Impact of preoperative anemia on cardiac surgery in octogenarians☆
| Autor: | J.R. Echevarría, Yolanda Carrascal, Juvenal Rey, L. Maroto, Adolfo Arévalo, Jaime Arroyo, Nuria Arce, Enrique Fulquet |
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| Rok vydání: | 2010 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Time Factors Anemia Kaplan-Meier Estimate Hematocrit Risk Assessment Preoperative care law.invention Blood Vessel Prosthesis Implantation Hemoglobins Risk Factors law Odds Ratio medicine Cardiopulmonary bypass Humans Hospital Mortality Coronary Artery Bypass Proportional Hazards Models Aged 80 and over Peripheral Vascular Diseases medicine.diagnostic_test business.industry Age Factors EuroSCORE Odds ratio Perioperative Length of Stay medicine.disease Surgery Cardiac surgery Logistic Models Treatment Outcome Elective Surgical Procedures Creatinine Female Erythrocyte Transfusion Cardiology and Cardiovascular Medicine business |
| Zdroj: | Interactive CardioVascular and Thoracic Surgery. 10:249-255 |
| ISSN: | 1569-9285 1569-9293 |
| Popis: | OBJECTIVES Preoperative anemia has been related with adverse outcomes in elective valve replacement and CABG surgery. Impact of preoperative anemia on outcome in octogenarians submitted to cardiopulmonary bypass (CPB) has not yet been precisely described. METHODS We analyzed association between preoperative hemoglobin level, minimum intraoperative and immediate postoperative hematocrit (HCT), and other co-morbidities and occurrence of adverse outcomes in 227 octogenarians who underwent cardiac surgery. RESULTS Frequency of preoperative anemia was 41.9% (40.4% in male and 43.5% in female patients). Postoperative mortality was 13.2% (9% in non-anemic patients vs. 18.9% in anemic). 44.5% of patients suffered at least one postoperative adverse outcome (43.1% non-anemic vs. 46.3% anemic). In multivariate analysis (after adjusting independent preoperative risk factors for operative mortality and EuroSCORE) preoperative creatinine level [odds ratio (OR), 2.29; 95% confidence interval (CI), 1.06-4.98; P=0.035], immediate postoperative HCT |
| Databáze: | OpenAIRE |
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