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Title: Ethnic differences in the management of coronary heart disease patients : lessons to be learned in Indo-Asians
Authors: Elahi, Maqsood
Chetty, Govind
Matata, Bashir
First Published: Dec-2005
Publisher: Karger
Citation: Medical Principles and Practice, 2006,15, pp. 69–73
Abstract: Objectives: To examine the impact of ethnicity on the outcome of coronary artery bypass grafting (CABG) for myocardial revascularization. Subjects and Methods: We evaluated retrospectively 7,226 Caucasian (CC) and 650 Indo-Asian (IA) patients who underwent isolated first-time CABG surgery over 5 years. The relationship between ethnicity (IA vs. CC) and 30-day mortality, 6-month mortality and complications were analysed. Results: After adjustment for baseline characteristics, IA and CC patients had similar 30-day [IA/CC odds ratio (OR) 1.07; 95% confidence interval (CI) 0.84–1.35; p = 0.59] and 6-month mortality risk (IA/CC OR 1.10; 95% CI 0.91–1.34; p = 0.31). However, IA patients were more likely to experience complications following surgery (OR 1.28; 95% CI 1.14–1.45; p < 0.01). Conclusion: Ethnicity does not appear to be a strong risk factor for adverse outcomes following CABG surgery in the IA patients. However, future studies are needed to elucidate the specific reasons for higher complication rates in IA patients and to devise strategies to reduce complications following the operation for these patients.
DOI Link: 10.1159/000089389
ISSN: 1011-7571
eISSN: 1423-0151
Version: Publisher Version
Status: Peer-reviewed
Type: Journal Article
Rights: Copyright © 2006 S. Karger AG, Basel. Deposited with reference to the publisher’s archiving policy available on the SHERPA/RoMEO website.
Appears in Collections:Published Articles, College of Medicine, Biological Sciences and Psychology

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