Babgi Mohammad F, Albar Haitham M, Miny Mohammed H, Alzahrani Haitham, Ahmad Mohammad Shakil, Shaik Riyaz Ahmed, Ahmed Elnazeer O
Department of Cardiac Surgery, King Abdullah Medical City, Makkah 57657, Saudi Arabia.
Department of Surgery, College of Medicine, Majmaah University, AlMajmaah 11952, Saudi Arabia.
J Cardiovasc Dev Dis. 2023 Jul 9;10(7):292. doi: 10.3390/jcdd10070292.
(1) Background: Disparity in clinical care on the basis of gender, socioeconomic status, ethnic and racial variation is an established phenomenon. The focus on health disparities was led on by the report of the Secretary's Task Force on Black & Minority Health, which emphasized that the burden of death and illness was in excess among black people and other minorities. In Saudi Arabia, cardiac health care is being provided to a heterogeneous group of patients during pilgrimage time. This mixed population comprises different socio-economic backgrounds, demographics, ethnicities and languages. This study was carried out to assess for any disparities in cardiac surgical outcomes after isolated CABG surgery between Saudi citizens and non-Saudi patients. (2) Methods: The data of 2178 patients who underwent isolated coronary artery bypass surgery at King Abdullah Medical City from December 2014 to July 2020 were extracted. Patient demographics, clinical features, comorbidities, diagnoses, surgical procedures, complications, length of hospital stay and mortality were included in the data. The primary outcome was mortality after coronary artery bypass grafting surgery. (3) Results: A total of 2178 isolated CABG procedures were conducted during the study period with almost 57.5% of patients being Saudi citizens in comparison with 42.5% of non-Saudi citizens. The male gender represented the majority of the population, with a total of 1584 patients, representing 72.7% of the total study population. The rate of mortality had no statistical significance with the mortality rate of 5% vs. 5.3% ( < 0.786). The postoperative morbidities were comparable for all the parameters except for postoperative extracorporeal membrane oxygenation (ECMO). (4) Conclusions: In the present study, the chances of survival and postoperative outcomes are not associated with nationality per se, but with underlying comorbidities.
(1) 背景：基于性别、社会经济地位、种族和民族差异的临床护理差异是一种既定现象。对健康差异的关注是由秘书关于黑人与少数族裔健康问题特别工作组的报告引发的，该报告强调黑人及其他少数族裔的死亡和疾病负担过重。在沙特阿拉伯，朝觐期间为不同类型的患者提供心脏保健服务。这一混合人群包括不同的社会经济背景、人口统计学特征、种族和语言。本研究旨在评估沙特公民和非沙特患者在单纯冠状动脉旁路移植术（CABG）后心脏手术结果的任何差异。(2) 方法：提取2014年12月至2020年7月在阿卜杜拉国王医疗城接受单纯冠状动脉旁路移植手术的2178例患者的数据。数据包括患者的人口统计学特征、临床特征、合并症、诊断、手术程序、并发症、住院时间和死亡率。主要结局是冠状动脉旁路移植术后的死亡率。(3) 结果：在研究期间共进行了2178例单纯CABG手术，其中近57.5%的患者为沙特公民，而非沙特公民占42.5%。男性占大多数，共有1584例患者，占总研究人群的72.7%。死亡率无统计学意义，死亡率分别为5%和5.3%（P<0.786）。除术后体外膜肺氧合（ECMO）外，所有参数的术后发病率相当。(4) 结论：在本研究中，生存机会和术后结局本身与国籍无关，而是与潜在的合并症有关。
