Logotipo del repositorio
Logotipo del repositorio
 

Factores de riesgo y morbimortalidad en paciente postoperatorio de cirugía cardiovascular

Vista sencilla de ítem
datacite.rightshttp://purl.org/coar/access_right/c_16eceng
dc.contributor.advisorAriza Algarín, Abul Enrique
dc.contributor.advisorGonzález-Torres, Henry J.
dc.contributor.authorGómez Carrillo, María Ángel
dc.contributor.authorPacheco Patiño, Isabel María
dc.date.accessioned2021-05-26T13:10:08Z
dc.date.available2021-05-26T13:10:08Z
dc.date.issued2021
dc.description.abstractAntecedentes: Las enfermedades cardiovasculares son una pandemia silente que se encuentra asociadas al estilo de vida actual, lo que ha hecho que se eleven el número de cirugías por estas causas y consecuentemente los factores de mortalidad asociados a estas y que son inherentes a la hospitalización en la Unidad de Cuidados intensivos. Objetivo: Evaluar los principales factores de riesgo de morbimortalidad en los pacientes postquirúrgicos cardiovasculares de la Clínica General del Norte, en Barranquilla, Colombia. Metodología: Se realizó un estudio retrospectivo observacional. En una clínica de Barranquilla (Atl, CO), el periodo de estudio estuvo comprendido entre enero 2016 y junio 2018. Se recogieron datos de las historias clínicas socio demográficos, factores de riesgo preoperatorios, intraoperatorios, postoperatorios que afectan la morbi-morbilidad. Se realizó estadística descriptiva y representación porcentual de los valores encontrados. Los análisis estadísticos fueron realizados en statgraphic xvi ®. Resultados: Se incluyeron 661 pacientes. La edad promedio fue de 63±12 años; el 71% de la población fueron hombres. La proporción sexual fue 3:1, hombre a mujer, 53.2% de la población se encontraba en sobrepeso y/u obesidad. El IMC global fue de 26.0±4.42, Entre los antecedentes HTA 75%; la dislipidemia 33 %. El procedimiento quirúrgico más frecuente fue el coronario (60.51%) seguido del Reemplazo valvular (24.05%), los factores que más impactan en la Mortalidad HTA 81.5 % (p: 0.0358), 5.9% Enfermedad cerebrovascular (p: 0.0316) y el 16.8% Enfermedad Renal Crónica (p: 0,0002). Procedimiento en Aorta torácica 7,6% (p: 0,0007).La estancia promedio en UCI fue de 13±12, la estancia hospitalaria prolongada estuvo asociada a cirugía de aorta torácica. Las complicaciones fueron Diálisis 23,5% (p: 0,0000), neurológicas 5,9% (p: 0,0017), Infecciones 8,4% (p: 0,0006) y la Necesidad de Transfusión 47,9% (p: 0,0027) Conclusión: La tasa de mortalidad está asociada a factores preoperatorios ( HTA, enfermedad cerebrovascular y ERC) , factores intraoperatorios y postoperatorios, tales como procedimiento de aorta torácica, diálisis, complicaciones neurológicas, infecciones y transfusión; el manejo del paciente debe dirigirse a prevenir la morbimortalidad en cirugía cardiovascular, disminuyendo complicaciones, estancia en uci y optimizando los resultados postoperatorios .spa
dc.description.abstractBackground: Cardiovascular diseases are a silent pandemic that is associated with the current lifestyle, which has increased the number of surgeries for these causes and consequently the mortality factors associated with them and that are inherent to hospitalization in the Unit intensive care. Objective: To evaluate the main risk factors for morbidity and mortality in post-surgical cardiovascular patients at the Clinic General del Norte, in Barranquilla, Colombia. Methodology: A retrospective observational study was carried out. In a clinic in Barranquilla (Atl, CO), the study period was between January 2016 and June 2018. Data were collected from socio-demographic, preoperative, intraoperative, and postoperative risk medical records that affect morbidity and morbidity. Descriptive statistics and percentage representation of the values found were performed. Statistical analyzes were performed in statgraphic xvi ®. Results: 661 patients were included. The average age was 63 ± 12 years; 71% of the population were men. The sexual ratio was 3: 1, male to female, 53.2% of the population was overweight and / or obese. The global BMI was 26.0 ± 4.42, Among the antecedents HTN 75%; dyslipidemia 33%. The most frequent surgical procedure was coronary (60.51%) followed by valve replacement (24.05%), the factors that had the greatest impact on Mortality are HTN 81.5% (p: 0.0358), 5.9% Cerebrovascular disease (p: 0.0316) and 16.8 % Chronic Kidney