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
Main finding · In-hospital mortalityResult — go to the resultAdjusted odds ratio 1.22Authors' 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
| Outcome | Black | White | P value |
|---|---|---|---|
| Charlson Comorbidity Index (baseline) | 3.25 | 2.52 | P < 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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