EuroSCORE e mortalidade em cirurgia de revascularização miocárdica no Pronto Socorro Cardiológico de Pernambuco

Sá, Michel Pompeu Barros de Oliveira; Soares, Evelyn Figueira; Santos, Cecília Andrade; Figueredo, Omar Jacobina; Lima, Renato Oliveira Albuquerque; Escobar, Rodrigo; Silva, Frederico Pires Vasconcelos; Lima, Ricardo de Carvalho

doi:10.1590/s0102-76382010000400010

Cited by 14 publications

(11 citation statements)

References 21 publications

(28 reference statements)

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“…An analysis of 439 North American hospitals revealed that the performance of a low number of surgeries was associated with higher rates of mortality (3.5%) compared with hospitals where the number of surgeries performed was higher (2.4%) [20]. Regarding infrastructure, Sá et al (2010) reported that higher rates of in-hospital mortality were associated with CABGs performed in public institutions than with those performed in private hospitals [21]. This observation may be related to both the underlying problems of the institutions where the surgical procedure was performed and to infrastructure, which are difficulties frequently observed in public institutions.…”

Section: Discussionmentioning

confidence: 99%

“…This observation may be related to both the underlying problems of the institutions where the surgical procedure was performed and to infrastructure, which are difficulties frequently observed in public institutions. Hindered access to services and delays in services, whether basic or more complex health services, may result in the worsening of coronary artery disease and possible comorbidities, resulting in patients with limited physiologic reserves [6,7,21].…”

Section: Discussionmentioning

confidence: 99%

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

Oliveira¹,

Westphal²,

Mastroeni³

2012

Rev Bras Cir Cardiovasc

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Características clínico-demográficas de pacientes submetidos à cirurgia de revascularização do miocárdio e sua relação com a mortalidadeDemographic and clinical characteristics of patients undergoing coronary artery bypass graft surgery and their relation to mortality Abstract Objective: To describe the demographic and clinical characteristics of patients undergoing coronary artery bypass graft surgery (CABG) and to test their relation to mortality. Methods: This study was a retrospective medical record review of 655 consecutive patients undergoing CABG from May 2002 to April 2010. Results: Of the 655 patients, 12.1% died during the hospital stay. Mortality was significantly (p<0.05) higher in females (17.3%), aged < 70 years (22.8%), in emergency surgery (36.4%), in cases of readmission to the intensive care unit (ICU) (33.3%), when the stay in the ICU was < three days (16.3%), undergoing longer cardiopulmonary bypass (CPB), and with more comorbidities (15.4%). Predictor variables of death identified with logistical regression analysis were: female (OR=2.04), age > 70 years (OR=2.69), emergency surgery (OR=15.43) and urgency (OR=3.81), performance of CPB (OR=2.19) and readmission to the ICU (OR=4.33). Conclusion: Variables such as female sex, increased age, type of surgery, readmission to the ICU, ICU stay, comorbidities, and duration of CPB influence the outcome death in patients undergoing CABG. Thus, such aspects should be considered to reduce hospital mortality in patients undergoing such surgery. Descriptors: Coronary Artery Bypass; cardiovascular diseases; medical records; hospital mortality. Resumo Objetivo: Descrever as características clínicodemográficas e testar sua relação com a mortalidade hospitalar em pacientes submetidos à cirurgia de revascularização do miocárdio (CRM).Métodos: Estudo retrospectivo conduzido a partir dos prontuários de 655 pacientes submetidos à CRM, no período de maio de 2002 a abril de 2010.Resultados: A mortalidade hospitalar foi de 12,1%. A mortalidade foi significativamente (P<0,05) maior em indivíduos do sexo feminino (17,3%), com idade igual ou superior a 70 anos (22,8%), em cirurgias de emergência (36,4%), nos casos de reinternação na unidade de terapia intensiva (UTI) (33,3%), quando a permanência foi inferior a três dias na UTI (16,3%), submetidos a maior tempo de RBCCV 44205-1350 Oliveira EL, et al. -Demographic and clinical characteristics of patients undergoing coronary artery bypass graft surgery and their relation to mortality Rev Bras Cir Cardiovasc 2012;27(1):52-60

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Oliveira¹,

Westphal²,

Mastroeni³

2012

Rev Bras Cir Cardiovasc

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“…Three papers focused on EuroSCORE: de Carvalho et al3 critically analyzed the EuroSCORE logistic model application in 2,692 patients undergoing Coronary Artery Bypass Grafting in four public hospitals in the Rio de Janeiro and claim that the differences in the prevalence rates for the risk factors associated with its low power of discrimination, hamper recommendation for its use in Brazil, without essential adjustments. Sa et al4 evaluated EuroSCORE applicability in patients undergoing coronary artery bypass graft surgery at the Division of Cardiovascular Surgery of Pernambuco Cardiologic Emergency Medical Services and found it to be a simple and objective index, revealing a satisfactory discriminator of postoperative evolution in patients undergoing CABG surgery at their institution. Nery et al5 compared the Cleveland Clinical Score and EuroSCORE when evaluating patients submitted to elective coronary artery bypass grafting in Rio Grande do Sul and found both to be effective to evaluate risk of death in patients electively submitted to CABGS.…”

Section: Introductionmentioning

confidence: 99%

A survey of recently published cardiovascular, hematological and pneumological original articles in the Brazilian scientific press

Patel¹,

Caramelli²,

Gomes³

2011

Clinics

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Recent original scientific contributions published in selected Brazilian periodicals and classifiable under cardiovascular and pulmonary subject categories cover a wide range of sub specialties, both clinical and exprimental. Because they appear in journals with only recently enhanced visibility, we have decided to highlight a number of specific items appeared in four Brazilian journals, because we understand that this is an important subsidy to keep our readership adequately informed. These papers cover extensive sub-areas in both fields.

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“…Another recent work 9 involving 600 patients undergoing CABG in public hospitals showed a mortality rate during hospital stay of 12.2%. Sá et al 10 showed a mortality rate during hospital stay of 13% involving 500 patients undergoing CABG in a public institution. Apparently there is some influence of the institutional factor (public versus private), with in-hospital mortality of public institutions being higher than in private Table 2 Table 2 Table 2 Table 2 Table 2 Table 3 Table 3 Table 3 Table 3 Table 3 Table 4 Table 4 Table 4 Table 4 Table 4 ones.…”

Section: Multivariate Logistic Regression Analysis Multivariate Logismentioning

confidence: 99%

Mortalidade perioperatória em diabéticos submetidos à cirurgia de revascularização miocárdica

Sá¹,

Soares²,

Santos³

et al. 2012

Rev. Col. Bras. Cir.

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EuroSCORE e mortalidade em cirurgia de revascularização miocárdica no Pronto Socorro Cardiológico de Pernambuco

Cited by 14 publications

References 21 publications

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

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

A survey of recently published cardiovascular, hematological and pneumological original articles in the Brazilian scientific press

Mortalidade perioperatória em diabéticos submetidos à cirurgia de revascularização miocárdica

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