Permanent pacemaker placement following valve surgery is not independently associated with worse outcomesCentral MessagePerspective

Autor: Valentino Bianco, DO, MPH, Arman Kilic, MD, Edgar Aranda-Michel, BS, Derek Serna-Gallegos, MD, Courtenay Dunn-Lewis, PhD, Shangzhen Chen, MPH, Floyd Thoma, BS, Forozan Navid, MD, Ibrahim Sultan, MD
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: JTCVS Open, Vol 7, Iss , Pp 157-164 (2021)
Druh dokumentu: article
ISSN: 2666-2736
DOI: 10.1016/j.xjon.2021.06.005
Popis: Background: Permanent pacemaker placement (PPM) is associated with morbidity following cardiac surgery. This study identified associations between PPM placement and 5-year outcomes for patients that require PPM following valvular surgery. Methods: All patients who underwent valvular surgery at our medical center from 2011 to 2018 were considered for analysis. Multivariable analysis identified associations between PPM placement, mortality, and readmissions. Primary outcomes were operative complications and mortality. Secondary outcomes included 5-year survival and readmission. Results: A total of 175 (4.86%) of 3602 valvular surgery patients required postoperative PPM. The PPM cohort had significantly worse baseline comorbidities, including greater Society of Thoracic Surgeons Predicted Risk of Mortality (STS-PROM) scores (3.8 vs 2.4 P
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