG), Japanese Diagnosis Procedure Combination inpatient database, July 1, 2010–March 31, 2020
Participants
118,506 patients · 24,893 matched pairs
Exposure
Intraoperative landiolol vs no landiolol
  • Landiololn = 25,219
  • Controln = 93,287reference
Outcome
In-hospital mortality
Methodological detailspropensity-score matched, nationwide database
  • Propensity-score matched
  • Nationwide database

Main finding

As reported in the abstract

Odds ratio

0.85

95% CI 0.78–0.94

P = 0.010

By group

Landiolol vs Control
OR 0.85 (95% CI 0.78–0.94); P = 0.010

Observational data: associations, not effects.

Original publication

Association Between Intraoperative Landiolol Use and In-Hospital Mortality After Coronary Artery Bypass Grafting: A Nationwide Observational Study in Japan. Anesth Analg. Published 18 October 2023. doi:10.1213/ane.0000000000006741

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