Risk Prediction Model for Major Adverse Outcome in Proximal Thoracic Aortic Surgery

ConclusionsThe current study identified risk factors for major adverse outcome after proximal thoracic aortic surgery with hypothermic circulatory arrest for degenerative pathology. The proposed simple, accurate model can quantify risk and facilitate physician-patient counseling before possible surgical intervention.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research

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ConclusionsTEVAR seems to offer advantages in terms of early mortality and complications rate. Moreover, data on late mortality and re-intervention are encouraging to consider endovascular treatment comparable to open repair for acute thoracic aorta emergency on long-term follow-up.
Source: CardioVascular and Interventional Radiology - Category: Radiology Source Type: research
ConclusionsThe proposed risk models complement existing STS models in predicting mortality, prolonged ventilation, and renal failure, allowing healthcare providers to more accurately assess a patient's risk of morbidity and mortality when undergoing MVS.
Source: Journal of Cardiac Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: ORIGINAL ARTICLE Source Type: research
AbstractBackgroundAlthough comorbidity is important in Multiple Sclerosis (MS), few validated methods for its assessment exist. Our aim is to estimate the prevalence and economic burden of major comorbidities in people with MS (pwMS) in two Northern Italy study areas (Pavia, PV and Genoa, GE), using routinely collected healthcare data.MethodsWe estimated prevalence of comorbid conditions in pwMS in the period 2012-2017. Anxiety, depression, cancer, leukemia, lymphoma, hypertension, heart disease, cerebrovascular diseases, vascular diseases, ischemic stroke, hyperlipidaemia, bronchopathy, diabetes, gastropathy, gastric ulce...
Source: The European Journal of Public Health - Category: General Medicine Source Type: research
The objective of our retrospective observational study is to assess the results of cardiac reoperations in patients with mitral valve disease approached trough a 5-7 cm right mini-thoracotomy.METHODS: From February 2017 to December 2019, 65 patients underwent re-operative mitral valve surgery in our institution. Cardiopulmonary bypass (CPB) was started by cannulation of the femoral and jugular vein and femoral artery or alternatively right axillary artery. Patients enrolled had a mean age of 66.6±11.5 years. Patients were divided into three groups based on the procedure adopted: external aortic cross-clamp (EAC), En...
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Authors: Source Type: research
Kardiol Pol. 2021 Oct 13. doi: 10.33963/KP.a2021.0133. Online ahead of print.ABSTRACTBACKGROUND: Despite optimizing treatment of ST-segment elevation myocardial infarction (STEMI) a lot of patients die during the invasive procedure or experience sudden cardiac arrest (SCA) that complicates further hospitalization.AIMS: The aim of the study was to identify the most important risk factors leading to SCA and death in the cath lab among STEMI patients.METHODS: We used the National Registry of Invasive Cardiology Procedures (ORPKI) between 2014 and 2019. The study population consisted of 113 465 patients. Descriptive statistics...
Source: Kardiologia Polska - Category: Cardiology Authors: Source Type: research
The presence of perioperative anemia in vascular surgery patients has been shown to be associated with major adverse patient outcomes, including myocardial infarction, renal failure, stroke and all-cause mortality.1 Patients who present with lower extremity chronic limb-threatening ischemia are frequently anemic and red blood cell (RBC) transfusion is often performed with the goal to attenuate the risks associated with anemia with up to 37.5% of patients undergoing infra-inguinal bypass receiving transfusions in the perioperative period.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Source Type: research
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