Mortality and morbidity of patients on the waiting list for coronary artery bypass graft surgery

Fonseca, Viviane Belidio Pinheiro da; Lorenzo, Andrea De; Tura, Bernardo Rangel; Pittella, Felipe José Monassa; Rocha, Antônio Sérgio Cordeiro da

doi:10.1093/icvts/ivx276

Cited by 19 publications

(13 citation statements)

References 23 publications

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“…In the case of cardiac surgery, previous reports have highlighted the impact of prolonged time on the surgical waiting list on mortality. 3 , 4 , 5 , 6 Therefore, we aimed to assess the effect of COVID-19 pandemic on cardiac surgery workload in Greece, a country that has remarkably managed to contain the COVID-19 by rapid and effective implementation of restrictive measures.…”

mentioning

confidence: 99%

The impact of COVID-19 pandemic on adult cardiac surgery procedures

Lazaros

Oikonomou

Theofilis

et al. 2021

Hellenic Journal of Cardiology

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mentioning

confidence: 99%

The impact of COVID-19 pandemic on adult cardiac surgery procedures

Lazaros

Oikonomou

Theofilis

et al. 2021

Hellenic Journal of Cardiology

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“…This is consistent with the arguments of scholars who underlined the negative effects of long waiting lists on both timely access to care and health-related conditions. 31,32 Interestingly, while scholars have variously emphasized that people with modest and serious limitations in performing daily-life activities and those reporting lower health conditions are more likely to use hospital services and to show lengthy hospital stays, 33,34 our findings indicated that these categories of patients had lower hospital access and shorter hospital visits. A potential explanation of this circumstance is given by the inappropriateness of the hospital setting to meet the special health needs of chronic patients who suffer from an exacerbation of their well-being.…”

Section: Discussionmentioning

confidence: 61%

“…This is consistent with the arguments of scholars who underlined the negative effects of long waiting lists on both timely access to care and health-related conditions. 31,32…”

Section: Discussionmentioning

confidence: 99%

A spotlight on chronic patients’ hospitalization: Some exploratory insights

Palumbo

Manna

2018

Health Serv Manage Res

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All over the world, health care systems are experiencing the challenges raised by the epidemiological transition from the prevalence of acute diseases to the preponderance of chronic illnesses. However, the traditional design for acute conditions of most of health care systems – which triggers a hospital-centric culture – is not consistent with the special health needs of people suffering from long-term conditions. In fact, the access of chronic patients to hospital services has been variously contested to be inappropriate and ineffective to meet their demand for care. Sticking to these considerations, this study investigates the factors that influence the occurrence of hospitalization and the length of hospital stays of a representative sample of Italian chronic patients. Secondary data were collected from the European Health Interview Survey. The sample consisted of 8,127 people. A probit model and a multiple regression analysis were performed to obtain some evidence on the regressors of Italian patients’ access to hospital care. Among others, gender, work condition, health services’ use and health status were found to have a role in influencing chronic patients’ behaviors. The study findings prompted the formulation of several avenues for future developments, which provide some food for thought to policy makers and inspire an agenda for further research.

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“…ese drugs are administered in catheter laboratories for emergency PCI, but in cases not treated due to operation failure or inappropriate anatomy and in those for whom an urgent CABG decision is made before the PCI procedure, these drugs can significantly increase the bleeding and hemorrhagic mortality, with the exception of cangrelor [28,29]. Although urgent CABG surgery is recommended, the operation of these patients is delayed in many centers, and because of prolonged waiting time for CABG, the mortality rates increased in patients with CAD [30]. e results of the current study demonstrating the correlation of high m-HS and positive stress testing with high PLR levels have shown that there is a high likelihood that in cases of CAD referred for CA are preferential candidates for interventional therapies such as PCI and CABG.…”

Section: Discussionmentioning

confidence: 99%

A Novel Index for Prompt Prediction of Severity in Patients with Unstable Angina Pectoris

Bolatkale

Acara

2020

Emergency Medicine International

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Objectives. Rapid risk stratification by emergency department (ED) physicians to evaluate patients with chest pain for predicting the short-term occurrence of major adverse cardiac event (MACE) is crucial. The aim of this study was to investigate the predictive value of platelet-lymphocyte ratio (PLR) levels and compare with the modified heart score (m-HS) and stress testing to predict the severity of high-risk patients with unstable angina pectoris (UAP) in the ED. Methods. This study is prospective which included 316 patients with UAP and 316 control healthy subjects. The study took place from 01 April 2016, until 01 April 2017, in Medipol University. Result. The mean PLR levels in the UAP group were higher than those in the control group (p<0.001). The mean PLR of the m-HS ≥4 group was higher than that in the m-HS ≤3 group (p<0.001). The mean levels of PLR in the subgroups based on the stress testing positivity were higher than those in the stress testing negative subgroup (p<0.001). PLR levels were positively correlated with the m-HS, stress testing, and treatment decision in this study (r = 0.559; p<0.001; r = 0.582; p<0.001; r = 0.789; p<0.001, respectively). Conclusion. A positive correlation was determined with an increase in m-HS, treatment decision, and positive exercise testing as the PLR levels increased, indicating the severity of high risk of UAP in the ED.

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Mortality and morbidity of patients on the waiting list for coronary artery bypass graft surgery

Abstract: Extensive waiting periods for CABG contribute to higher mortality and morbidity rates, especially in patients with left ventricular dysfunction.

Cited by 19 publications

References 23 publications

The impact of COVID-19 pandemic on adult cardiac surgery procedures

The impact of COVID-19 pandemic on adult cardiac surgery procedures

A spotlight on chronic patients’ hospitalization: Some exploratory insights

A Novel Index for Prompt Prediction of Severity in Patients with Unstable Angina Pectoris

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