Disease (p: 0.0002). procedure in thoracic aorta 7.6% (p: 0.0007). The average stay in the ICU was 13 ± 12, the long hospital stay was associated with thoracic aortic surgery. The complications were Dialysis 23.5% (p: 0.0000), neurological 5.9% (p: 0.0017), Infections 8.4% (p: 0.0006) and Need for Transfusion 47.9% (p: 0.0027). Conclusion: The mortality rate is associated with preoperative factors (HTN, cerebrovascular disease and CKD), intraoperative and postoperative factors, such as thoracic aortic procedure, dialysis, neurological complications, infections and transfusion; Patient management should be aimed at preventing morbidity and mortality in cardiovascular surgery, reducing complications, staying in ICU and optimizing postoperative results.eng
dc.format.mimetypepdfspa
dc.identifier.urihttps://hdl.handle.net/20.500.12442/7785
dc.language.isospaspa
dc.publisherEdiciones Universidad Simón Bolívarspa
dc.publisherFacultad de Ciencias de la Saludspa
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional
dc.rights.accessrightsinfo:eu-repo/semantics/restrictedAccesseng
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectCirugía cardiacaspa
dc.subjectComplicaciónspa
dc.subjectMortalidad en UCIspa
dc.subjectEstancia hospitalariaspa
dc.subjectCardiac surgeryeng
dc.subjectComplicationeng
dc.subjectICU mortalityeng
dc.subjectHospital stayeng
dc.titleFactores de riesgo y morbimortalidad en paciente postoperatorio de cirugía cardiovascularspa
dc.type.driverinfo:eu-repo/semantics/othereng
dc.type.spaOtrosspa
dcterms.referencesLee Goldman, M. (2020). Medicina Goldman-Cecil. Filadelfia: Elsevier.eng
dcterms.referencesOrganization, W. H. (17 de 5 de 2017). World Health Organization . Recuperado el 8 de 8 de 2020, de Enfermedades cardiovasculares (ECV): https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)eng
dcterms.referencesAnálisis de Situación de Salud (ASIS). (Diciembre de 2019). Recuperado el 09 de 08 de 2020, de Ministerio de Salud y Protección Social: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/PSP/asis-2019-colombia.pdfspa
dcterms.referencesCardiología, G. d. (2015). Guía ESC 2015 sobre el tratamiento de los síndromes coronarios agudos en pacientes sin elevación persistente del segmento ST. Revista Española de Cardiología, 30.spa
dcterms.referencesShahian DM, O'Brien SM, Sheng S, et al. Predictores de supervivencia a largo plazo después de la cirugía de injerto de derivación de arteria coronaria: resultados de la base de datos de cirugía cardíaca de adultos de la Society of Thoracic Surgeons (el estudio ASCERT). Circulación 2012; 125 : 1491-500. 10.1161 / CIRCULATIONAHA.111.066902spa
dcterms.referencesMohr FW, Morice MC, Kappetein AP, et al. Cirugía de injerto de derivación de arteria coronaria versus intervención coronaria percutánea en pacientes con enfermedad de tres vasos y enfermedad de la coronaria principal izquierda: seguimiento de 5 años del ensayo clínico aleatorizado SYNTAX. Lancet 2013; 381 : 629-38. 10.1016 / S0140-6736 (13) 60141-5spa
dcterms.referencesMelly, L., Torregrossa, G., Lee, T., Jansens, J. L., & Puskas, J. D. (2018). Fifty years of coronary artery bypass grafting. Journal of thoracic disease, 10(3), 1960–1967. https://doi.org/10.21037/jtd.2018.02.43eng
dcterms.referencesSpencer King III, M. (April de 2019). ADULT CARDIAC SURGERY in New York State 2014-2016. Recuperado el 13 de 08 de 2020, de https://www.health.ny.gov/statistics/diseases/cardiovascular/heart_disease/docs/2014-2016_adult_cardiac_surgery.pdfeng
dcterms.referencesJosé Luis Accini Mendoza, L. H. (2020). Colombian consensus on perioperative care in adult cardiac surgery. Acta Colombiana de Cuidado Intensivo, 118-157.eng
dcterms.referencesCortina, J. M. (2013). Es EuroSCORE II el nuevo patrón como modelo deriesgo en cirugía cardíaca? Uso, aplicación clínica, evaluación y consecuencias.Sociedad Española de Cirugía Torácica-Cardiovascular. , 55-58.spa
dcterms.referencesPatrick G. Sullivan, Joshua D. Wallach, John P.A. Ioannidis, Meta-Analysis Comparing Established Risk Prediction Models (EuroSCORE II, STS Score, and ACEF Score) for Perioperative Mortality During Cardiac Surgery, The American Journal of Cardiology, Volume 118, Issue 10, 2016, Pages 1574-1582, ISSN 0002-9149, https://doi.org/10.1016/j.amjcard.2016.08.024.eng
