Table 1:

Baseline and operative characteristics of patients awaiting isolated CABG, valvular surgery, combined CABG and valvular surgery, or surgery on the thoracic aorta in Ontario, Oct. 1, 2008, to Sept. 30, 2019, by mortality status

CharacteristicNo. (%) of patients*p value
Died
n = 269
Did not die
n = 111 997
Baseline
Demographic
Age, mean ± SD, yr70.3 ± 11.066.4 ± 10.9< 0.001
Age, median (IQR), yr71 (64–79)67 (59–74)
Female sex80 (29.7)28 574 (25.5)0.1
Body mass index, mean ± SD28.1 ± 5.728.8 ± 5.5
Body mass index, median (IQR)27 (24–31)28 (25–32)0.02
Rural residence42 (15.6)17 181 (15.3)0.9
Hospital type0.8
 Community76 (28.2)30 932 (27.6)
 Teaching193 (71.7)81 065 (72.4)
Comorbidities
Hypertension233 (86.6)94 413 (84.3)0.3
Atrial fibrillation54 (20.1)19 898 (17.8)0.3
Recent myocardial infarction81 (30.1)27 295 (24.4)0.03
CCS grading of angina pectoris41< 0.001
 085 (31.6)27 555 (24.6)
 125 (9.3)10 812 (9.7)
 233 (12.3)18 198 (16.2)
 329 (10.8)16 158 (14.4)
 412 (4.5)3865 (3.5)
 Low-risk acute coronary syndrome28 (10.4)16 632 (14.9)
 Intermediate-risk acute coronary syndrome35 (13.0)14 477 (12.9)
 High-risk acute coronary syndrome22 (8.2)4300 (3.8)
Left main coronary artery or left main coronary artery equivalent disease105 (39.0)46 651 (41.7)0.3
Proximal left anterior descending coronary artery disease97 (36.1)43 483 (38.8)0.4
Previous percutaneous coronary intervention28 (10.4)12 393 (11.1)0.7
Left ventricular ejection fraction, %< 0.001
 ≥ 50135 (50.2)78 679 (70.3)
 35–4977 (28.6)22 667 (20.2)
 20–3447 (17.5)8989 (8.0)
 < 2010 (3.7)1662 (1.5)
NYHA functional classification42< 0.001
 1147 (54.6)75 515 (67.4)
 257 (21.2)17 821 (15.9)
 351 (19.0)15 241 (13.6)
 414 (5.2)3420 (3.1)
Heart failure145 (53.9)30 217 (27.0)< 0.001
Moderate to severe mitral regurgitation38 (14.1)9830 (8.8)0.002
Moderate to severe aortic regurgitation15 (5.6)3567 (3.2)0.03
Severe aortic stenosis109 (40.5)26 192 (23.4)< 0.001
Endocarditis0.02
 None260 (96.7)110 207 (98.4)
 Acute4–81260–1264
 Subacute1–5526–530
Cerebrovascular disease41 (15.2)11 407 (10.2)0.006
Peripheral arterial disease61 (22.7)15 895 (14.2)< 0.001
Smoking status0.3
 Never121 (45.0)52 427 (46.8)
 Current60 (22.3)21 085 (18.8)
 Former88 (32.7)38 485 (34.4)
Chronic obstructive pulmonary disease100 (37.2)26 035 (23.2)
Diabetes135 (50.2)47 032 (42.0)0.007
Dyslipidemia168 (62.5)74 354 (66.4)0.2
Glomerular filtration rate, mean ± SD, mL/min per 1.73 m269.4 ± 33.985.1 ± 34.8< 0.001
Glomerular filtration rate, median (IQR), mL/min per 1.73 m264 (47–88)81 (61–105)< 0.001
Dialysis34 (12.6)3093 (2.8)< 0.001
Anemia37 (13.8)9304 (8.3)0.001
Liver disease9 (3.3)1551 (1.4)0.006
Alcohol abuse7 (2.6)1500 (1.3)0.07
Dementia6 (2.2)1475 (1.3)0.2
Depression7 (2.6)1425 (1.3)0.05
Psychosis1–5212–216< 0.001
Primary cancer17 (6.3)5611 (5.0)0.3
Metastatic cancer0 (0.0)578 (0.5)0.2
Operative
Surgery type< 0.001
 Isolated CABG118 (43.9)72 248 (64.5)
 Valvular81 (30.1)24 380 (21.8)
 CABG + valvular63 (23.4)11 983 (10.7)
 Thoracic aorta7 (2.6)3386 (3.0)
Redo sternotomy19 (7.1)3315 (3.0)< 0.001
Cardiogenic shock1–5218–2220.04
Operative priority< 0.001
 Unknown67 (24.9)13 004 (11.6)
 Emergent18 (6.7)3460 (3.1)
 Urgent90 (33.5)31 244 (27.9)
 Semiurgent41 (15.2)25 799 (23.0)
 Elective53 (19.7)38 490 (34.4)
Recommend maximum wait time, mean ± SD, d23.3 ± 27.834.9 ± 31.3< 0.001
Recommend maximum wait time, median (IQR), d14 (3–35)22 (13–56)
Adherence to recommended wait time124 (46.1)74 809 (66.8)< 0.001
  • Note: CABG = coronary artery bypass grafting, CCS = Canadian Cardiovascular Society, IQR = interquartile range, NYHA = New York Heart Association, SD = standard deviation.

  • * Except where noted otherwise.

  • Numbers suppressed because of small cells to avoid back-calculation.