Evaluation of variables responsible for hospital mortality in patients with rheumatic heart disease undergoing double valve replacement
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| Format: | Artículo científico |
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Sociedade Brasileira de Cirurgia Cardiovascular
2014
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| author | André Maurício Souza Fernandes |
| author_facet | André Maurício Souza Fernandes |
| contents | Evaluation of variables responsible for hospital mortality in patients with rheumatic heart disease undergoing double valve replacement André Maurício Souza Fernandes Gustavo Maltez de Andrade Rafael Marcelino Oliveira Gabriela Tanajura Biscaia Francisco Farias Borges dos Reis Cristiano Ricardo Macedo Andre Rodrigues Durães Roque Aras Junior Medicina Rheumatic fever hospital mortality preoperative period heart valve diseases Objective: To describe the hospital mortality and associated clinical and echocardiographic variables in patients with rheumatic disease who underwent double valve replacement surgery. Methods: This is a cross sectional descriptive study of mortality, performed in a referral hospital in Salvador, Bahia. Records from patients with rheumatic disease who underwent double valve replacement surgery during the years 2007-2011 were analyzed. Results: The studied sample comprises 104 patients and 60 (57.7%) were male. The mean age was 38.04±14.45. Sixty five bioprostheses and 38 mechanical prostheses were used in these patients at the time of surgery. There were statistically significant differences between the two groups, when we analyzed the following variables: the mean age (36.30±13.03 vs. 45.35±17.8 years-old, P=0.011), mean hemoglobin (11.10±2.19 vs. 9.22±2.26 g/dL, P=0.002), mean hematocrit (34.22±5.86 vs. 28.44±6.62%, P<0.001). New York Heart Association functional class III and IV (NYHA) (P=0.022) was statistically associated with mortality. Conclusion: We concluded that the mean hemoglobin/hematocrit level and the NYHA functional class was the major variables associated to the mortality among these patients. Based on these data one may concern about the patient best moment for surgery and the patient hemoglobin level. 2014 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941895010 en 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_398941895010 |
| institution | Redalyc |
| language | en |
| publishDate | 2014 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Evaluation of variables responsible for hospital mortality in patients with rheumatic heart disease undergoing double valve replacement André Maurício Souza Fernandes Medicina Rheumatic fever hospital mortality preoperative period heart valve diseases Evaluation of variables responsible for hospital mortality in patients with rheumatic heart disease undergoing double valve replacement André Maurício Souza Fernandes Gustavo Maltez de Andrade Rafael Marcelino Oliveira Gabriela Tanajura Biscaia Francisco Farias Borges dos Reis Cristiano Ricardo Macedo Andre Rodrigues Durães Roque Aras Junior Medicina Rheumatic fever hospital mortality preoperative period heart valve diseases Objective: To describe the hospital mortality and associated clinical and echocardiographic variables in patients with rheumatic disease who underwent double valve replacement surgery. Methods: This is a cross sectional descriptive study of mortality, performed in a referral hospital in Salvador, Bahia. Records from patients with rheumatic disease who underwent double valve replacement surgery during the years 2007-2011 were analyzed. Results: The studied sample comprises 104 patients and 60 (57.7%) were male. The mean age was 38.04±14.45. Sixty five bioprostheses and 38 mechanical prostheses were used in these patients at the time of surgery. There were statistically significant differences between the two groups, when we analyzed the following variables: the mean age (36.30±13.03 vs. 45.35±17.8 years-old, P=0.011), mean hemoglobin (11.10±2.19 vs. 9.22±2.26 g/dL, P=0.002), mean hematocrit (34.22±5.86 vs. 28.44±6.62%, P<0.001). New York Heart Association functional class III and IV (NYHA) (P=0.022) was statistically associated with mortality. Conclusion: We concluded that the mean hemoglobin/hematocrit level and the NYHA functional class was the major variables associated to the mortality among these patients. Based on these data one may concern about the patient best moment for surgery and the patient hemoglobin level. 2014 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941895010 en 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 | Evaluation of variables responsible for hospital mortality in patients with rheumatic heart disease undergoing double valve replacement |
| topic | Medicina Rheumatic fever hospital mortality preoperative period heart valve diseases |
| url | https://www.redalyc.org/articulo.oa?id=398941895010 |