dcterms.referencesPaez, R. P., Hossne Junior, N. A., Santo, J. A. D. E., Berwanger, O., Santos, R. H. N., Kalil, R. A. K., . . . Gomes, W. J. (2019). Coronary artery bypass surgery in brazil: Analysis of the national reality through the bypass registry. Brazilian Journal of Cardiovascular Surgery, 34(2), 142-148. doi:10.21470/1678-9741-2018-0313eng
dcterms.referencesFortes, J. V. S., Silva, M. G. B. E., Baldez, T. E. P., Costa, M. A. G., Silva, L. N. D., Pinheiro, R. S., . . . Borges, D. L. (2016). Mortality risk after cardiac surgery: Application of inscor in a university hospital in Brazil’s northeast. Brazilian Journal of Cardiovascular Surgery, 31(5), 396-399. doi:10.5935/1678-9741.20160080eng
dcterms.referencesVásquez Jiménez LF, et al. Factores de riesgo asociados a mortalidad en pacientes sometidos a cirugía cardiaca. Estudio de cohorte prospectiva. Acta Colomb Cuid Intensivo. 2016. http://dx.doi.org/10.1016/j.acci.2016.08.006eng
dcterms.referencesAntonio Figueredo, Fredi Díaz, Adriana S. Murcia, Juan C. Gómez, Mario Figueredo, Utilidad del EuroSCORE en la predicción de mortalidad intrahospitalaria en una institución de enfermedades cardiovasculares de Colombia, Revista Colombiana de Cardiología, Volume 20, Issue 3, 2013, Pages 164-169, ISSN 0120-5633, https://doi.org/10.1016/S0120-5633(13)70047-0.spa
dcterms.referencesStephens, R. & Whitman, Glenn. (2015). Postoperative Critical Care of the Adult Cardiac Surgical Patient. Part I: Routine Postoperative Care. Critical Care Medicine, 43, 1477-1497. https://doi.org/10.1097/CCM.0000000000001059eng
dcterms.referencesChitralekha Patra, Prabhushankar Chamaiah Gatti, Ansuman Panigrahi, Morbidity After cardiac surgery under cardiopulmonary bypass and associated factors: A retrospective observational study, Indian Heart Journal, Volume 71, Issue 4, 2019,Pages 350-355, ISSN 0019-4832,https://doi.org/10.1016/j.ihj.2019.07.004.eng
dcterms.referencesStephens, R. & Whitman, Glenn. (2015). Postoperative Critical Care of the Adult Cardiac Surgical Patient: Part II: Procedure-Specific Considerations, Management of Complications, and Quality Improvement. Critical Care Medicine, 43, 1995-2014. https://doi.org/10.1097/CCM.0000000000001171eng
dcterms.referencesJean-Philippe Collet, Holger Thiele, Emanuele Barbato, Olivier Barthélémy, Johann Bauersachs, Deepak L Bhatt, Paul Dendale, Maria Dorobantu, Thor Edvardsen, Thierry Folliguet, Chris P Gale, Martine Gilard, Alexander Jobs, Peter Jüni, Ekaterini Lambrinou, Basil S Lewis, Julinda Mehilli, Emanuele Meliga, Béla Merkely, Christian Mueller, Marco Roffi, Frans H Rutten, Dirk Sibbing, George C M Siontis, ESC Scientific Document Group, 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: The Task Force for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC), European Heart Journal, , ehaa575, https://doi.org/10.1093/eurheartj/ehaa575eng
dcterms.referencesJefe, Stuart, MD, PhD, Milojevic, Milan, MD, MSc, Taggart, David, MD, PhD, et al. (2017). Práctica actual de la revascularización coronaria quirúrgica de última generación. Circulación , 136 ,1331-1345. https://doi.org/10.1161/CIRCULATIONAHA.116.022572spa
dcterms.referencesBenedetto U, Gaudino M, Caputo M, Tranbaugh RF, Lau C, Di Franco A, Ng C, Girardi LN, Angelini GD. Arteria torácica interna derecha versus arteria radial como el segundo mejor conducto arterial: conocimientos de un metanálisis de datos emparejados por propensión sobre la supervivencia a largo plazo. J Thorac Cardiovasc Surg. 2016; 152: 1083-1091.e15spa
dcterms.referencesEva María Aguilar Blanco , Jorge Centeno Rodríguez Principales procedimientos y avances técnicos en cirugía cardiaca .Cirugía cardiovascular. Abordaje integral, 9, 123-137 Copyright © 2020 Elsevier España,spa
dcterms.referencesSiregar S., Groenwold R.H., de Heer F., Bots M.L., van der Graaf Y., and van Herwerden L.A.: Performance of the original EuroSCORE. Eur J Cardiothorac Surg. 2012; 41: pp. 746-754eng
dcterms.referencesAd N., Holmes S.D., Patel J., Pritchard G., Shuman D.J., and Halpin L.: Comparison of EuroSCORE . Ann Thorac Surg. 2016; 102: pp. 573-579eng
dcterms.referencesAshleigh P Pittams, Sashini Iddawela, Sara Zaidi, Nathan Tyson, Amer Harky,Scoring Systems for Risk Stratification in Patients Undergoing Cardiac Surgery – Where Do We Stand?,Journal of Cardiothoracic and Vascular Anesthesia,2021,ISSN 1053-0770,https://doi.org/10.1053/j.jvca.2021.03.005. (https://www.sciencedirect.com/science/article/pii/S105307702100207X)eng
