Survival curve identifes critical period for postoperative mortality in cardiac patients undergoing emergency general surgery
Sci. rep. (Nat. Publ. Group)
; 10(15499): 1-6, Sept. 2020. tab, graf
Article
in English
| Sec. Est. Saúde SP, CONASS, SESSP-IDPCPROD, Sec. Est. Saúde SP
| ID: biblio-1147439
Responsible library:
BR79.1
Localization: BR79.1
ABSTRACT
The number of non-cardiac major surgeries carried out has signifcantly increased in recent years to around 200 million procedures carried out annually. Approximately 30% of patients submitted to non-cardiac surgery present some form of cardiovascular comorbidity. In emergency situations, with less surgery planning time and greater clinical severity, the risks become even more signifcant. The aim of this study is to determine the incidence and clinical outcomes in patients with cardiovascular disease submitted to non-cardiac surgical procedures in a single cardiovascular referral center. This is a prospective cohort study of patients with cardiovascular disease submitted to non-cardiovascular surgery. All procedures were carried out by the same surgeon, between January 2006 and January 2018. 240 patients included were elderly, 154 were male (64%), 8 patients presented two diagnoses. Of the resulting 248 procedures carried out, 230 were emergency (92.8%). From the data obtained it was possible to estimate the day from which the occurrence of mortality is less probable in the postoperative phase. Our research evaluated the epidemiological profle of the surgeries and we were able to estimate the survival and delimit the period of greatest risk of mortality in these patients. The high rate of acute mesenteric ischemia was notable, a serious and frequently fatal condition.
Full text:
Available
Collection:
National databases
/
Brazil
Database:
CONASS
/
Sec. Est. Saúde SP
/
SESSP-IDPCPROD
Main subject:
Cardiovascular Diseases
/
Kaplan-Meier Estimate
Type of study:
Observational study
/
Risk factors
Limits:
Humans
/
Male
Language:
English
Journal:
Sci. rep. (Nat. Publ. Group)
Year:
2020
Document type:
Article
Institution/Affiliation country:
Dante Pazzanese Institute of Cardiology/BR
/
Dante Pazzanese Institute of Cardiology, Cardiac Care Unit/BR
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Faculdade de Medicina FMUSP, Universidade de São Paulo/BR
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Universidade de São Paulo, Faculdade de Medicina FMUSP/BR
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Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas HCFMUSP, Departamento de Gastroenterologia/BR