¿Se puede identificar mediante el EuroSCORE a los pacientes con mortalidad mínima en cirugía cardíaca?

Álvarez, Miguel; Colmenero, Manuel Herrador; Martin, P. Perez; Prades, Isabel; Moreno, Eduardo; González-Molina, Mercedes; Moreno, T.; Azpitarte, José

doi:10.1016/s0300-8932(03)76939-5

Cited by 15 publications

(7 citation statements)

References 14 publications

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“…The main factors that cause hepatic dysfunction include: decreased hepatic blood flow, prolonged CPB duration, ACC times, infection, drugs, anesthetic agents, inflammatory cytokines and some other risk factors, such as older age or a poor nutritional status [ 12 - 17 ] . Many risk factors have been associated with hyperbilirubinemia and risk factors that increase mortality also cause postoperative dysfunction [ 9 , 11 - 13 ] . For these reasons, we hypothesized to perform our study at a patient group with low and moderate risk factors for postoperative mortality.…”

Section: Discussionmentioning

confidence: 99%

“…In our study, we included patients with low and medium risk by evaluating EuroSCORE-related parameters and other possible cardiac risk factors [ 9 ] . Our goal was to determine the possible risk factors associated with hepatic dysfunction in patients with possible low or medium risk during open-heart surgeries with CPB.…”

Section: Methodsmentioning

confidence: 99%

“…The collected parameters were compared within the groups and changes in preoperative values were evaluated. The secondary endpoint was the effect of hyperbilirubinemia on various possible clinical risk factors such as: ACC time; CPB time; use of inotropic support; use of IABP; prolonged mechanical ventilation; development of pneumonia; perioperative myocardial infarction; cerebrovascular event (stroke, transient ischemic attack), seizure; atrial fibrillation and other rhythm disorders; need for renal replacement therapy; reoperation for bleeding; ICU stay; hospital stay; and other adverse events such as development of sepsis or need for tracheostomy [ 9 , 10 ] .…”

Section: Methodsmentioning

confidence: 99%

“…The European System for Cardiac Risk Evaluation (EuroSCORE) was developed for risk assessment in open-heart surgeries to provide possible risk factors that may increase postoperative mortality and morbidity. The patients are usually divided into three risk groups using this scoring system and include: low-risk (0-2), medium-risk (3-5) and high-risk groups (≥6) [ 9 ] . In our study, we include patients with possible low and medium risk according to EuroSCORE preoperative cardiac risk scoring system and other possible cardiac risks.…”

Section: Introductionmentioning

confidence: 99%

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Investigation of Risk Factors Related to the Development of Hepatic Dysfunction in Patients with a Low and Moderate Cardiac Risk During Open-Heart Surgeries

Baysal¹,

Sagiroglu²,

Doğukan³

et al. 2021

Braz J Cardiovasc Surg

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Objective To determine the possible risk factors associated with hepatic dysfunction during open-heart surgeries. Methods After excluding 71 patients, 307 patients with possible low and moderate cardiac risk who underwent either coronary artery bypass graft surgery (CABG) (n=176) or valve repair surgery (mitral valve, mitral and aortic valves and/or tricuspid valve) (n=131) were investigated prospectively during a 6-month period. Hyperbilirubinemia is defined as an occurrence of a plasma total bilirubin concentration >34 µmol/L (2 mg/dL) in any measurement during the postoperative period; the patients were divided into groups with or without postoperative hyperbilirubinemia. The collected parameters were: alanine transaminase (ALT), aspartate transaminase (AST), alkaline phosphatase (ALP), total bilirubin (TBil), gamma-glutamyl transpeptidase (GGT) and albumin. The parameters were collected preoperatively and postoperatively on days 1, 3 and 7. Preoperative, intraoperative, and postoperative risk factors were investigated. Logistic regression analysis was performed to identify the risk factors for postoperative hyperbilirubinemia. Results Postoperative hyperbilirubinemia was observed in 7 of 176 patients (4%) who underwent CABG, and in 11 of 131 patients (8.4%) who underwent valve replacement surgeries. Independent risk factors for early postoperative hyperbilirubinemia were found as: ejection fraction (EF), aortic cross-clamp (ACC) time, intensive care unit stay and extubation time ( P <0.001). In comparison to CABG procedures, postoperative hyperbilirubinemia was observed more frequently in patients undergoing valve surgeries ( P =0.027). Conclusion Low EF and prolonged ACC time are significant independent risk factors for early postoperative hyperbilirubinemia during open-heart surgeries with cardiopulmonary bypass. Valve surgeries show a higher incidence of hyperbilirubinemia in comparison to CABG.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Investigation of Risk Factors Related to the Development of Hepatic Dysfunction in Patients with a Low and Moderate Cardiac Risk During Open-Heart Surgeries

Baysal¹,

Sagiroglu²,

Doğukan³

et al. 2021

Braz J Cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…Además también se ha querido comprobar su capacidad para determinar la mortalidad a largo plazo 234 , así como su capacidad para identificar a los pacientes que presentan un mínimo riesgo de mortalidad ante la cirugía cardiaca 295 .…”

Section: Escalas De Gravedad Utilizadas En Cirugiaunclassified

Valoración del Euroscore y SAPS III como predictor de mortalidad hospitalaria en el postoperatorio de cirugía cardiaca

Mateos-Pañero

Sánchez-Casado

Castaño-Moreira

et al. 2017

Revista Española de Anestesiología y Reanimación

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Análisis descriptivo de mortalidad en cirugía cardiaca en los hospitales públicos de la Comunidad Valenciana en el año 2007

Vicente

Pajares

Vicente

et al. 2010

Revista Española de Anestesiología y Reanimación

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¿Se puede identificar mediante el EuroSCORE a los pacientes con mortalidad mínima en cirugía cardíaca?

Cited by 15 publications

References 14 publications

Investigation of Risk Factors Related to the Development of Hepatic Dysfunction in Patients with a Low and Moderate Cardiac Risk During Open-Heart Surgeries

Investigation of Risk Factors Related to the Development of Hepatic Dysfunction in Patients with a Low and Moderate Cardiac Risk During Open-Heart Surgeries

Valoración del Euroscore y SAPS III como predictor de mortalidad hospitalaria en el postoperatorio de cirugía cardiaca

Análisis descriptivo de mortalidad en cirugía cardiaca en los hospitales públicos de la Comunidad Valenciana en el año 2007

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