Preditores de mortalidade em pacientes acima de 70 anos na revascularização miocárdica ou troca valvar com circulação extracorpórea

Anderson, Alexander John Pessoa Grant; Neto, Francisco Xavier do Rêgo Barros; Costa, Marcelo de Almeida; Dantas, Luciano Domingues; Hueb, Alexandre Ciappina; Prata, Marcelo Fernandes

doi:10.1590/s0102-76382011000100014

Cited by 16 publications

(14 citation statements)

References 18 publications

(17 reference statements)

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“…This is supported by the higher prevalence of vascular disease (cerebrovascular and peripheral) and CKD (Table 1). In Brazil, when considering the predictors of mortality in patients aged > 70 years undergoing CABG or valve replacement with CPB, Anderson et al [13] reported a mortality rate of 8.3% for those undergoing isolated CABG. Souza et al [12] found a 30-day hospital mortality rate of 8.5%, when analyzing the outcomes of CABG performed in 492 patients aged 70 years or over.…”

Section: Discussionmentioning

confidence: 99%

A idade influencia os desfechos em pacientes com idade igual ou superior a 70 anos submetidos à cirurgia de revascularização miocárdica isolada

Rocha¹,

Pittella²,

Lorenzo³

et al. 2012

Rev Bras Cir Cardiovasc

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A idade influencia os desfechos em pacientes com idade igual ou superior a 70 anos submetidos à cirurgia de revascularização miocárdica isoladaAge influences outcomes in 70-year or older patients undergoing isolated coronary artery bypass graft surgery Abstract Objective: To analyze the results of isolated on-pump coronary artery bypass graft surgery (CABG) in patients ≥ 70 years old in comparison to patients <70 years old.Methods: Patients undergoing isolated CABG were selected for the study. The patients were assigned into two groups: G1 (age ≥ 70 years old) and G2 (age <70 years old).The endpoints were in-hospital mortality, acute myocardial infarction (AMI), stroke, re-exploration for bleeding, intraaortic balloon pump for circulatory shock, respiratory complications, acute renal failure, mediastinitis, sepsis, atrial fibrillation, and complete atrioventricular block (CAVB).Results: A total of 1,033 were included in the study: G1 Rev Bras Cir Cardiovasc 2012;27(1):45-51

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Section: Discussionmentioning

confidence: 99%

A idade influencia os desfechos em pacientes com idade igual ou superior a 70 anos submetidos à cirurgia de revascularização miocárdica isolada

Rocha¹,

Pittella²,

Lorenzo³

et al. 2012

Rev Bras Cir Cardiovasc

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“…Bashour et al [7] observed that for every 10 year increase in age, the length of stay increased by 1.9 times. The association of older age with prolonged hospitalization may be due to the fact that this age group have a higher rate of preoperative co-morbidities as hypertension, diabetes and chronic obstructive pulmonary disease, and the severity of the disease [10,29].…”

Section: Bmi -Body Mass Index; Ef -Ejection Fraction; Oi-sc -Oxygenatmentioning

confidence: 99%

Risk factors for prolonged hospital stay after isolated coronary artery bypass grafting

