Cardiothoracic & vascular anesthesia
Relative Survival After Adult Cardiac Surgery: Analysis of the Italian Nationwide Registry Data
Authors' conclusion
The present findings provided a picture of the real expectation in terms of the late survival of patients after having undergone adult cardiac surgery.
Study context
- Population
- Consecutive adults undergoing heart valve and coronary artery surgery, Italian nationwide administrative registry394,445 survived 90 days
- Participants
- 415,472 adults
- Outcome
- Relative survival
- Follow-up
- 10 years
Methodological detailsnationwide administrative registry
- Nationwide administrative registry
Main finding
As reported in the abstract
10-year relative survival among 90-day survivors
Observed 10-year survival
58.0%
95% CI 57.8–58.3
Expected survival
70.1%
Relative survival
0.83
95% CI 0.82–0.83
Observational data: associations, not effects.
Further findings
Relative survival by procedure
- Mitral valve repair
- 0.96
- Aortic valve repair
- 0.92
- Isolated CABG
- 0.88
- Heart valve replacement
- below 0.80
- Complex cardiac surgery
- <0.70
- Double- or triple-valve surgery combined with coronary artery surgery
- <0.60
Relative survival by sex · 10 years
- Women
- 0.77 (95% CI 0.77-0.78)
- Men
- 0.86 (95% CI 0.85-0.86)
- Difference by sex observed after almost all procedures
Original publication
Relative Survival After Adult Cardiac Surgery: Analysis of the Italian Nationwide Registry Data. J Cardiothorac Vasc Anesth. Published 18 July 2023. doi:10.
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