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Cardiac surgery in Jehovah's witness patients: experience of a Brazilian Tertiary Hospital
Valle, Felipe Homem; Pivatto Júnior, Fernando; Gomes, Bruna Sessim; Freitas, Tanara Martins de; Giaretta, Vanessa; Gus, Miguel.
  • Valle, Felipe Homem; Hospital de Clínicas de Porto Alegre. Cardiology Division. Porto Alegre. BR
  • Pivatto Júnior, Fernando; Hospital de Clínicas de Porto Alegre. Cardiology Division. Porto Alegre. BR
  • Gomes, Bruna Sessim; Hospital de Clínicas de Porto Alegre. Cardiology Division. Porto Alegre. BR
  • Freitas, Tanara Martins de; Hospital de Clínicas de Porto Alegre. Cardiology Division. Porto Alegre. BR
  • Giaretta, Vanessa; Hospital de Clínicas de Porto Alegre. Cardiology Division. Porto Alegre. BR
  • Gus, Miguel; Hospital de Clínicas de Porto Alegre. Cardiology Division. Porto Alegre. BR
Rev. bras. cir. cardiovasc ; 32(5): 372-377, Sept.-Oct. 2017. tab, graf
Article in English | LILACS | ID: biblio-897947
ABSTRACT
Abstract

Introduction:

The outcomes of Jehovah's Witness (JW) patients submitted to open heart surgery may vary across countries and communities. The aim of this study was to describe the morbidity and mortality of JW patients undergoing cardiac surgery in a tertiary hospital center in Southern Brazil.

Methods:

A case-control study was conducted including all JW patients submitted to cardiac surgery from 2008 to 2016. Three consecutive surgical non-JW controls were matched to each selected JW patient. The preoperative risk of death was estimated through the mean EuroSCORE II.

Results:

We studied 16 JW patients with a mean age of 60.6±12.1 years. The non-JW group included 48 patients with a mean age of 63.3±11.1 years (P=0.416). Isolated coronary artery bypass graft surgery was the most frequent surgery performed in both groups. Median EuroSCORE II was 1.29 (IQR 0.66-3.08) and 1.43 (IQR 0.72-2.63), respectively (P=0.988). The mortality tended to be higher in JW patients (18.8% vs. 4.2%, P=0.095), and there was a higher difference between the predicted and observed mortality in JW patients compared with controls (4.1 and 18.8% vs. 2.1 and 4.2%). More JW patients needed hemodialysis in the postoperative period (20.0 vs. 2.1%, P=0.039).

Conclusion:

We showed a high rate of in-hospital mortality in JW patients submitted to cardiac surgery. The EuroSCORE II may underestimate the surgical risk in these patients.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Jehovah's Witnesses / Cardiac Surgical Procedures Type of study: Observational study / Prognostic study / Risk factors Limits: Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Rev. bras. cir. cardiovasc Journal subject: Cardiology / General Surgery Year: 2017 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital de Clínicas de Porto Alegre/BR

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Full text: Available Index: LILACS (Americas) Main subject: Jehovah's Witnesses / Cardiac Surgical Procedures Type of study: Observational study / Prognostic study / Risk factors Limits: Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Rev. bras. cir. cardiovasc Journal subject: Cardiology / General Surgery Year: 2017 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital de Clínicas de Porto Alegre/BR