Análisis de la mortalidad intrahospitalaria de la cirugía de revascularización coronaria

Palma-Ruiz, Matilde; Dueñas, Lucía García de; Rodríguez-González, Abel; Sarría‐Santamera, Antonio

doi:10.1016/s0300-8932(03)76940-1

Cited by 14 publications

(4 citation statements)

References 23 publications

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“…According to our results, during this period, 22 per cent CABG patients were women. This is consistent with other studies (Palma-Ruiz et al, 2003), as are older age and greater severity observed as higher female Charlson Indices. If we limit our analysis to 2,909 patients who died in hospital after surgery then these characteristics remain unchanged in women.…”

Section: Research Implications and Limitationssupporting

confidence: 93%

“…In-hospital mortality after coronary artery bypass graft varies depending on information sources. The minimum data set (MSBD) reported a 7.7 per cent mortality rate in 1998 (Palma-Ruiz et al, 2003), whereas the Sociedad Española de Cirugía Cardiovascular (Spanish Society of Cardiovascular Surgery) reported 6.4 per cent (Igual and Segura, 2000). Moreover, other authors show in-hospital mortality rates varying between hospitals (Ribera et al, 2006;Rodríguez-Pérez et al, 2000), even after adjusting clinical or therapeutic factors that might explain these inequalities.…”

Section: Introductionmentioning

confidence: 99%

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In‐hospital mortality rates after CABG by autonomous regions in Spain

Rodríguez-Rieiro

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et al. 2011

International Journal of Health Care Quality Assurance

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Section: Research Implications and Limitationssupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

In‐hospital mortality rates after CABG by autonomous regions in Spain

Rodríguez-Rieiro

Pérez

Orden

et al. 2011

International Journal of Health Care Quality Assurance

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“…At the same time, one of the biggest criticisms of this voluntary registry may be related to estimated values unreachable for other populations [ 6 ]. It is known that the results of mandatory registries, which include all operated patients, can have high deviation [ 7 ]. In underdeveloped or developing countries, the evaluation provided by these tools can be impaired, due to the measurement of only part of the treatment, not the health system [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Mortality risk prediction in high-risk patients undergoing coronary artery bypass grafting: Are traditional risk scores accurate?

et al. 2021

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Background The performance of traditional scores is significantly limited to predict mortality in high-risk cardiac surgery. The aim of this study was to compare the performance of STS, ESII and HiriSCORE models in predicting mortality in high-risk patients undergoing CABG. Methods Cross-sectional analysis in the international prospective database of high-risk patients: HiriSCORE project. We evaluated 248 patients with STS or ESII (5–10%) undergoing CABG in 8 hospitals in Brazil and China. The main outcome was mortality, defined as all deaths occurred during the hospitalization in which the operation was performed, even after 30 days. Five variables were selected as predictors of mortality in this cohort of patients. The model’s performance was evaluated through the calibration-in-the-large and the receiver operating curve (ROC) tests. Results The mean age was 69.90±9.45, with 52.02% being female, 25% of the patients were on New York Heart Association (NYHA) class IV and 49.6% had Canadian Cardiovascular Society (CCS) class 4 angina, and 85.5% had urgency or emergency status. The mortality observed in the sample was 13.31%. The HiriSCORE model showed better calibration (15.0%) compared to ESII (6.6%) and the STS model (2.0%). In the ROC curve, the HiriSCORE model showed better accuracy (ROC = 0.74) than the traditional models STS (ROC = 0.67) and ESII (ROC = 0.50). Conclusion Traditional models were inadequate to predict mortality of high-risk patients undergoing CABG. However, the HiriSCORE model was simple and accurate to predict mortality in high-risk patients.

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“…Diferentes autores han intentado, con éxito variable, relacionar las respuestas inflamatorias más acusadas y la aparición de complicaciones con factores como el tabaco, el alcohol, la edad 3,4,42,43 , la disfunción ventricular izquierda sistólica 43,44 , la diabetes mal controlada 3,45,46 , la extensión de la cardiopatía isquémica 47 o la inestabilidad hemodinámica al inicio de la intervención 48 . En general se acepta que una adecuada evaluación preoperatoria del riesgo permite estimar con acierto la morbimortalidad [49][50][51] . En todo caso, la más reducida contractilidad en los pacientes sin CEC haría presuponer peores resultados en términos de defensa antioxidante 43,44 ,y este dato fue contrario a nuestros hallazgos, lo que sugiere que se debe buscar una explicación directamente asociada con la intervención.…”

Section: Discussionunclassified