Cardiothoracic & vascular anesthesia

The Effects of Daytime Variation on Short-term Outcomes of Patients Undergoing Off-Pump Coronary Artery Bypass Grafting

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

The current study suggested a lack of relevance regarding the time of surgery with in-hospital mortality and morbidities in patients undergoing OPCABG.

Study context

Population
Patients undergoing elective off-pump CABG (off-pump coronary artery bypass grafting (OPCABG)), single large-volume cardiovascular center, September 2019–July 2022
Participants
1,039 patients · 317 matched pairs
Exposure
Surgery starting in the morning vs afternoon
  • AMn = 317reference
  • PMn = 317
Outcome
Composite:
  • Incidence of mortality
  • Morbidities during hospitalization
Methodological detailspropensity-score matched (1:1), single-centre
  • Propensity-score matched (1:1)
  • Single-centre

Main finding

As reported in the abstract

In-hospital mortality and morbidities (composite)

P = 0.832

Observational data: associations, not effects.

Secondary outcomes

Postoperative blood loss · first 24 hours

P = 0.002

Mechanical ventilation duration

P < 0.001

ICU LOS

P = 0.002

Original publication

The Effects of Daytime Variation on Short-term Outcomes of Patients Undergoing Off-Pump Coronary Artery Bypass Grafting. J Cardiothorac Vasc Anesth. Published 30 December 2023. doi:10.1053/j.jvca.2023.12.036

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