Proposta de escore de risco pré-operatório para pacientes candidatos à cirurgia cardíaca valvar

Abstract

Background: To establish a risk score for heart surgery allows the assessment of preoperative risk, informing the patient and defining care during the intervention.

Bloqueio atrioventricular no pós-operatório de cirurgia cardíaca valvar

“…Evaluation of surgical risk score of Guaragna et al [5] Ferrari ADL, et al In this analysis, we observed a higher risk of TCP in POCS in patients undergoing mitral valve replacement (OR = 1.45, 95% CI 1.05 to 2.00, P = 0.02) and patients who received bioprosthetic (OR = 2.02, 95% CI 1.4 to 2.92, P <0.0001). The 198 patients who received bioprosthetic had higher average age (69.4 ± 13.1 years) compared to the population that did not use (52.3 ± 14.8 years).…”

“…The risk assessment used in this study is a score developed in the service of post-operative cardiac surgery at the Hospital São Lucas da PUC-RS, and has been validated in a previous study [5]. Although the EuroSCORE is the most widespread, their patient population differs from the Brazilian.…”

Proposição de um escore de risco cirúrgico em pacientes submetidos à cirurgia de revascularização miocárdica

“…It was obtained an OR of 2.24 and 1.51 to 3.33 CI. The scores from the study group of Northern New England (NNE), hospital mortality was 2.4 times higher in patients with peripheral vascular disease [30].…”

Applicability of Two International Risk Scores in Cardiac Surgery in a Reference Center in Brazil

“…On the other hand, Guaragna et al 23 , in 2010, created a local risk score for patients undergoing valve surgery, eliminating the use of international scores. Advanced age, surgical priority, female gender, ejection fraction < 45%, concomitant CABG, pulmonary hypertension, NYHA functional class III or IV, creatinine (1.5 to 2.49 and > 2.5 mg/dL or dialysis) were identified as risk predictors.…”