dcterms.referencesEK Hogervorst , PMJ Rosseel , LMG van de riego , et al. Validación prospectiva del modelo de riesgo EuroSCORE II en un único centro de cirugía cardíaca holandés Neth Heart Jl , 26 ( 2018 ) , págs. 540 – 551spa
dcterms.referencesP Guida , F Mastro , G Scrascia , et al.Rendimiento del Sistema Europeo de Evaluación del Riesgo Cardiaco Operativo II: un metaanálisis de 22 estudios que involucran 145,592 procedimientos de cirugía cardíaca J Thorac Cardiovasc Surg , 148 ( 6 ) ( 2014 ) , pp. 3049 - 3,057 milspa
dcterms.referencesT Nishida , H Sonoda , Y Oishi , et al. El novedoso algoritmo EuroSCORE II predice la mortalidad hospitalaria de la cirugía aórtica torácica en 461 pacientes japoneses consecutivos mejor que los algoritmos EuroSCORE aditivo y logístico originales Interact Cardiovasc Thorac Surg , 18 ( 4 ) ( 2014 ) , págs. 446 – 450spa
dcterms.referencesW Chung , C Chen , F Lee , et al. Validación de los sistemas de puntuación que predicen los resultados en pacientes con enfermedad de la arteria coronaria sometidos a cirugía de injerto de derivación de la arteria coronaria Medicina , 94 ( 23 ) ( 2015 ) e927spa
dcterms.referencesJ Puskas , P Kilgo , V Thourani , et al. La puntuación de riesgo de mortalidad pronosticado a 30 días de la Society of Thoracic Surgeons también predice la supervivencia a largo plazo Ann Thorac Surg , 93 ( 1 ) ( 2012 ) , págs. 26 – 35spa
dcterms.referencesN Bouabdallaoui , S Stevens , T Doenst , et al. Puntuación de riesgo de la Sociedad de Cirujanos Torácicos y EuroSCORE-2. Evaluar adecuadamente la mortalidad posoperatoria a los 30 días en el ensayo STICH y una cohorte contemporánea de pacientes con disfunción ventricular izquierda sometidos a revascularización quirúrgica Circulación , 11 ( 11 ) ( 2018 )spa
dcterms.referencesSudish Lal, Andrew Gray, Eric Kim, Richard W. Bunton, Philip Davis, Ivor F. Galvin, Michael J.A. Williams,Frailty in Elderly Patients Undergoing Cardiac Surgery Increases Hospital Stay and 12-Month Readmission Rate,Heart, Lung and Circulation,Volume 29, Issue 8,2020,Pages 1187-1194, https://doi.org/10.1016/j.hlc.2019.10.007. (https://www.sciencedirect.com/science/article/pii/S144395061931488X)eng
dcterms.referencesFanar Mourad, Natalia Cleve, Janine Nowak, Daniel Wendt, Andreas Sander, Ender Demircioglu, Mohamed El Gabry, Heinz Jakob, Sharaf-Eldin Shehada,Long-Term Single-Center Outcomes of Patients With Chronic Renal Dialysis Undergoing Cardiac Surgery,The Annals of Thoracic Surgery,Volume 109, Issue 5,2020,Pages 1442-1448,https://doi.org/10.1016/j.athoracsur.2019.08.042.eng
dcterms.referencesF. O’Boyle, N. Mediratta, J. Chalmers, et al. Long-term survival of patients with pulmonary disease undergoing coronary artery bypass surgery Eur J Cardiothoracic Surg, 43 (2013), pp. 697-703 36 . Ken Parhar, Vasileios Zochios,Outcomes of Patients With COPD Undergoing Cardiac Surgery: Don’t Hold Your Breath,Journal of Cardiothoracic and Vascular Anesthesia,Volume 32, Issue 5,2018,Pages 2246-2247,https://doi.org/10.1053/j.jvca.2018.02.004. (https://www.sciencedirect.com/science/article/pii/S1053077018301034)eng
dcterms.referencesD. Ponomarev, O. Kamenskaya, A. Klinkova, et al.Chronic lung disease and mortality after cardiac surgery: A prospective cohort studyJ Cardiothorac Vasc Anesth (2017) 38 . Dmitry Ponomarev, Oksana Kamenskaya, Asya Klinkova, Irina Loginova, Pavel Vedernikov, Igor Kornilov, Vladimir Shmyrev, Vladimir Lomivorotov, Aleksander Chernavskiy, Aleksander Karaskov,Chronic Lung Disease and Mortality after Cardiac Surgery: A Prospective Cohort Study,Journal of Cardiothoracic and Vascular Anesthesia,Volume 32, Issue 5,2018,Pages 2241-2245,https://doi.org/10.1053/j.jvca.2017.12.016. (https://www.sciencedirect.com/science/article/pii/S1053077017310017)eng
dcterms.referencesZachary Tyerman, J. Hunter Mehaffey, Robert B. Hawkins, Jolian Dahl, Adishesh Narahari, William Z. Chancellor, Kenan Yount, Leora T. Yarboro, Nicholas R. Teman, Gorav Ailawadi,History of Serious Mental Illness Is a Predictor of Morbidity and Mortality in Cardiac Surgery,The Annals of Thoracic Surgery,Volume 111, Issue 1,2021,Pages 109-116,https://doi.org/10.1016/j.athoracsur.2020.04.118. (https://www.sciencedirect.com/science/article/pii/S0003497520309310)eng
