Determinants of mortality after cardiac surgery: results of the Registry of the Arbeitsgemeinschaft Leitender Kardiologischer Krankenhausärzte (ALKK) on 10525 Patients

Abstract

In a representative unselected group of cardiac surgery patients, operative mortality was 4.57%. Several procedural and clinical parameters were significantly correlated with mortality, but the risk increment by each of these factors was small. Unstructured clinical judgement reliably predicted the operative risk.

Insuficiência renal oculta acarreta risco elevado de mortalidade após cirurgia de revascularização miocárdica

“…This finding is similar to those obtained by Roques et al [25] and Vogt et al [26]. Roques et al [25], whose database was also used to develop the EuroSCORE and included 19,030 patients from 128 surgical centers in Europe, found overall in-hospital mortality of 4.8%.…”

“…Roques et al [25], whose database was also used to develop the EuroSCORE and included 19,030 patients from 128 surgical centers in Europe, found overall in-hospital mortality of 4.8%. And Vogt et al [26], when studied data from 10,000 consecutive patients from 81 cardiac surgery centers in Germany, found a mortality rate of 3.91% in 30 days postoperatively.…”

Características clínico-demográficas de pacientes submetidos a cirurgia de revascularização do miocárdio e sua relação com a mortalidade

“…In this study, this older population represented more than 40% of the sample, which may partially explain the high mortality rate observed. The mortality rate related to CABG and observed in studies restricted to the elderly population tends to be higher (9.3% to 16.3%) [8][9][10]. In studies of more heterogeneous populations, the mean age of the non-survivors is usually significantly higher [3,[11][12][13][14].…”

“…The fact that they tend to be older, with lower body mass and smaller coronary arteries, causes technical difficulties during surgery. Women also present with more comorbidities, such as DM (female: 44% vs. male: 32.5%), valve abnormalities (female: 14.9% vs. male: 8.9%), unstable angina (female: 11.3% vs. male: 7.9%) and hypertension (female: 71.0% vs. male: 49, 0%) [4,6,7,10,14,[28][29][30][31].…”

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

“…In Brazil, at the analysis of more than 115,000 heart surgeries carried out between 2000 and 2003, the reported mortality was 8%. The main risk factors for death during valve replacement surgeries are: advanced age 4 , female sex [5][6][7] , chronic obstructive pulmonary disease (COPD) 8,9 , New York Heart Association functional class (NYHA-FC), ventricular dysfunction, surgical priority (urgency/emergency), pulmonary arterial hypertension (PAH) 10 , renal dysfunction 11 , valvular disease associated with ischemic cardiopathy 12 , reoperation [13][14][15][16] and infectious endocarditis [17][18][19][20] .…”