ArticleInterdisciplinary cardiovascular and thoracic surgery2026
Coronary Artery Bypass Grafting Following ST Elevation Myocardial Infarction Outcomes Are Associated with Time to Surgery.
Article in Interdisciplinary cardiovascular and thoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- Comments in "Coronary Artery Bypass Grafting Following ST Elevation Myocardial Infarction Outcomes Are Associated With Time to Surgery".Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- Reply to Bayici et al.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
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8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesApproximately 5%-10% of ST-segment elevation myocardial infarction (STEMI) patients will undergo coronary artery bypass grafting (CABG) during the same hospital admission. In this study, we analyse the time from STEMI to CABG and its impact on operative mortality, morbidity, hospital stay, and cost.
methodsThe Healthcare Cost and Utilization Project (HCUP) was reviewed for STEMI patients who underwent CABG in the same hospitalization from 2016 to 2022. Patients were grouped by time from STEMI to CABG: <48 hours, 2-7 days, 8-15 days, and ≥16 days. Demographics, characteristics, mortality, length of stay, and cost were compared with univariable analysis. Multivariable logistic regression identified risk factors for in-hospital mortality.
resultsHCUP database identified 11 974 patients who underwent CABG following STEMI: 4882 < 48 hours (41%), 6110 in 2-7 days (51%), 896 in 8-15 days (7%), and 86 ≥ 16 days in (1%). Mortality was greatest when CABG performed <48 hours (6%) and ≥16 days (5%) compared to other groups 3% (2-7 days) vs 3% (8-15 days), P <.01. Length of stay was greatest in ≥16 days (30 days) compared to other groups 7 days (<48 hours) vs 10 days (2-7 days) vs 17 days (8-15 days), P < .01. Costs were also greatest in the ≥16 days ($108 400) compared to other groups ($50 400 [<48 hours] vs $55 300 [2-7 days] vs $73 600 [8-15 days], P < .01). Multivariable regression identified 2-7 days STEMI to CABG decreased in-hospital mortality (odds ratio [OR] 0.585, CI95% 0.48-0.70).
conclusionsCABG performed 2-15 days from STEMI provided the lowest in-hospital mortality risk, offering a window for the safest post-STEMI CABG when appropriate.
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