Cardiothoracic & vascular anesthesia

Persistent Racial Inequities in Postoperative Outcomes After Coronary Artery Bypass Grafting: A National Cohort Study of More Than 1.1 Million Patients

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Main finding · In-hospital mortalityResult — go to the resultAdjusted odds ratio 1.22

Authors' conclusion

Significant racial disparities persist in perioperative outcomes following CABG in the United States.

Study context

Population
Adults (≥ 18 years) undergoing isolated CABG in the US, 2016–2021
Participants
1,159,040 CABG hospitalizations
Exposure
Black vs White patients undergoing isolated CABG
Outcome
In-hospital mortality
Methodological detailsobservational, national, multi-institutional, Healthcare Cost and Utilization Project National Inpatient Sample (HCUP-NIS) database, multivariable logistic regression
  • Observational
  • National
  • Multi-institutional
  • HCUP-NIS database
  • Multivariable logistic regression

Main finding

As reported in the abstract

Adjusted odds ratio

1.22

P < 0.01

By group

Observational data: associations, not effects.

Secondary outcomes

LOS

P < 0.01

OutcomeBlackWhiteP value
Charlson Comorbidity Index (baseline)3.252.52P < 0.01

Cardiogenic shock and sepsis

Greater rates in Black patients

Temporal trend in mortality · 2016–2021

No significant temporal improvement for any racial group
P for trend > 0.30

Original publication

Persistent Racial Inequities in Postoperative Outcomes After Coronary Artery Bypass Grafting: A National Cohort Study of More Than 1.1 Million Patients. J Cardiothorac Vasc Anesth. Published 10 March 2026. doi:10.1053/j.jvca.2026.03.013

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