Page 121 - Read Online
P. 121

Zahrai et al. Vessel Plus 2023;7:32  https://dx.doi.org/10.20517/2574-1209.2023.100                                                                                     Page 5 of 13


                              Table 3. Summary of the studies included

                              First                                                                              Mean age ±                                    Primary
                              author      Study design MI type         Number of patients     Intervention(s)    SD (years)      Time to CABG (days)           outcome(s)        Main results
                              (year)

                              Sintek, et al.  Retrospective  STEMI, NSTEMI 2,175 (1,013 STEMI, # of  Isolated CABG  63.4 (Range 32-  < 1                       30-day operative   Timing of surgery
                                    [41]
                              (1994)      cohort                       NSTEMI not specified)                     85)                                           mortality         was not significantly associated with
                                                                                                                                 1-2                                             operative mortality

                                                                                                                                 2-3

                                                                                                                                 3-7

                                                                                                                                 7-30
                              Thielmann   Retrospective  STEMI         138                    Primary isolated   65.6 ± 10.8     < 0.25                        All-cause in-
                              et al.      cohort                                              CABG                                                             hospital mortality  Patients who underwent CABG
                                    [39]
                              (2007)                                                                                             0.25-1                                          between 7-23 h (after symptom
                                                                                                                                                                                 onset) had significantly higher
                                                                                                                                 1-3                                             mortality rate than those in the 4-7
                                                                                                                                                                                 days [vs. 7-23 h group: OR = 0.5 (95%
                                                                                                                                 4-7                                             CI 0.3-0.8)] or 8-14 days groups [7-
                                                                                                                                                                                 23 h vs. 8-14 days: OR = 3.4 (1.7-21.3)]
                                                                                                                                 8-14
                              Weiss et al.  Retrospective  AMI type not   9,476               CABG of any type   67.6 ± 11.0     < 2                           All-cause hospital
                                    [7]
                              (2008)      cohort        specified                                                                                              mortality         Early CABG (0-2 days) was an
                                                                                                                                 > 2                                             independent predictor of hospital
                                                                                                                                                                                 mortality (OR = 1.40, 95% CI: 1.12-
                                                                                                                                                                                 1.74)

                                                                                                                                                                                 Surgical delay beyond 3 days did not
                                                                                                                                                                                 provide any further survival benefit
                              Parikh et al.  Retrospective  NSTEMI     2,647                  CABG of any type   64.0            < 2                           Composite of
                                    [45]
                              (2010)      cohort                                                                                                               death, MI,        NSTEMI patients undergoing early and
                                                                                                                                 > 2                           cardiogenic shock,  late CABG had similar in-hospital
                                                                                                                                                               or congestive heart  mortality (OR = 1.12, 95% CI: 0.71-
                                                                                                                                                               failure           1.78) and composite outcome (OR =
                                                                                                                                                                                 0.94, 0.69-1.28) occurrences
                              Chen et al.   Meta-analysis              100,048                CABG of any type   Not specified   Many sub-divisions ranging from   In-hospital   There was an increase in in-hospital
                                    [33]
                              (2014)      of 12 studies  STEMI (3                                                                < 0.25 to > 43                mortality between  mortality of 0.950 (95% CI 0.936-
                                                        studies                                                                                                different CABG    0.964) for each day delay to CABG
                                                                                                                                                               time intervals after  after acute MI and 0.774 (95% CI
                                                        NSTEMI (1                                                                                              AMI               0.719-0.834) for each 5 day increase
                                                        study)

                                                        STEMI/NSTEMI
                                                        (8 studies)
                              Lemaire et al.    Retrospective  STEMI   5,963                  CABG of any type   63.1 ± 11.1     < 1                           Postoperative
                                    [37]
                              (2020)
   116   117   118   119   120   121   122   123   124   125   126