{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T04:20:59Z","timestamp":1791519659144,"version":"4.3.4"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"15","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2020,8,4]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              There is a paucity of data on the trends and outcomes of reoperative coronary artery bypass graft (\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              ) surgery during the current decade in the United States.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              We queried the National Inpatient Sample database (2002\u20132016) for all hospitalizations with isolated\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              procedure. We reported the temporal trends and outcomes of reoperative\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              versus primary\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              procedures. The main outcome was in\u2010hospital mortality. Among 3\u00a0212\u00a0768 hospitalizations with\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              , 46\u00a0820 (1.5%) had reoperative\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              . Over the 15\u2010year study period, there were no changes in the proportion of reoperative\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              (1.8% in 2002 versus 2.2% in 2016,\n              <jats:italic>P<\/jats:italic>\n              <jats:sub>tren<\/jats:sub>\n              =0.08), and the related in\u2010hospital mortality (3.7% in 2002 versus 2.7% in 2016,\n              <jats:italic>P<\/jats:italic>\n              <jats:sub>trend<\/jats:sub>\n              =0.97). Reoperative\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              was performed in patients with increasingly higher risk profile. Compared with primary\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              , hospitalizations for reoperative\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              were associated with higher in\u2010hospital mortality (3.2% versus 1.9%,\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001), cardiac arrest, cardiogenic shock, vascular complications, and respiratory complications. Among hospitalizations for reoperative\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              , the predictors of higher mortality included history of heart failure and chronic kidney disease.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              In this 15\u2010year nationwide analysis, reoperative\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              procedures were increasingly performed in patients with higher risk profile. In\u2010hospital mortality rates were relatively low and did not change during the examined period. Compared with primary\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              , reoperative\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              is associated with higher in\u2010hospital mortality.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.120.016282","type":"journal-article","created":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T09:04:24Z","timestamp":1595322264000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":42,"title":["Outcomes of Reoperative Coronary Artery Bypass Graft Surgery in the United States"],"prefix":"10.1161","volume":"9","author":[{"given":"Ayman","family":"Elbadawi","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine University of Texas Medical Branch Galveston TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Hamed","sequence":"additional","affiliation":[{"name":"Department of Cardiology Ain Shams University Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Islam Y.","family":"Elgendy","sequence":"additional","affiliation":[{"name":"Division of Cardiology Massachusetts General Hospital and Harvard Medical School Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohmed A.","family":"Omer","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine University of Missouri Kansas City MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gbolahan O.","family":"Ogunbayo","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine University of Kentucky Lexington KY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Megaly","sequence":"additional","affiliation":[{"name":"Division of Cardiology Minneapolis Heart Institute Minneapolis MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Denktas","sequence":"additional","affiliation":[{"name":"Section of Cardiology Baylor School of Medicine and the Michael E. 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