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Your search keyword '"Maria Luisa CAmara"' showing total 2 results
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2 results on '"Maria Luisa CAmara"'

1. The impact of frailty in aortic valve surgery

Author

Elisabet Berastegui Garcia, Maria Luisa Camara Rosell, Enrique Moret Ruiz, Irma Casas Garcia, Sara Badia Gamarra, Claudio Fernandez Gallego, Luis Delgado Ramis, Ignasi Julia Almill, Anna Llorens Ferrer, Bernat Romero Ferrer, Antoni Bayes Genis, and Christian Muñoz Guijosa

Subjects
Aortic valve replacement, Frailty, Risk scales, Geriatrics, RC952-954.6
Abstract

Abstract Background Frailty is a geriatric syndrome that diminishes potential functional recovery after any surgical procedure. Preoperative surgical risk assessment is crucial to calibrate the risk and benefit of cardiac surgery. The aim of this study was to test usefulness of FRAIL Scale and other surgical-risk-scales and individual features of frailty in cardiac aortic valve surgery. Methods Prospective study. From May-2014 to February-2016, we collected 200 patients who underwent aortic valve replacement, either surgically or transcatheter. At 1-year follow-up, quality of life measurements were recorded using the EQ-5D (EuroQol). Univariate and multivariate analyses correlated preoperative condition, features of frailty and predicted risk scores with mortality, morbidity and quality of life at 1 year of follow-up. Results Mean age 78.2y, 56%male. Mean-preoperative-scores: FRAIL scale 1.5(SD 1.02), STS 2.9(SD 1.13), BI 93.8(SD 7.3), ESlog I 12.8(SD 8.5) and GS 7.3 s (SD 1.9). Morbidity at discharge, 6 m and 1 year was 51, 14 and 28%. Mortality 4%. Survival at 6 m/ 1-y was 97% / 88%. Complication-rate was higher in TAVI group due to-vascular complications. Renal dysfunction, anemia, social dependence and GS slower than 7 s were associated with morbidity. On multivariate analysis adjusted STS, BI and GS speed were statistically significant. Quality of life at 1-year follow-up adjusted for age and prosthesis type showed a significant association with STS and FRAIL scale scores. Conclusions Frailty increases surgical risk and is associated with higher morbidity. Preoperative GS slower 7 s, and STS and FRAIL scale scores seem to be reliable predictors of quality of life at 1-year follow-up.

Published
2020
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2. First experience with a new negative pressure incision management system on surgical incisions after cardiac surgery in high risk patients

Author

Maria-Luisa Camara and Andrea Colli

Subjects
Pulmonary and Respiratory Medicine, Male, Risk, medicine.medical_specialty, medicine.medical_treatment, lcsh:Surgery, wound healing, lcsh:RD78.3-87.3, median sternotomy, Negative-pressure wound therapy, medicine, Humans, Surgical Wound Infection, Prospective Studies, Cardiac Surgical Procedures, Aged, negative pressure wound therapy, integumentary system, business.industry, General Medicine, lcsh:RD1-811, Middle Aged, Sternotomy, incision, Surgery, Cardiac surgery, Clinical trial, Treatment Outcome, Cardiothoracic surgery, Median sternotomy, lcsh:Anesthesiology, Adjunctive treatment, Female, Complication, business, Wound healing, Cardiology and Cardiovascular Medicine, Negative-Pressure Wound Therapy, cardiac surgery, Research Article
Abstract

Background Sternal wound infection remains a serious potential complication after cardiac surgery. A recent development for preventing wound complications after surgery is the adjunctive treatment of closed incisions with negative pressure wound therapy. Suggested mechanisms of preventive action are improving the local blood flow, removing fluids and components in these fluids, helping keep the incision edges together, protecting the wound from external contamination and promoting incision healing. This work reports on our initial evaluation and clinical experience with the Prevena™Incision Management System, a recently introduced new negative pressure wound therapy system specifically developed for treating closed surgical incisions and helping prevent potential complications. We evaluated the new treatment on sternal surgical incisions in patients with multiple co-morbidities and consequently a high risk for wound complications. Methods The Prevena™incision management system was used in 10 patients with a mean Fowler risk score of 15.1 [Range 8-30]. The negative pressure dressing was applied immediately after surgery and left in place for 5 days with a continuous application of -125 mmHg negative pressure. Wounds and surrounding skin were inspected immediately after removal of the Prevena™ incision management system and at day 30 after surgery. Results Wounds and surrounding skin showed complete wound healing with the absence of skin lesions due to the negative pressure after removal of the Prevena™ dressing. No device-related complications were observed. No wound complications occurred in this high risk group of patients until at least 30 days after surgery. Conclusions The Prevena™system appears to be safe, easy to use and may help achieve uncomplicated wound healing in patients at risk of developing wound complications after cardiothoracic surgery.

Published
2011

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