Oliveira¹,

Turquetto²,

Tauil³

et al. 2013

Revista Brasileira De Cirurgia Cardiovascular

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353Rev Bras Cir Cardiovasc | Braz J Cardiovasc SurgRev Bras Cir Cardiovasc 2013;28(3):353- ORIGINAL ARTICLE Abstract Introduction: Characteristics of the patient and the coronary artery bypass grafting may predispose individuals to prolonged hospitalization, increasing costs and morbidity and mortality.Objective: The objective of this study was to evaluate individual and perioperative risk factors of prolonged hospitalization in intensive care units and wards.Methods: We conducted a case-control study of 104 patients undergoing isolated coronary artery bypass grafting with cardiopulmonary bypass. Patients hospitalized >3 days in the intensive care unit or >7 days in the ward were considered for the study. The association between variables was estimated by the chi-square test, odds ratio and logistic regression; P ≤0.05 was considered statistically significant.Results: Hospital stay >3 days in the intensive care unit occurred for 22.1% of patients and >7 days in the ward for 27.9%. Among preoperative factors, diabetes (OR=3.17) and smoking (OR=4.07) were predictors of prolonged intensive care unit stay. Combining the pre-, intra-and postoperative variables, only mechanical ventilation for more than 24 hours (OR=6.10) was predictive of intensive care unit outcome. For the ward outcome, the preoperative predictor was left ventricular ejection fraction <50% (OR=3.04). Combining pre-and intraoperative factors, diabetes (OR=2.81), and including postoperative factors, presence of infection (OR=4.54) were predictors of prolonged hospitalization in the ward.Conclusion: Diabetes and smoking were predictors of intensive care unit outcome, and ejection fraction <50% of ward outcome. For the set of perioperative factors, prolonged hospitalization after isolated coronary artery bypass grafting was associated with mechanical ventilation >24 hours for the intensive care unit and presence of infection for the ward.Descriptors: Risk factors. Myocardial revascularization. Hospitalization. ResumoIntrodução: Características do paciente e da cirurgia de revascularização do miocárdio podem predispor à internação prolongada, aumentando custos e a morbimortalidade.Objetivo: Avaliar fatores de risco individuais e transoperató-rios para internação prolongada na unidade de terapia intensiva e na enfermaria. 354Rev Bras Cir Cardiovasc | Braz J Cardiovasc Surg Bras Cir Cardiovasc 2013;28(3):353-63 Oliveira EK, et al. -Risk factors for prolonged hospital stay after isolated coronary artery bypass grafting productivity [4,8], affecting family budgets, quality of life and increasing costs [1]. Bashour et al. [7] showed that, after cardiac surgery, many patients with prolonged hospital stay died soon after discharge and that the functional status of those who survived for a longer period was worse when compared with those who recovered faster. RevIn this context, the objective of this study was to identify pre-, intra-and postoperative risk factors for long hospitalizations in the ICU or the ward, of patients undergoing isolated CABG surgery w...

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“…Estimates suggest that the number of elderly in Brazil exceeds 30 million people over the next 20 years, which represent almost 13% of the population [1]. Coronary artery disease increases their frequency with age and, nowadays, is a highly prevalent condition worldwide population [2]. According Beaglehole [3], ischemic heart disease is the leading cause of death in developed countries, accounting for 30% of deaths per year.…”

Section: Introductionmentioning

confidence: 99%

Independent predictors of prolonged mechanical ventilation after coronary artery bypass surgery

Piotto¹,

Ferreira²,

Colósimo³

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

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Objective: To determine independent predictors of prolonged mechanical ventilation in patients undergoing coronary artery bypass graft surgery.Methods: Data of patients undergoing coronary artery bypass graft surgery were included prospectively from July 2009 to July 2010. All data were input into an electronic database. The resulting cohort included a total of 2952 patients of which 77 remained more than 48 hours on mechanical ventilation. Patients were divided into two groups: 1) a prolonged ventilation group, needing mechanical ventilation for more than 48 hours and 2) not prolonged ventilation group, undergoing a successful extubation within 48 hours.Results: After adjustment for confounding factors a multivariate analysis identified the following factors as independent predictors of prolonged mechanical ventilation: age (OR 1.06 95% CI 1.03 -1.09; P <0.001), chronic renal failure (OR 3.52 95% CI 1.84 -6.74; P <0.001), chronic obstructive pulmonary disease (OR 2.65 95% CI 1.38 -5.09; P = 0.004), coronary artery bypass graft associated with other procedures (OR 3.33 95 % CI 1.89 -5.58; P <0.001) and clamping time (OR 1.01 95% CI 1.00 -1.02; P = 0.018).Conclusion: The identification of these predictors allows the development of preventive strategies that could reduce invasive ventilation time, since patients on prolonged mechanical ventilation present greater morbidity and mortality rates.Descriptors: Myocardial revascularization. Respiration, artificial. Intensive care units. 521Rev Bras Cir Cardiovasc 2012;27(4) :520-8 Piotto RF, et al. -Independent predictors of prolonged mechanical ventilation after coronary artery bypass

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Preditores de mortalidade em pacientes acima de 70 anos na revascularização miocárdica ou troca valvar com circulação extracorpórea

Abstract: Rev Bras Cir Cardiovasc 2011; 26.1: 69-75

Cited by 16 publications

References 18 publications

A idade influencia os desfechos em pacientes com idade igual ou superior a 70 anos submetidos à cirurgia de revascularização miocárdica isolada

A idade influencia os desfechos em pacientes com idade igual ou superior a 70 anos submetidos à cirurgia de revascularização miocárdica isolada

Risk factors for prolonged hospital stay after isolated coronary artery bypass grafting

Independent predictors of prolonged mechanical ventilation after coronary artery bypass surgery

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