dcterms.referencesBansri M. Patel, Nathan J. Reinert, Khaled Al-Robaidi, Xiaotian Gao, Anthony Fabio, Stephen A. Esper, Visala Muluk, Ashutosh Jadhav, Parthasarathy D. Thirumala,Independent Predictors of Perioperative Stroke-Related Mortality after Cardiac Surgery,Journal of Stroke and Cerebrovascular Diseases,Volume 29, Issue 5,2020,104711, https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104711. (https://www.sciencedirect.com/science/article/pii/S1052305720300872)eng
dcterms.referencesCarlos Vargas-Trujillo* Anestesiólogo cardiovascular del Instituto Nacional de Cardiología «Ignacio Chávez». Anestesia en el paciente con hipertensión arterial sistémica ANESTESIOLOGÍA PARA CIRUGÍA CARDIOVASCULAR Vol. 38. Supl. 1 Abril-Junio 2015 pp S71-S80.spa
dcterms.referencesAronson, S., Boisvert, D., & Lapp, W. (2002). Isolated systolic hypertension is associated with adverse outcomes from coronary artery bypass grafting surgery. Anesthesia and analgesia, 94(5), . https://doi.org/10.1097/00000539-200205000-00005eng
dcterms.referencesBalzer, F., Aronson, S., Campagna, J. A., Ding, L., Treskatsch, S., Spies, C., & Sander, M. (2016). High Postoperative Blood Pressure After Cardiac Surgery Is Associated With Acute Kidney Injury and Death. Journal of cardiothoracic and vascular anesthesia, 30(6), 1562–1570. https://doi.org/10.1053/j.jvca.2016.05.040eng
dcterms.referencesBarak Zafrir, Dror B. Leviner, Walid Saliba, Erez Sharoni,Prognostic Interplay of Chronic Kidney Disease, Anemia, and Diabetes in Coronary Bypass Surgery,The Annals of Thoracic Surgery,Volume 111, Issue 1,2021,Pages 94-101, (https://www.sciencedirect.com/science/article/pii/S0003497520309383)eng
dcterms.referencesYoshioka, D., Toda, K., Yokoyama, J. Y., Matsuura, R., Miyagawa, S., Kainuma, S., Sakaguchi, T., Sakaki, M., Nishi, H., Shirakawa, Y., Iwata, K., Suhara, H., Sakaniwa, R., Fukuda, H., Osaka Cardiovascular Research Group study group, & Sawa, Y. (2018). Diabetes mellitus adversely affects mortality and recurrence after valve surgery for infective endocarditis. The Journal of thoracic and cardiovascular surgery, 155(3), 1021–1029.e5. https://doi.org/10.1016/j.jtcvs.2017.09.013eng
dcterms.referencesBayfield, N., Pannekoek, A., & Tian, D. H. (2018). Preoperative cigarette smoking and short-term morbidity and mortality after cardiac surgery: a meta-analysis. Heart Asia, 10(2), e011069. https://doi.org/10.1136/heartasia-2018-011069eng
dcterms.referencesMa, W. Q., Wang, Y., Sun, X. J., Han, X. Q., Zhu, Y., Yang, R., & Liu, N. F. (2019). Impact of smoking on all-cause mortality and cardiovascular events in patients after coronary revascularization with a percutaneous coronary intervention or coronary artery bypass graft: a systematic review and meta-analysis. Coronary artery disease, 30(5), 367–376. https://doi.org/10.1097/MCA.0000000000000711eng
dcterms.referencesZafrir, B., Saliba, W., Jaffe, R., Sliman, H., Flugelman, M. Y., & Sharoni, E. (2019). Attainment of lipid goals and long-term mortality after coronary-artery bypass surgery. European journal of preventive cardiology, 26(4), 401–408. https://doi.org/10.1177/2047487318812962eng
dcterms.referencesMichael D. Maile, Michael R. Mathis, Robert H. Habib, Thomas A. Schwann, Milo C. Engoren,Association of Both High and Low Left Ventricular Ejection Fraction With Increased Risk After Coronary Artery Bypass Grafting,Heart, Lung and Circulation,2021, https://doi.org/10.1016/j.hlc.2020.11.005. (https://www.sciencedirect.com/science/article/pii/S1443950620315237)eng
dcterms.referencesNathaniel B. Langer, Masahiko Ando, Michael Simpson, Benjamin S. van Boxtel, Robert A. Sorabella, Virendra Patel, Isaac George, Craig R. Smith, Hiroo Takayama,Influence of left ventricular ejection fraction on morbidity and mortality after aortic root replacement,The Journal of Thoracic and Cardiovascular Surgery,Volume 158, Issue 4,2019,Pages 984-991.e1, https://doi.org/10.1016/j.jtcvs.2018.10.147. (https://www.sciencedirect.com/science/article/pii/S0022522318329714)eng
dcterms.referencesRajesh V. Swaminathan, Dmitriy N. Feldman, Raymond A. Pashun, Rupa K. Patil, Tara Shah, Joshua D. Geleris, Shing-Chiu Wong, Leonard N. Girardi, Mario Gaudino, Robert M. Minutello, Harsimran S. Singh, Geoffrey Bergman, Luke K. Kim, Gender Differences in In-Hospital Outcomes After Coronary Artery Bypass Grafting,The American Journal of Cardiology,Volume 118, Issue 3,2016,Pages 362-368,ISSN 0002-9149.eng
