Predicting In-Hospital Mortality After Redo Cardiac Operations: Development of a Preoperative Scorecard

Launcelott, Sebastian; Ouzounian, Maral; Buth, Karen J.; Légaré, Jean‐François

doi:10.1016/j.athoracsur.2012.04.062

Cited by 50 publications

(47 citation statements)

References 18 publications

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“…Advanced age has been identified as strong risk factor for perioperative morbidity and mortality, and cardiac reoperations are also known to be associated with increased operative risk . Therefore, octogenarians with a history of previous cardiac surgery are recognized as high‐risk patients, suffering from excess perioperative mortality.…”

Section: Introductionmentioning

confidence: 99%

“…[2][3][4][5][6][7][8] Advanced age has been identified as strong risk factor for perioperative morbidity and mortality, 9,10 and cardiac reoperations are also known to be associated with increased operative risk. [11][12][13][14][15] Therefore, octogenarians with a history of previous cardiac surgery are recognized as high-risk patients, suffering from excess perioperative mortality. Only the prospect of a complete and sustainable postoperative recovery with reasonable quality of life (QOL) would outweigh the increased perioperative risk and also justify disproportional consumption of hospital resources.…”

Section: Introductionmentioning

confidence: 99%

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Cardiac reoperations in octogenarians: Do they really benefit?

Deschka

Machner

Welp

et al. 2015

Geriatrics Gerontology Int

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cardiac reoperations in octogenarians: Do they really benefit?

Deschka

Machner

Welp

et al. 2015

Geriatrics Gerontology Int

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“…The other deaths among the re-operation group of patients had the same mixture of reasons for death as the rest Table 3.. In a large series of 1 521 re-operations, the mortality rate was 9.7% (in the Tabula viva chirurgi re-operations had a mortality rate of 9.2%) 32. Pre-operative renal impairment (CKD III in particular) and an associated procedure were not investigated in the Working Group during the 1990s.…”

Section: Discussionmentioning

confidence: 77%

Tabula viva chirurgi: a living surgical document

Swart

Joubert

Berg

et al. 2016

CVJA

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SummaryAim:The purpose of this article is to present the results of a private cardiac surgical practice. This information could also serve as a hermeneutical text for new wisdom.Methods:A personal database of 1 750 consecutive patients who had had coronary artery bypass graft (CABG) surgery was statistically analysed. Mortality and major morbidity figures were compared with large registries. Risk factors for postoperative death were determined.Results:Over a period of 12 years, 1 344 (76.8%) males and 406 (23.2%) females were operated on. The observed mortality rate was 3.03% and the expected mortality rate (EuroSCORE) was 3.87%. After stepwise logistic regression, independent risk factors for death were urgency (intra-aortic balloon pump), renal impairment (chronic kidney disease, stage III), re-operation and an additional procedure. Apart from the 53 deaths, another 91 patients had major complications.Conclusion:Mortality and morbidity rates compared favourably with other international registries. Mortality was related to co-morbidities. This outcome contributes to a hermeneutical understanding focusing on new spiritual wisdom and meaning for the surgeon.

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“…Reoperative cardiac surgeries represent a high-risk entity for the presence of technical complexity, more advanced cardiac pathology, and the existence of more frequent comorbidities [1]. One of the important issues that should not be overlooked, especially in the redo surgeries, is the presence of unusual embolic sources.…”

Section: Discussionmentioning

confidence: 99%

Echocardiographic detection of left atrial mobile calcium debris of trido valve surgery: a case report

Song

Shim

Sun

et al. 2014

Korean J Anesthesiol

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Calcification of the cardiac chambers is among the challenges associated with reoperative cardiac surgeries by increasing the risk of systemic embolization. We experienced a case of an unexpected detected mass by intraoperative transesophageal echocardiography during weaning from cardiopulmonary bypass in a patient undergoing trido mitral and tricuspid valve replacement surgery. The surgically removed mass was identified as calcified tissue. This case shows the importance of careful echocardiographic evaluation of the left heart in patients undergoing repeat valve surgery given their greater potential for embolic sources.

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Predicting In-Hospital Mortality After Redo Cardiac Operations: Development of a Preoperative Scorecard

Cited by 50 publications

References 18 publications

Cardiac reoperations in octogenarians: Do they really benefit?

Cardiac reoperations in octogenarians: Do they really benefit?

Tabula viva chirurgi: a living surgical document

Echocardiographic detection of left atrial mobile calcium debris of trido valve surgery: a case report

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