| アブストラクト | BACKGROUND: Ischemic heart disease is a leading cause of death worldwide, and coronary artery bypass grafting (CABG) is a major treatment. Landiolol is an ultra-short-acting beta-antagonist known to prevent postoperative atrial fibrillation. However, the effectiveness of intraoperative landiolol on mortality remains unknown. This study aimed to evaluate the association between intraoperative landiolol use and the in-hospital mortality in patients undergoing CABG. METHODS: To conduct this retrospective cohort study, we used data from the Japanese Diagnosis Procedure Combination inpatient database. All patients who underwent CABG during hospitalization between July 1, 2010, and March 31, 2020, were included. Patients who received intraoperative landiolol were defined as the landiolol group, whereas the other patients were defined as the control group. The primary outcome was in-hospital mortality. Propensity score matching was used to compare the landiolol and control groups. RESULTS: In total, 118,506 patients were eligible for this study, including 25,219 (21%) in the landiolol group and 93,287 (79%) in the control group. One-to-one propensity score matching created 24,893 pairs. After propensity score matching, the in-hospital mortality was significantly lower in the landiolol group than that in the control group (3.7% vs 4.3%; odds ratio 0.85; 95% confidence interval 0.78 to 0.94; P = .010). CONCLUSIONS: Intraoperative landiolol use was associated with decreased in-hospital mortality in patients undergoing CABG. Further randomized controlled trials are required to confirm these findings. |
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| ジャーナル名 | Anesthesia and analgesia |
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| 投稿日 | 2023/10/18 |
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| 投稿者 | Iwasaki, Yudai; Ohbe, Hiroyuki; Nakajima, Mikio; Sasabuchi, Yusuke; Ikumi, Saori; Kaiho, Yu; Yamauchi, Masanori; Fushimi, Kiyohide; Yasunaga, Hideo |
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| 組織名 | From the Department of Anesthesiology and Perioperative Medicine, Tohoku;University Graduate School of Medicine, Miyagi, Japan.;Department of Clinical Epidemiology and Health Economics, School of Public;Health, The University of Tokyo, Tokyo, Japan.;Emergency Life-Saving Technique Academy of Tokyo, Foundation for Ambulance;Service Development, Tokyo, Japan.;Emergency and Critical Care Center, Tokyo Metropolitan Hiroo Hospital, Tokyo,;Japan.;Data Science Center, Jichi Medical University, Tochigi, Japan.;Department of Health Policy and Informatics, Tokyo Medical and Dental University;Graduate School of Medicine, Tokyo, Japan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/37851905/ |
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