It is time for enhanced recovery after surgery in cardiac surgery

Krzych, Łukasz J.; Kucewicz‐Czech, Ewa

doi:10.5603/kp.a2017.0014

Cited by 16 publications

(13 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…25) Compelling evidence has demonstrated that bundles of evidence-based best practices, delivered by a multidisciplinary team throughout the operative process, lead to an earlier return to preoperative physiologic functions after surgery compared to traditional methods. [26][27][28] Enhanced recovery after surgery (ERAS) programs have been shown to reduce the component parts of the surgical stress response, such as insulin resistance and the resulting catabolic state. 29) In addition, with a reduced stress response comes a faster recovery time, which improves both morbidity and short-term and long-term mortality.…”

Section: Article P474mentioning

confidence: 99%

Systemic Inflammatory Stress Response During Cardiac Surgery

Sugita

Fujiu

2018

Int. Heart J.

View full text Add to dashboard Cite

Section: Article P474mentioning

confidence: 99%

Systemic Inflammatory Stress Response During Cardiac Surgery

Sugita

Fujiu

2018

Int. Heart J.

View full text Add to dashboard Cite

“…In the premenopausal period, women have a lower prevalence of cardiovascular and metabolic diseases than men of the same age. In contrast, after menopause (50-59 years of age), there is a higher prevalence of these diseases in women, indicating that the hormonal transition present in menopause is an important risk factor for female morbidity and mortality 1 . Menopause is a phase of the life cycle that occurs in women at the age of 51 and is characterized by amenorrhea for at least 12 uninterrupted months 2 .…”

Section: Introductionmentioning

confidence: 98%

Effect of physical exercise on cardiometabolic parameters in post-menopause: an integrative review

Rodrigues¹,

Carvalho

Gonçalves

2019

Rev. bras. geriatr. gerontol.

View full text Add to dashboard Cite

Objective: To identify the evidence available in literature which relates the practice of physical exercise to improvements in the cardiovascular and metabolic parameters of postmenopausal women. Method: A search was performed of works published between 2008 and 2018 included in the MEDLINE, BDENF, IBCS and LILACS databases. Of the 792 studies identified, 23 met the inclusion criteria. Results: Following analysis, the studies were separated into three categories. In the first category it was observed that physical exercise improved lipid metabolism, reduced abdominal circumference and promoted weight loss. The second category revealed that physical exercise reduced systolic blood pressure, prevented the development of arterial hypertension and reduced the release of sympathomimetic hormones. In the third category the studies indicated that physical exercise elevated the antioxidant mediators and reversed the oxidative stress involved in the inflammatory reactions present in cardiovascular diseases. Conclusion: The studies confirm the beneficial effects of physical exercise on the metabolic and cardiovascular parameters of postmenopausal women.

show abstract

“…Furthermore, the physiological stress that accompanies surgery may aggravate the patient’s malnutrition, which increases the risk of an adverse outcome. For these reasons, nutritional support therapy (e.g., dietary counselling, oral supplementation) or even the introduction of an enhanced recovery after cardiac surgery (ERACS) protocol should be considered when treating this group of patients [31,32].…”

Section: Discussionmentioning

confidence: 99%

Association between Nutritional Status and Mortality after Aortic Valve Replacement Procedure in Elderly with Severe Aortic Stenosis

et al. 2019

View full text Add to dashboard Cite

Background: There is still a lack of data on the nutritional status of older people with aortic stenosis (AS) and the effect of poor nutrition on the occurrence of complications and mortality after an aortic valve replacement (AVR) procedure. The aim of this study was to assess the impact of selected nutritional status parameters in elderly patients with severe AS on the occurrence of postoperative complications and one-year mortality after the AVR procedure. Methods: 101 elderly patients with AS aged 74.6 ± 5.2 years who qualified for surgical treatment (aortic valve area [AVA] 0.73 ± 0.2 cm2) were enrolled in the study. A nutritional status assessment was performed before AVR surgery, and the frequency of postoperative complications occurring within 30 days of surgery was assessed. The one-year mortality rate was also captured. Results: Adverse events (both major and minor) up to 30 days occurred in 49.5% (n = 50) of the study population. Low Mini Nutritional Assessment (f-MNA) and Subjective Global Assessment (7-SGA) scores and low concentrations of total cholesterol, LDL-cholesterol, and prealbumin were associated with a higher risk of postoperative complications. The risk of complications increased 1.22 times (95% CI; 1.030–1.453; p = 0.019) with an impaired nutritional status. The annual mortality rate in the study group was 7.9%. Unintentional weight loss of >2.8% in the six months preceding surgery proved useful for predicting death within the first year after AVR surgery. Conclusions: The results indicate that poor nutritional status is an important factor affecting the adverse outcomes in elderly patients with severe aortic valve stenosis undergoing an AVR procedure.

show abstract

It is time for enhanced recovery after surgery in cardiac surgery

Cited by 16 publications

References 34 publications

Systemic Inflammatory Stress Response During Cardiac Surgery

Systemic Inflammatory Stress Response During Cardiac Surgery

Effect of physical exercise on cardiometabolic parameters in post-menopause: an integrative review

Association between Nutritional Status and Mortality after Aortic Valve Replacement Procedure in Elderly with Severe Aortic Stenosis

Contact Info

Product

Resources

About