Pre-Frailty Increases the Risk of Adverse Events in Older Patients Undergoing Cardiovascular Surgery
| Autor: | Mayron F. Oliveira, Artur Marques, Denise M. L. Lobo, Iracema Ioco Kikuchi Umeda, Miguel K. Rodrigues |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Aging lcsh:Diseases of the circulatory (Cardiovascular) system Time Factors medicine.medical_treatment Kaplan-Meier Estimate 030204 cardiovascular system & hematology Severity of Illness Index Postoperative Complications 0302 clinical medicine Risk Factors Prospective Studies 030212 general & internal medicine Myocardial infarction Prospective cohort study Stroke Cirurgia Cardiovascular Cardiovascular Surgery Frailty Envelhecimento Age Factors Intensive Care Units Treatment Outcome Female Cardiology and Cardiovascular Medicine Risk assessment medicine.medical_specialty Fragilidade Cardiac Surgery – Adults Risk Assessment Statistics Nonparametric 03 medical and health sciences Severity of illness medicine Humans Cardiovascular Surgical Procedure Fragility Adverse effect Aged Mechanical ventilation business.industry Eventos Adversos Cardiovascular Surgical Procedures Original Articles Length of Stay medicine.disease Respiration Artificial Surgery lcsh:RC666-701 Adverse Events business human activities |
| Zdroj: | Arquivos Brasileiros de Cardiologia, Iss 0 (2017) Arquivos Brasileiros de Cardiologia Arquivos Brasileiros de Cardiologia v.109 n.4 2017 Sociedade Brasileira de Cardiologia (SBC) instacron:SBC Arquivos Brasileiros de Cardiologia, Volume: 109, Issue: 4, Pages: 299-306, Published: 04 SEP 2017 |
| ISSN: | 0066-782X |
| Popis: | Background: Frailty is identified as a major predictor of adverse outcomes in older surgical patients. However, the outcomes in pre-frail patients after cardiovascular surgery remain unknown. Objective: To investigate the main outcomes (length of stay, mechanical ventilation time, stroke and in-hospital death) in pre-frail patients in comparison with no-frail patients after cardiovascular surgery. Methods: 221 patients over 65 years old, with established diagnosis of myocardial infarction or valve disease were enrolled. Patients were evaluated by Clinical Frailty Score (CFS) before surgery and allocated into 2 groups: no-frailty (CFS 1~3) vs. pre-frailty (CFS 4) and followed up for main outcomes. For all analysis, the statistical significance was set at 5% (p < 0.05). Results: No differences were found in anthropometric and demographic data between groups (p > 0.05). Pre-frail patients showed a longer mechanical ventilation time (193 ± 37 vs. 29 ± 7 hours; p |
| Databáze: | OpenAIRE |
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