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Multivariate analysis of risk factors for hospital mortality in valvular reoperations for prosthetic valve dysfunction.
- Source :
-
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery [Eur J Cardiothorac Surg] 2002 Dec; Vol. 22 (6), pp. 922-6. - Publication Year :
- 2002
-
Abstract
- Objectives: The purpose of the study was to analyze risk factors for hospital mortality in patients undergoing valvular reoperations for prosthetic valve dysfunction.<br />Methods: We performed a prospective analysis of 146 patients who underwent valvular reoperations for prosthetic valve dysfunction between July 1995 and June 1999 at the Heart Institute of the University of São Paulo Medical School. Multivariate statistical analysis with logistic regression was used to analyze preoperative and intraoperative variables to determine risk factors for hospital mortality.<br />Results: The overall hospital mortality was 10.9% (16 patients). Univariate analysis showed that the following variables were associated with higher mortality rates: advanced New York Heart Association (NYHA) functional class, increased creatinine level, prolonged extracorporeal circulation time and treatment of annular abscess. Logistic multivariate analysis identified advanced NYHA functional class and a creatinine level higher than 1.5 mg/dl as independent predictors of hospital mortality.<br />Conclusions: Advanced NYHA functional class and higher creatinine levels were independent predictors of hospital mortality in patients submitted for valvular reoperations for prosthetic valve dysfunction.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Biomarkers blood
Brazil epidemiology
Child
Creatinine blood
Female
Heart Valve Prosthesis
Humans
Logistic Models
Male
Middle Aged
Prognosis
Prospective Studies
Prosthesis Failure
Reoperation mortality
Risk Factors
Severity of Illness Index
Heart Valve Prosthesis Implantation mortality
Hospital Mortality
Subjects
Details
- Language :
- English
- ISSN :
- 1010-7940
- Volume :
- 22
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 12467814
- Full Text :
- https://doi.org/10.1016/s1010-7940(02)00583-3