{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T03:14:16Z","timestamp":1790306056158,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,7,8]],"date-time":"2018-07-08T00:00:00Z","timestamp":1531008000000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Indigenous Australians have higher rates of cardiovascular disease and comorbidities compared to their non\u2010indigenous counterparts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>We sought to evaluate whether indigenous status <jats:italic>per se<\/jats:italic> portends a worse prognosis following isolated coronary artery bypass grafting (CABG).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The outcomes of 778 Indigenous Australians (55 \u00b1 10 years; 32% female) enrolled in the Australian and New Zealand Society of Cardiac and Thoracic Surgeons registry were compared to 36 124 non\u2010Indigenous Australians (66 \u00b1 10 years; 21% female) following isolated CABG. In a secondary analysis, patients were propensity\u2010matched by age, sex, renal function, diabetes and ejection fraction (778 individuals in each group).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Indigenous Australians were younger and more likely to be female and current smokers and to have diabetes, hypertension, renal impairment, heart failure and previous CABG (all <jats:italic>P<\/jats:italic> &lt; 0.04). Indigenous patients had fewer bypasses with arterial conduits (including less internal mammary artery use) and a higher number of distal vein anastomoses (<jats:italic>P<\/jats:italic> &lt; 0.001). Postoperative bleeding rates were higher in indigenous patients (<jats:italic>P<\/jats:italic> = 0.001). However, in\u2010hospital and 30\u2010day all\u2010cause mortality and rates of 30\u2010day readmission were similar between both groups, although cardiac mortality was higher in the indigenous cohort (1.5% vs 0.8%, <jats:italic>P<\/jats:italic> = 0.02). With propensity\u2010matching, rates of postoperative complications were similar among the two groups, with the exception of bleeding, which remained higher in Indigenous Australians (<jats:italic>P<\/jats:italic> = 0.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite procedural differences and higher rates of baseline comorbidities, Indigenous Australians do not have worse short\u2010term outcomes following isolated CABG. Given the higher rates of baseline comorbidities and lower rates of arterial conduit use, it will be essential to determine long\u2010term outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.13790","type":"journal-article","created":{"date-parts":[[2018,3,7]],"date-time":"2018-03-07T06:32:29Z","timestamp":1520404349000},"page":"780-785","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Thirty\u2010day outcomes in Indigenous Australians following coronary artery bypass grafting"],"prefix":"10.1111","volume":"48","author":[{"given":"Jessica","family":"O'Brien","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine The Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akshat","family":"Saxena","sequence":"additional","affiliation":[{"name":"Discipline of Cardiothoracic Surgery University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher M.","family":"Reid","sequence":"additional","affiliation":[{"name":"Centre for Cardiovascular Research and Education (CCRE) in Therapeutics Monash University  Melbourne Victoria Australia"},{"name":"School of Public Health Curtin University  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lavinia","family":"Tran","sequence":"additional","affiliation":[{"name":"Centre for Cardiovascular Research and Education (CCRE) in Therapeutics Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Baker","sequence":"additional","affiliation":[{"name":"Cardiac and Thoracic Surgical Unit Flinders Medical Centre and Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Newcomb","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery, St Vincent's Clinical School Department of Surgery University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Smith","sequence":"additional","affiliation":[{"name":"Departments of Surgery, Monash University and of Cardiothoracic Surgery Monash Medical Centre  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molla M.","family":"Huq","sequence":"additional","affiliation":[{"name":"Centre for Cardiovascular Research and Education (CCRE) in Therapeutics Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4518-5948","authenticated-orcid":false,"given":"Stephen J.","family":"Duffy","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine The Alfred Hospital  Melbourne Victoria Australia"},{"name":"Centre for Cardiovascular Research and Education (CCRE) in Therapeutics Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,8]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"AIHW. 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