Editorial Considerations on the New Clinical and Surgical Perspectives of Brazilian Cardiology

Évora, Paulo Roberto Barbosa; Rodrigues, Alfredo José

doi:10.5935/abc.20150094

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…The applicability of risk scores in cardiac surgery is quite relevant, however it must be well evaluated, based on the real world population, so as not to underestimate or overestimate possible hospital events. 13 , 14 …”

Section: Discussionmentioning

confidence: 99%

Predictors of Mediastinitis Risk after Coronary Artery Bypass Surgery: Applicability of Score in 1.322 Cases

Oliveira¹,

Freitas²,

Rabelo‐Silva³

et al. 2017

Arquivos Brasileiros De Cardiologia

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BackgroundMediastinitis is a severe surgical complication of low incidence, but high lethality. Scores used in the preoperative period to stratify the risk of postoperative mediastinitis may contribute to improve the results.ObjectiveTo test the applicability of the MagedanzSCORE in predicting the risk factors for mediastinitis in patients undergoing coronary artery bypass grafting at a cardiology reference hospital.MethodsHistorical cohort study with adult patients who underwent coronary artery bypass grafting. The analyzed variables were contemplated in the MagedanzSCORE: reoperation, chronic obstructive pulmonary disease (COPD), obesity, class IV unstable angina, polytransfusion therapy, mediastinitis and death as outcome variables.ResultsOf the 1.322 patients examined, 56 (4.2%) developed mediastinitis. Of these, 26 (46.4%) were classified as high risk for mediastinitis and 15 (26.8%) at very high risk for mediastinitis. Three of the five variables of the Magendanz Score showed statistically significant differences: reoperation, COPD and obesity. Class IV unstable angina and postoperative polytransfusion were not associated with mediastinitis after coronary artery by-pass grafting. The area under the ROC curve was 0.80 (CI 95% 0.73 - 0.86), indicating the model's satisfactory ability to predict the occurrence of mediastinitis.ConclusionThe tool was useful in the preoperative assessment demonstrating the risk for mediastinitis in this population of intensive care patients.

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Section: Discussionmentioning

confidence: 99%

Predictors of Mediastinitis Risk after Coronary Artery Bypass Surgery: Applicability of Score in 1.322 Cases

Oliveira¹,

Freitas²,

Rabelo‐Silva³

et al. 2017

Arquivos Brasileiros De Cardiologia

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show abstract

“…Querying MEDLINE in the period 1983-1985 (before BJCVS), the following numbers were calculated: a total of 615 studies, 58 (9.43%) about heart surgery. As a final comment, we concluded that the studies published in ABC Cardiol may be considered compatible with the orientation to disseminate information of mutual interest between physicians and surgeons [ 4 ] .…”

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confidence: 99%

The “Great Family” of Cardiovascular Scientific Journals in Brazil

Évora

2020

Braz J Cardiovasc Surg

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Editorial Considerations on the New Clinical and Surgical Perspectives of Brazilian Cardiology

Cited by 2 publications

References 9 publications

Predictors of Mediastinitis Risk after Coronary Artery Bypass Surgery: Applicability of Score in 1.322 Cases

Predictors of Mediastinitis Risk after Coronary Artery Bypass Surgery: Applicability of Score in 1.322 Cases

The “Great Family” of Cardiovascular Scientific Journals in Brazil

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