Coronary artery bypass grafting outcomes of patients with human immunodeficiency virus: a population-based study of National Inpatient Sample from 2015 to 2020

Coronary artery bypass grafting outcomes of patients with human immunodeficiency virus: a population-based study of National Inpatient Sample from 2015 to 2020

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Abstract Individuals affected by human immunodeficiency virus License Plate Bracket (HIV) have a growing demand for coronary artery bypass grafting (CABG) due to heightened risk for cardiovascular diseases and extended life expectancy.However, CABG outcomes in HIV patients are not well-established, with insights only from small case series studies.This study conducted a comprehensive, population-based examination of in-hospital CABG outcomes in HIV patients.Patients underwent CABG were identified in National Inpatient Sample from Q4 2015–2020.

Patients with age < 18 years and concomitant procedures were excluded.A 1:5 propensity-score matching was used to address preoperative group differences.Among patients who underwent CABG, 613 (0.36%) had HIV and were matched to 3119 out of 167,569 non-HIV patients.

For selected HIV patients, CABG is relatively safe, presenting largely similar outcomes.After matching, HIV and non-HIV patients had comparable in-hospital mortality rates (2.13% vs.1.

67%, p = 0.40).Risk factors associated with mortality among HIV patients included previous CABG (aOR = 14.32, p = 0.

01), chronic pulmonary disease (aOR = 8.24, p < 0.01), advanced renal failure (aOR = 7.49, p = 0.

01), and peripheral vascular disease (aOR = 6.92, p = 0.01), which can be used for preoperative risk stratification.While HIV patients had higher acute kidney injury (AKI; 26.

77% vs.21.77%, p = 0.01) and infection (8.

21% vs.4.18%, p < 0.01), other complications were comparable between Bag Sealers the groups.