Table 3 Preoperative RAS inhibitors and postoperative outcomes

From: Perioperative use of renin-angiotensin system inhibitors and outcomes in patients undergoing cardiac surgery

Outcome n (%)

Unadjusted

IPW adjusted

One-to-one matched

RASi (N = 3603)

Non RASi (N = 4978)

OR 95% CI

p-value

OR 95% CI

p-value

RASi (N = 3284)

Non RASi (N = 3284)

OR 95% CI

p-value

MACE

417 (11.6)

650 (13.1)

0.87 (0.76–0.99)

0.04

0.89 (0.81–0.97)

0.01

377 (11.48)

419 (12.76)

0.90 (0.77–1.05)

0.19

Perioperative MI

29 (0.80)

39 (0.78)

1.03 (0.63–1.67)

0.91

1.07 (0.76–1.48)

0.69

26 (0.79)

25 (0.76)

1.02 (0.58–1.78)

0.95

Heart block

51 (1.42)

58 (1.17)

1.22 (0.83–1.78)

0.31

1.50 (1.16–1.94)

0.01

48 (1.46)

40 (1.22)

1.19 (0.77–1.82)

0.42

Cardiac arrest

86 (2.39)

113 (2.27)

1.05 (0.79–1.40)

0.72

1.11 (0.91–1.41)

0.29

80 (2.44)

67 (2.04)

1.28 (0.92–1.79)

0.47

Permanent stroke

68 (1.89)

111 (2.23)

0.84 (0.62–1.14)

0.27

0.85 (0.69–1.01)

0.13

59 (1.80)

68 (2.07)

0.88 (0.62–1.25)

0.47

TIA

15 (0.42)

24 (0.48)

0.86 (0.45–1.65)

0.66

0.90 (0.57–1.43)

0.66

12 (0.37)

13 (0.40)

0.91 (0.41–2.02)

0.77

Coma

26 (0.72)

40 (0.80)

0.90 (0.55–1.47)

0.67

0.88 (0.62–1.25)

0.63

21 (0.64)

21 (0.64)

1.09 (0.59–2.03)

0.99

Renal failure

167 (4.64)

258 (5.18)

0.89 (0.73–1.09)

0.25

0.86 (0.75–0.97)

0.03

148 (4.51)

168 (5.12)

0.91 (0.72–1.15)

0.42

Total hrs ICU mean ± SD

112.4 ± 186

116.7 ± 179

4.51 (āˆ’3.27–12.3)

0.26

āˆ’1.94 (āˆ’10.4–6.2)

0.64

112.1 ± 188

112.6 ± 167

0.55 ± 178

0.90

Readmission

502 (13.93)

624 (12.54)

1.13 (0.996–1.28)

0.06

1.10 (1.01–1.21)

0.02

467 (14.22)

428 (13.03)

1.10 (0.95–1.27)

0.20

30-day mortality

128 (3.55)

251 (5.04)

0.69 (0.54–0.85)

0.01

0.67 (0.58–0.76)

<0.0001

112 (3.41)

165 (5.02)

0.69 (0.54–0.90)

0.01

  1. Values are mean ± SD or number or %. p-values are obtained via analyses using Pearson chi-square test or Wilcoxon rank-sum test (unadjusted) and then IPW or PSM (adjusted)
  2. MACE major adverse cardiovascular events, MI myocardial infarction, TIA transient ischemic attack