dcterms.referencesDaniel Shi, Betty Zhang, Mehras Motamed, Sandra Lee, Patrick Wang, Christie McLaren, Dimitri Petsikas, Susan Brogly, Higher Mortality in Women after Coronary Artery Bypass: Meta-analysis & Bias Analysis of Confounding,The Annals of Thoracic Surgery,2020, https://doi.org/10.1016/j.athoracsur.2020.11.039. (https://www.sciencedirect.com/science/article/pii/S0003497520321718)eng
dcterms.referencesA. Afshin , MH Forouzanfar , MB Reitsma , P. Sur , K. Estep , A. Lee , et al. Efectos sobre la salud del sobrepeso y la obesidad en 195 países durante 25 años N Engl J Med , 377 ( 2017 ) , págs. 13 - 27eng
dcterms.referencesXin Liu, Lixia Xie, Wengen Zhu, Yue Zhou,. Association of body mass index and all-cause mortality in patients after cardiac surgery: A dose-response meta-analysis,Nutrition,Volume72,2020,110696,https://doi.org/10.1016/j.nut.2019.11066.(https://www.sciencedirect.com/science/article/pii/S0899900719302552)eng
dcterms.referencesRA Borracci , CA Ingino , JM Miranda Asociación del índice de masa corporal con los resultados a corto plazo después de la cirugía cardíaca: estudio retrospectivo y metanálisis Medicina (B Aires) , 78 ( 2018 ) , pp. 171 -179spa
dcterms.referencesG. Mariscalco , MJ Wozniak , AG Dawson , GF Serraino , R. Porter , M. Nath , et al.Índice de masa corporal y mortalidad entre adultos sometidos a cirugía cardíaca: un estudio a nivel nacional con una revisión sistemática y un metanálisis Circulation , 135 ( 2017 ) , págs. 850 – 863spa
dcterms.referencesStefano Salis, Valeria V. Mazzanti, Guido Merli, Luca Salvi, Calogero C. Tedesco, Fabrizio Veglia, Erminio Sisillo,Cardiopulmonary Bypass Duration Is an Independent Predictor of Morbidity and Mortality After Cardiac Surgery,Journal of Cardiothoracic and Vascular Anesthesia,Volume 22, Issue 6,2008,Pages 814-822, https://doi.org/10.1053/j.jvca.2008.08.004. (https://www.sciencedirect.com/science/article/pii/S105307700800236X)eng
dcterms.referencesNora Di Tomasso, Fabrizio Monaco, Giovanni Landoni,Hepatic and renal effects of cardiopulmonary bypass,Best Practice & Research Clinical Anaesthesiology,Volume 29, Issue 2,2015,Pages 151-161,https://doi.org/10.1016/j.bpa.2015.04.001.(https://www.sciencedirect.com/science/article/pii/S1521689615000324)eng
dcterms.referencesDayan, V., Arocena, MJ, Fernandez, A., Silva, E. y Zerpa, DP (2019). Cirugía cardíaca previa: ¿predictor de mortalidad en el reemplazo valvular aórtico ?. . Revista brasileña de cirugía cardiovascular , 34 (2), 173-178. https://doi.org/10.21470/1678-9741-2018-0251spa
dcterms.referencesKeeling B, Tian D, Jakob H, Shrestha M, Fujikawa T, Corvera JS, Di Eusanio M, Leshnower B, Chen EP; IAASSG (International Aortic Arch Surgery Study Group) Investigators. The Addition of Aortic Root Procedures During Elective Arch Surgery Does Not Confer Added Morbidity or Mortality. Ann Thorac Surg. 2019 Aug;108(2):452-457. doi: 10.1016/j.athoracsur.2019.01.064. Epub 2019 Mar 7. PMID: 30851260eng
dcterms.referencesVallabhajosyula, S., Arora, S., Sakhuja, A., Lahewala, S., Kumar, V., Shantha, G., Egbe, A. C., Stulak, J. M., Gersh, B. J., Gulati, R., Rihal, C. S., Prasad, A., & Deshmukh, A. J. (2019). Trends, Predictors, and Outcomes of Temporary Mechanical Circulatory Support for Postcardiac Surgery Cardiogenic Shock. The American journal of cardiology, 123(3), 489–497. https://doi.org/10.1016/j.amjcard.2018.10.029eng
dcterms.referencesRaymond T.C. Hu, Jeremy D. Broad, Eduardo A. Osawa, Paolo Ancona, Yoko Iguchi, Lachlan F. Miles, Rinaldo Bellomo,30-Day Outcomes Post Veno-Arterial Extra Corporeal Membrane Oxygenation (VA-ECMO) After Cardiac Surgery and Predictors of Survival,Heart, Lung and Circulation,Volume 29, Issue 8,2020,Pages 1217-1225. https://doi.org/10.1016/j.hlc.2020.01.009.(https://www.sciencedirect.com/science/article/pii/S144395062030038X)eng
dcterms.referencesFausto Biancari, Andrea Perrotti, Magnus Dalén, Mariapia Guerrieri, Antonio Fiore, Daniel Reichart, Angelo M. Dell’Aquila, Giuseppe Gatti, Tero Ala-Kokko, Eeva-Maija Kinnunen, Tuomas Tauriainen, Sidney Chocron, Juhani K.E. Airaksinen, Vito G. Ruggieri, Debora Brascia,Meta-Analysis of the Outcome After Postcardiotomy Venoarterial Extracorporeal Membrane Oxygenation in Adult Patients,Journal of Cardiothoracic and Vascular Anesthesia,Volume 32, Issue 3,2018,Pages 1175-1182,https://doi.org/10.1053/j.jvca.2017.08.048. (https://www.sciencedirect.com/science/article/pii/S1053077017307309)eng
