Fatores de risco para mortalidade de pacientes submetidos à revascularização miocárdica
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| Format: | Artículo científico |
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Sociedade Brasileira de Cirurgia Cardiovascular
2014
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| author | Carlos Alberto dos Santos |
| author_facet | Carlos Alberto dos Santos |
| contents | Fatores de risco para mortalidade de pacientes submetidos à revascularização miocárdica Carlos Alberto dos Santos Marcos Aurélio Barboza de Oliveira Antônio Carlos Brandi Paulo Henrique Husseini Botelho Josélia de Cássia Menin Brandi Marcio Antônio dos Santos Moacir Fernandes de Godoy Domingo Marcolino Braile Medicina mortality Risk factors myocardial revascularization Introduction: Coronary artery bypass grafting is a safe procedure performed worldwide with low rates of mortality and morbidity in general population. Objective: To investigate risk factors for mortality of patients undergoing coronary artery bypass grafting coronary artery bypass grafting surgery. Methods: A total of 1,628 consecutive patients undergoing on-pump coronary artery bypass grafting were retrospectively studied from December 1999 to February 2012. Data analysis involved paired Student t test, Mann-Whitney test and Fisher’s exact test for the categorical data. Logistic regression, Odds Ratio and 95%CI were used for definition of risk factors for mortality. Results: Of a total of 1,628 patients undergoing on-pump coronary artery bypass grafting, 141 (8.7%) died. The following risk factors for mortality were identified after logistic regression: dialysis (OR=7.61; 95%CI 3.58-16.20), neurologic dysfunction type I (OR=4.42; 95%CI 2.48-7.81), use of IABP (OR=3.38; 95%CI 1.98-5.79), cardiopulmonary bypass time (OR=3.09; 95%CI 2.04-4.68), serum creatinine on admission and peak values > 0.4mg/dL (OR=2.67; 95%CI 1.79-4.00), age > 65 years (OR=2.31; 95%CI 1.55-3.44), and time between hospital admission and and surgical procedure (OR=1.53; 95%CI 1.03-2.27). Conclusion: Dialysis, type I neurologic dysfunction, use of IABP, cardiopulmonary bypass time (> 115 minutes), serum creatinine on admission and peak values>0.4mg/dL, age > 65 years and time between hospital admission and surgical procedure were considered as risk factors for mortality in patients undergoing on-pump coronary artery bypass grafting surgery. 2014 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941895007 pt http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.4 Vol.29 |
| format | Artículo científico |
| id | redalyc_398941895007 |
| institution | Redalyc |
| language | pt |
| publishDate | 2014 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Fatores de risco para mortalidade de pacientes submetidos à revascularização miocárdica Carlos Alberto dos Santos Medicina mortality Risk factors myocardial revascularization Fatores de risco para mortalidade de pacientes submetidos à revascularização miocárdica Carlos Alberto dos Santos Marcos Aurélio Barboza de Oliveira Antônio Carlos Brandi Paulo Henrique Husseini Botelho Josélia de Cássia Menin Brandi Marcio Antônio dos Santos Moacir Fernandes de Godoy Domingo Marcolino Braile Medicina mortality Risk factors myocardial revascularization Introduction: Coronary artery bypass grafting is a safe procedure performed worldwide with low rates of mortality and morbidity in general population. Objective: To investigate risk factors for mortality of patients undergoing coronary artery bypass grafting coronary artery bypass grafting surgery. Methods: A total of 1,628 consecutive patients undergoing on-pump coronary artery bypass grafting were retrospectively studied from December 1999 to February 2012. Data analysis involved paired Student t test, Mann-Whitney test and Fisher’s exact test for the categorical data. Logistic regression, Odds Ratio and 95%CI were used for definition of risk factors for mortality. Results: Of a total of 1,628 patients undergoing on-pump coronary artery bypass grafting, 141 (8.7%) died. The following risk factors for mortality were identified after logistic regression: dialysis (OR=7.61; 95%CI 3.58-16.20), neurologic dysfunction type I (OR=4.42; 95%CI 2.48-7.81), use of IABP (OR=3.38; 95%CI 1.98-5.79), cardiopulmonary bypass time (OR=3.09; 95%CI 2.04-4.68), serum creatinine on admission and peak values > 0.4mg/dL (OR=2.67; 95%CI 1.79-4.00), age > 65 years (OR=2.31; 95%CI 1.55-3.44), and time between hospital admission and and surgical procedure (OR=1.53; 95%CI 1.03-2.27). Conclusion: Dialysis, type I neurologic dysfunction, use of IABP, cardiopulmonary bypass time (> 115 minutes), serum creatinine on admission and peak values>0.4mg/dL, age > 65 years and time between hospital admission and surgical procedure were considered as risk factors for mortality in patients undergoing on-pump coronary artery bypass grafting surgery. 2014 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941895007 pt http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.4 Vol.29 |
| title | Fatores de risco para mortalidade de pacientes submetidos à revascularização miocárdica |
| topic | Medicina mortality Risk factors myocardial revascularization |
| url | https://www.redalyc.org/articulo.oa?id=398941895007 |