Gender and racial differences in surgical outcomes among adult patients with acute heart failure

Abstract Background Approximately three million U.S. adult women have heart failure (HF), increasing their risk of adverse perioperative outcomes. While gender and racial differences are reported in surgical outcomes, less is known about 30-day perioperative outcomes in HF patients. Objectives To characterize and compare gender and racial differences in 30-day perioperative outcomes in adults with new or acute/worsening HF. Methods The 2012–2013 American College of Surgeons National Surgical Quality Improvement Program database of surgical patients (n = 9458) with HF was analyzed. Logistic regression was used to adjust for gender and racial differences in baseline covariates. Results No gender difference in mortality (odds ratio = 0.922, 95% confidence interval = 0.0792–1.073, p = 0.294) was noted. Whites were more likely than Blacks to die 30 days after surgery (14% vs 9%, p  Conclusions There was no gender difference in mortality. White patients with HF were more likely to die after surgery than Black patients.