dcterms.referencesVictoria Fröjd, Anders Jeppsson,Reexploration for Bleeding and Its Association With Mortality After Cardiac Surgery,The Annals of Thoracic Surgery,Volume 102, Issue 1,2016,Pages 109-117,https://doi.org/10.1016/j.athoracsur.2016.01.006. (https://www.sciencedirect.com/science/article/pii/S0003497516000072)eng
dcterms.referencesShruti Jayakumar, Ali Khoynezhad, Marjan Jahangiri,Surgical Site Infections in Cardiac Surgery,Critical Care Clinics,Volume 36, Issue 4,2020,Pages 581-592, https://doi.org/10.1016/j.ccc.2020.06.006. (https://www.sciencedirect.com/science/article/pii/S0749070420300427)eng
dcterms.referencesUmar Ali, Liam Bibo, Madison Pierre, Nicholas Bayfield, Lior Raichel, Chris Merry, Robert Larbalestier,Deep Sternal Wound Infections After Cardiac Surgery: A New Australian Tertiary Centre Experience,Heart, Lung and Circulation,Volume 29, Issue 10,2020,Pages 1571-1578, https://doi.org/10.1016/j.hlc.2020.02.003. (https://www.sciencedirect.com/science/article/pii/S1443950620300664)eng
dcterms.referencesDavid L McDonagh, Miles Berger, Joseph P Mathew, Carmelo Graffagnino, Carmelo A Milano, Mark F Newman,Neurological complications of cardiac surgery,The Lancet Neurology,Volume 13, Issue 5,2014,Pages 490-502, https://doi.org/10.1016/S1474-4422(14)70004-3. (https://www.sciencedirect.com/science/article/pii/S1474442214700043)eng
dcterms.referencesBucerius J, Gummert JF, Borger MA, et. al.: Stroke after cardiac surgery: a risk factor analysis of 16,184 consecutive adult patients. Ann Thorac Surg 2003; 75: pp. 472-478.eng
dcterms.referencesChristina Massoth, Alexander Zarbock, Melanie Meersch,Acute Kidney Injury in Cardiac Surgery,Critical Care Clinics,Volume 37, Issue 2,2021,Pages 267-278,https://doi.org/10.1016/j.ccc.2020.11.009. (https://www.sciencedirect.com/science/article/pii/S0749070420301147)eng
dcterms.referencesOana M. Cole, Shervin Tosif, Matthew Shaw, Gregory Y.H. Lip,Acute Kidney Injury and Postoperative Atrial Fibrillation In Patients Undergoing Cardiac Surgery,Journal of Cardiothoracic and Vascular Anesthesia,Volume 34, Issue 7,2020,Pages 1783-1790, https://doi.org/10.1053/j.jvca.2019.12.048. (https://www.sciencedirect.com/science/article/pii/S1053077020300185)eng
dcterms.referencesEJ Kim , X. Yin , JD Fontes , et al. Fibrilación auricular sin comorbilidades: prevalencia, incidencia y pronóstico (del Framingham Heart Study)Am Heart J , 177 ( 2,016 ) , pp. 138 - 144spa
dcterms.referencesMohammad S. Diab, Rajdeep Bilkhu, Gopal Soppa, Mark Edsell, Nick Fletcher, Johan Heiberg, Colin Royse, Marjan Jahangiri,The influence of prolonged intensive care stay on quality of life, recovery, and clinical outcomes following cardiac surgery: A prospective cohort study,The Journal of Thoracic and Cardiovascular Surgery,Volume 156, Issue 5,2018,Pages 1906-1915.e3,https://doi.org/10.1016/j.jtcvs.2018.05.076. (https://www.sciencedirect.com/science/article/pii/S002252231831506X)eng
dcterms.referencesTunç, M., Şahutoğlu, C., Karaca, N., Kocabaş, S. y Aşkar, FZ (2018). Factores de riesgo para la estancia prolongada en la unidad de cuidados intensivos después de una cirugía a corazón abierto en adultos. Revista turca de anestesiología y reanimación , 46 (4), 283-291. https://doi.org/10.5152/TJAR.2018.92244spa
dcterms.referencesCiana McCarthy, Nick Fletcher,Early Extubation in Enhanced Recovery from Cardiac Surgery,Critical Care Clinics,Volume 36, Issue 4,2020,Pages 663-674,https://doi.org/10.1016/j.ccc.2020.06.005. (https://www.sciencedirect.com/science/article/pii/S0749070420300415)eng
dcterms.referencesVasileios Zochios, Joht Singh Chandan, Marcus J. Schultz, Andrew Conway Morris, Ken Kuljit Parhar, Marc Giménez-Milà, Caroline Gerrard, Alain Vuylsteke, Andrew A. Klein,The Effects of Escalation of Respiratory Support and Prolonged Invasive Ventilation on Outcomes of Cardiac Surgical Patients: A Retrospective Cohort Study,Journal of Cardiothoracic and Vascular Anesthesia,Volume 34, Issue 5,2020,Pages 1226-1234, https://doi.org/10.1053/j.jvca.2019.10.052. (https://www.sciencedirect.com/science/article/pii/S1053077019311292)eng
dcterms.referencesAlberto Zangrillo, Vladimir V. Lomivorotov, Antonio Pisano, Maria Grazia Calabrò, Alessandro Belletti, Luca Brazzi, Evgeny V. Grigoryev, Fabio Guarracino, Fabrizio Monaco, Eugenio Garofalo, Martina Crivellari, Valery V. Likhvantsev, Evgeny V. Fominskiy, Gianluca Paternoster, Andrey Yavorovskiy, Vadim V. Pasyuga, Alessandro Oriani, Rosalba Lembo, Alessandro Bianchi, A. Mara Scandroglio, Marat N. Abubakirov, Nora Di Tomasso, Giovanni Landoni, Long-term outcome of perioperative low cardiac output syndrome in cardiac surgery: 1-year results of a multicenter randomized trial,Journal of Critical Care,Volume 58,2020,Pages 89-95, https://doi.org/10.1016/j.jcrc.2020.04.005. (https://www.sciencedirect.com/science/article/pii/S0883944120305487)eng
