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Войти в исследования Journal of cardiothoracic and vascular anesthesia · 2026
Post-Operative Complications in Aboriginal and Torres Strait Islander People Undergoing Cardiac Surgery: A Scoping Review.
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Flabouris Katerina, Pearson Odette, Morey Kim, Hardikar Ashutosh, Gibb Catherine, Wong Bianca, Jesudason David, Marathe Chinmay S
Аннотация
BACKGROUND: Aboriginal and Torres Strait Islander people experience significant perioperative health inequity following cardiac surgery. While post-operative outcomes have been summarized in those undergoing coronary artery bypass grafting (CABG), perioperative cardiac surgical outcomes for Aboriginal and Torres Strait Islander people have not.
METHODS: A literature review was conducted using MEDLINE, Scopus and Embase databases to identify published data comparing post-operative complications in Aboriginal and Torres Strait Islander and non-Indigenous Australian adults undergoing cardiac surgery. Selected search terms were used to identify abstracts from eligible studies, which were then screened to identify relevant articles.
RESULTS: We identified 15 observational studies examining post-operative complications in Aboriginal and Torres Strait Islander people undergoing cardiac surgery. Seven focused on isolated CABG, two on isolated valve surgery, and the remainder examined a combination of both. These studies revealed higher post-operative complication rates including myocardial infarction, kidney failure, and long-term mortality among Aboriginal and Torres Strait Islander people compared to their (frequently >10 year) older non-Indigenous Australian counterparts. Post-CABG, this was largely driven by greater preoperative comorbidity (including higher rates of diabetes mellitus and chronic kidney disease). No studies evaluated pre-operative socioeconomic status, frailty or malnutrition, post-operative self-discharge rates or sepsis, or adjusted analyses of post-operative outcomes following valve surgery. No interventional studies were identified.
CONCLUSION: Aboriginal and Torres Strait Islander people experience greater post-operative morbidity and mortality following cardiac surgery than non-Indigenous Australians. However, further research is warranted to explore several clinically relevant pre-operative variables and post-operative complications, and potential interventions to reduce perioperative inequity in this setting.
METHODS: A literature review was conducted using MEDLINE, Scopus and Embase databases to identify published data comparing post-operative complications in Aboriginal and Torres Strait Islander and non-Indigenous Australian adults undergoing cardiac surgery. Selected search terms were used to identify abstracts from eligible studies, which were then screened to identify relevant articles.
RESULTS: We identified 15 observational studies examining post-operative complications in Aboriginal and Torres Strait Islander people undergoing cardiac surgery. Seven focused on isolated CABG, two on isolated valve surgery, and the remainder examined a combination of both. These studies revealed higher post-operative complication rates including myocardial infarction, kidney failure, and long-term mortality among Aboriginal and Torres Strait Islander people compared to their (frequently >10 year) older non-Indigenous Australian counterparts. Post-CABG, this was largely driven by greater preoperative comorbidity (including higher rates of diabetes mellitus and chronic kidney disease). No studies evaluated pre-operative socioeconomic status, frailty or malnutrition, post-operative self-discharge rates or sepsis, or adjusted analyses of post-operative outcomes following valve surgery. No interventional studies were identified.
CONCLUSION: Aboriginal and Torres Strait Islander people experience greater post-operative morbidity and mortality following cardiac surgery than non-Indigenous Australians. However, further research is warranted to explore several clinically relevant pre-operative variables and post-operative complications, and potential interventions to reduce perioperative inequity in this setting.