Epidemiological Characteristics and Mortality Predictors in Patients Over 70 Years Submitted to Coronary Artery Bypass Grafting
Abstract Background: Coronary artery disease is the leading cause of death worldwide, with age being an independent risk factor for mortality in patients submitted to surgical revascularization. Objective: To evaluate the mortality risk predictors in patients older than 70 years submitted to myocard...
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| Published in: | International journal of cardiovascular sciences Vol. 31; no. 3; pp. 258 - 263 |
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Sociedade Brasileira de Cardiologia
01-05-2018
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| Abstract | Abstract Background: Coronary artery disease is the leading cause of death worldwide, with age being an independent risk factor for mortality in patients submitted to surgical revascularization. Objective: To evaluate the mortality risk predictors in patients older than 70 years submitted to myocardial revascularization. Methods: This is a retrospective cohort study of a cardiac surgery database. Logistic regression was used to assess independent death predictors. Results: A total of 372 patients submitted to surgical revascularization from 2004 to 2012 were assessed. The main cardiovascular risk factor was hypertension, followed by diabetes mellitus. Mortality at 30 days was 19.35%. The presence of peripheral vascular disease (OR: 2,47), emergency surgery (OR: 4,86) and combined valve procedure (OR: 3,86) were independent predictors of death. Conclusion: The surgical procedure in elderly patients showed a higher mortality than in the general population. Peripheral vascular disease, emergency surgery and combined valve procedures increased the risk of death in these patients. |
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| AbstractList | Abstract Background: Coronary artery disease is the leading cause of death worldwide, with age being an independent risk factor for mortality in patients submitted to surgical revascularization. Objective: To evaluate the mortality risk predictors in patients older than 70 years submitted to myocardial revascularization. Methods: This is a retrospective cohort study of a cardiac surgery database. Logistic regression was used to assess independent death predictors. Results: A total of 372 patients submitted to surgical revascularization from 2004 to 2012 were assessed. The main cardiovascular risk factor was hypertension, followed by diabetes mellitus. Mortality at 30 days was 19.35%. The presence of peripheral vascular disease (OR: 2,47), emergency surgery (OR: 4,86) and combined valve procedure (OR: 3,86) were independent predictors of death. Conclusion: The surgical procedure in elderly patients showed a higher mortality than in the general population. Peripheral vascular disease, emergency surgery and combined valve procedures increased the risk of death in these patients. |
| Author | Xavier, Regina Maria de Aquino Chaves, Rogério Brant Martins Castier, Marcia Bueno Azevedo, Vitor Manuel Pereira Kaufman, Renato Sá, Rodrigo Mazzarone Gomes de Geller, Mauro |
| AuthorAffiliation | Instituto Estadual de Cardiologia Aloysio de Castro Universidade Federal do Rio de Janeiro Universidade do Estado do Rio de Janeiro Instituto Nacional de Cardiologia |
| AuthorAffiliation_xml | – name: Universidade do Estado do Rio de Janeiro – name: Instituto Estadual de Cardiologia Aloysio de Castro – name: Universidade Federal do Rio de Janeiro – name: Instituto Nacional de Cardiologia |
| Author_xml | – sequence: 1 givenname: Renato surname: Kaufman fullname: Kaufman, Renato organization: Instituto Estadual de Cardiologia Aloysio de Castro – sequence: 2 givenname: Vitor Manuel Pereira surname: Azevedo fullname: Azevedo, Vitor Manuel Pereira organization: Instituto Nacional de Cardiologia – sequence: 3 givenname: Rodrigo Mazzarone Gomes de surname: Sá fullname: Sá, Rodrigo Mazzarone Gomes de organization: Instituto Estadual de Cardiologia Aloysio de Castro – sequence: 4 givenname: Mauro surname: Geller fullname: Geller, Mauro organization: Universidade Federal do Rio de Janeiro – sequence: 5 givenname: Regina Maria de Aquino surname: Xavier fullname: Xavier, Regina Maria de Aquino organization: Instituto Nacional de Cardiologia – sequence: 6 givenname: Rogério Brant Martins surname: Chaves fullname: Chaves, Rogério Brant Martins organization: Instituto Nacional de Cardiologia – sequence: 7 givenname: Marcia Bueno surname: Castier fullname: Castier, Marcia Bueno organization: Universidade do Estado do Rio de Janeiro |
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| DocumentTitleAlternate | Características Epidemiológicas e Preditores de Mortalidade em Pacientes Maiores de 70 Anos Submetidos à Revascularização Miocárdica Cirúrgica |
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| Issue | 3 |
| Keywords | Hypertension Idosos Doença da Artéria Coronariana / cirurgia Revascularização Miocárdica Coronary Artery Disease / surgery Aged Hipertensão Diabetes Mellitus Myocardial Revascularization |
| Language | English Portuguese |
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| Title | Epidemiological Characteristics and Mortality Predictors in Patients Over 70 Years Submitted to Coronary Artery Bypass Grafting |
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