dcterms.referencesFabio Guarracino, Marit Habicher, Sascha Treskatsch, Michael Sander, Andrea Szekely, Gianluca Paternoster, Luca Salvi, Lidia Lysenko, Phillipe Gaudard, Perikles Giannakopoulos, Erich Kilger, Amalia Rompola, Helene Häberle, Johann Knotzer, Uwe Schirmer, Jean-Luc Fellahi, Ludhmila Abrahao Hajjar, Stephan Kettner, Heinrich Volker Groesdonk, Matthias Heringlake,Vasopressor Therapy in Cardiac Surgery—An Experts’ Consensus Statement,Journal of Cardiothoracic and Vascular Anesthesia,Volume 35, Issue 4,2021,Pages 1018-1029, https://doi.org/10.1053/j.jvca.2020.11.032. (https://www.sciencedirect.com/science/article/pii/S1053077020312672)eng
dcterms.referencesA. Belletti, M.L. Castro, S. Silvetti, T. Greco, G. Biondi-Zoccai, L. Pasin, A. Zangrillo, G. Landoni,The Effect of inotropes and vasopressors on mortality: a meta-analysis of randomized clinical trials,British Journal of Anaesthesia,Volume 115, Issue 5,2015,Pages 656-675,https://doi.org/10.1093/bja/aev284. (https://www.sciencedirect.com/science/article/pii/S0007091217310681)eng
dcterms.referencesRiera M, Amézaga R, Molina M, Campillo-Artero C, Sáez de Ibarra JI, Bonnín O, et al. Mortalidad de las complicaciones postoperatorias (failure to rescue) tras cirugía cardiaca en un hospital universitario. Rev Calid Asist [Internet]. 2016 May;31(3):126–33. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1134282X16300355spa
dcterms.referencesAhmed EO, Butler R, Novick RJ. Failure-to-Rescue Rate as a Measure of Quality of Care in a Cardiac Surgery Recovery Unit: A Five-Year Study. Ann Thorac Surg [Internet]. 2014 Jan;97(1):147–52. Available from: http://dx.doi.org/10.1016/j.athoracsur.2013.07.097eng
dcterms.referencesBorracci RA, Rubio M, Baldi-Jr J, Giorgini JC, Higa CC. Validación prospectiva multicéntrica del EuroSCORE II en Argentina. Arch Cardiol México [Internet]. 2020 Jan 27;89(4):315–23. Available from: http://www.archivoscardiologia.com/frame_esp.php?id=88spa
dcterms.referencesLal S, Gray A, Kim E, Bunton RW, Davis P, Galvin IF, et al. Frailty in Elderly Patients Undergoing Cardiac Surgery Increases Hospital Stay and 12-Month Readmission Rate. Hear Lung Circ [Internet]. 2020 Aug;29(8):1187–94. Available from: https://doi.org/10.1016/j.hlc.2019.10.007eng
dcterms.referencesNeupane I, Arora RC, Rudolph JL. Cardiac surgery as a stressor and the response of the vulnerable older adult. Exp Gerontol [Internet]. 2017 Jan;87:168–74. Available from: http://dx.doi.org/10.1016/j.exger.2016.04.019eng
dcterms.referencesGraham A, Brown CH. Frailty, Aging, and Cardiovascular Surgery. Anesth Analg [Internet]. 2017 Apr;124(4):1053–60. Available from: http://journals.lww.com/00000539-201704000-00011spa
dcterms.referencesMaile MD, Mathis MR, Habib RH, Schwann TA, Engoren MC. Association of Both High and Low Left Ventricular Ejection Fraction With Increased Risk After Coronary Artery Bypass Grafting. Hear Lung Circ [Internet]. 2021spa
dcterms.referencesLagny M-G, Jouret F, Koch J-N, Blaffart F, Donneau A-F, Albert A, et al. Incidence and outcomes of acute kidney injury after cardiac surgery using either criteria of the RIFLE classification. BMC Nephrol [Internet]. 2015 Dec 30;16(1):76. Available from: ???eng
dcterms.referencesBapat V, Allen D, Young C, Roxburgh J, Ibrahim M. Survival and Quality of Life After Cardiac Surgery Complicated by Prolonged Intensive Care. J Card Surg [Internet]. 2005 May;20(3):212–7. Available from: http://doi.wiley.com/10.1111/j.1540-8191.2005.200413.xeng
dcterms.referencesGaudino M, Girola F, Piscitelli M, Martinelli L, Anselmi A, Della Vella C, et al. Long-term survival and quality of life of patients with prolonged postoperative intensive care unit stay: Unmasking an apparent success. J Thorac Cardiovasc Surg [Internet]. 2007 Aug;134(2):465–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0022522307007751eng
oaire.versioninfo:eu-repo/semantics/acceptedVersioneng
sb.programaEspecialización en Medicina Crítica y Cuidados Intensivosspa
sb.sedeSede Barranquillaspa

Archivos

Colecciones

Especialización

Universidad Simón Bolívar: Todos los derechos reservados / Sistema de biblioteca