التفاصيل البيبلوغرافية
العنوان:
Risk for non-home discharge following surgery for ischemic mitral valve disease
المؤلفون:
Anuradha Lala , Helena L. Chang , Xiaoyu Liu , Eric J. Charles , Babatunde A. Yerokun , Michael E. Bowdish , Vinod H. Thourani , Michael J. Mack , Marissa A. Miller , Patrick T. O'Gara , Eugene H. Blackstone , Alan J. Moskowitz , Annetine C. Gelijns , John C. Mullen , Lynne W. Stevenson , Joseph J. DeRose , Alice Wang , Peter K. Smith , Michael A. Acker , Gorav Ailawadi , Wendy C. Taddei-Peters , Dennis Buxton , Ron Caulder , Nancy L. Geller , David Gordon , Neal O. Jeffries , Albert Lee , Ilana Kogan Gombos , Jennifer Ralph , Richard D. Weisel , Timothy J. Gardner , Eric A. Rose , Michael K. Parides , Deborah D. Ascheim , Emilia Bagiella , Ellen Moquete , Helena Chang , Melissa Chase , James Foo , Yingchun Chen , Seth Goldfarb , Lopa Gupta , Katherine Kirkwood , Edlira Dobrev , Ron Levitan , Karen O'Sullivan , Jessica Overbey , Milerva Santos , Deborah Williams , Michael Weglinski , Paula Williams , Carrie Wood , Xia Ye , Sten Lyager Nielsen , Henrik Wiggers , Henning Malgaard , Michael Mack , Tracine Adame , Natalie Settele , Jenny Adams , William Ryan , Robert L. Smith , Paul Grayburn , Frederick Y. Chen , Anju Nohria , Lawrence Cohn , Prem Shekar , Sary Aranki , Gregory Couper , Michael Davidson , R. Morton Bolman , Anne Burgess , Debra Conboy , Rita Lawrence , Nicolas Noiseux , Louis-Mathieu Stevens , Ignacio Prieto , Fadi Basile , Joannie Dionne , Julie Fecteau , A. Marc Gillinov , Pamela Lackner , Leoma Berroteran , Diana Dolney , Suzanne Fleming , Roberta Palumbo , Christine Whitman , Kathy Sankovic , Denise Kosty Sweeney , Carrie Geither , Kristen Doud , Gregory Pattakos , Pamela A. Clarke , Michael Argenziano , Mathew Williams , Lyn Goldsmith , Craig R. Smith , Yoshifumi Naka , Allan Stewart , Allan Schwartz , Daniel Bell , Danielle Van Patten , Sowmya Sreekanth , John H. Alexander , Carmelo A. Milano , Donald D. Glower , Joseph P. Mathew , J. Kevin Harrison , Stacey Welsh , Mark F. Berry , Cyrus J. Parsa , Betty C. Tong , Judson B. Williams , T. Bruce Ferguson , Alan P. Kypson , Evelio Rodriguez , Malissa Harris , Brenda Akers , Allison O'Neal , John D. Puskas , Robert Guyton , Jefferson Baer , Kim Baio , Alexis A. Neill , Pierre Voisine , Mario Senechal , François Dagenais , Kim O'Connor , Gladys Dussault , Tatiana Ballivian , Suzanne Keilani , Alan M. Speir , Patrick Magee , Niv Ad , Sally Keyte , Minh Dang , Mark Slaughter , Marsha Headlee , Heather Moody , Naresh Solankhi , Emma Birks , Mark A. Groh , Leslie E. Shell , Stephanie A. Shepard , Benjamin H. Trichon , Tracy Nanney , Lynne C. Hampton , Ralph Mangusan , Robert E. Michler , David A. D'Alessandro , Daniel J. Goldstein , Ricardo Bello , William Jakobleff , Mario Garcia , Cynthia Taub , Daniel Spevak , Roger Swayze , Nadia Sookraj , Louis P. Perrault , Arsène-Joseph Basmadjian , Denis Bouchard , Michel Carrier , Raymond Cartier , Michel Pellerin , Jean François Tanguay , Ismail El-Hamamsy , André Denault , Philippe Demers , Sophie Robichaud Jonathan Lacharité , Keith A. Horvath , Philip C. Corcoran , Michael P. Siegenthaler , Mandy Murphy , Margaret Iraola , Ann Greenberg , Chittoor Sai-Sudhakar , Ayseha Hasan , Asia McDavid , Bradley Kinn , Pierre Pagé , Carole Sirois , David Latter , Howard Leong-Poi , Daniel Bonneau , Lee Errett , Mark D. Peterson , Subodh Verma , Randi Feder-Elituv , Gideon Cohen , Campbell Joyner , Stephen E. Fremes , Fuad Moussa , George Christakis , Reena Karkhanis , Terry Yau , Michael Farkouh , Anna Woo , Robert James Cusimano , Tirone David , Christopher Feindel , Lisa Garrard , Suzanne Fredericks , Amelia Mociornita , Jonathan Choy , Steven Meyer , Emily Kuurstra , James S. Gammie , Cindi A. Young , Dana Beach , Robert Villanueva , Pavan Atluri , Y. Joseph Woo , Mary Lou Mayer , Michael Bowdish , Vaughn A. Starnes , David Shavalle , Ray Matthews , Shadi Javadifar , Linda Romar , Irving L. Kron , Karen Johnston , John M. Dent , John Kern , Jessica Keim , Sandra Burks , Kim Gahring , David A. Bull , Dennis O. Dixon , Mark Haigney , Richard Holubkov , Alice Jacobs , Frank Miller , John M. Murkin , John Spertus , Andrew S. Wechsler , Frank Sellke , Robert Byington , Neal Dickert , John S. Ikonomidis , David O. Williams , Clyde W. Yancy , James C. Fang , Nadia Giannetti , Wayne Richenbacher , Vivek Rao , Karen L. Furie , Rachel Miller , Sean Pinney , William C. Roberts , Mary N. Walsh , Judy Hung , Xin Zeng , Niamh Kilcullen , David Hung , Stephen J. Keteyian , Clinton A. Brawner , Heather Aldred , Jeffrey Browndyke , Yanne Toulgoat-Dubois
المصدر:
The Journal of Thoracic and Cardiovascular Surgery . 162:1769-1778.e7
بيانات النشر:
Elsevier BV, 2021.
سنة النشر:
2021
مصطلحات موضوعية:
Male , Pulmonary and Respiratory Medicine , medicine.medical_specialty , Myocardial Ischemia , 030204 cardiovascular system & hematology , Risk Assessment , 03 medical and health sciences , 0302 clinical medicine , Quality of life , Risk Factors , Mitral valve , Humans , Medicine , Prospective Studies , Adverse effect , Aged , Mitral regurgitation , business.industry , Mitral Valve Insufficiency , Odds ratio , Middle Aged , medicine.disease , Patient Discharge , Confidence interval , 3. Good health , Cardiac surgery , Surgery , Treatment Outcome , medicine.anatomical_structure , 030228 respiratory system , Heart failure , Quality of Life , Female , Cardiology and Cardiovascular Medicine , business
الوصف:
To determine the frequency and risk factors for non-home discharge (NHD) and its association with clinical outcomes and quality of life (QOL) at 1 year following cardiac surgery in patients with ischemic mitral regurgitation (IMR).Discharge disposition was evaluated in 552 patients enrolled in trials of severe or moderate IMR. Patient and in-hospital factors associated with NHD were identified using logistic regression. Subsequently, association of NHD with 1-year mortality, serious adverse events (SAEs), and QOL was assessed.NHD was observed in 30% (154/522) with 25% (n = 71/289) in moderate and 36% (n = 83/233) in patients with severe IMR (unadjusted P = .006), a difference not significant after including age (5-year change: adjusted odds ratio [adjOR], 1.52; 95% confidence interval [CI], 1.35-1.72; P .001), diabetes (adjOR, 1.94; 95% CI, 1.27-2.94; P = .002), and previous heart failure (adjOR, 1.64; 95% CI, 1.06-2.52; P = .03). Odds of NHD were increased for patients with postoperative SAEs (adjOR, 1.85; 95% CI, 1.19-2.86; P = .01) but not based on type of cardiac surgery. Greater rates of death and SAEs were observed in NHD patients at 1 year: adjusted hazard ratio, 4.29 (95% CI, 2.14-8.59; P .001) and adjusted rate ratio, 1.45 (95% CI, 1.03-2.02; P = .03), respectively. QOL did not differ significantly between groups.NHD is common following surgery for IMR, influenced by older age, diabetes, previous heart failure, and postoperative SAEs. These patients may be at greater risk of death and subsequent SAEs after discharge. Discussion of NHD with patients may have important implications for decision-making and guiding expectations following cardiac surgery.
تدمد:
0022-5223
الوصول الحر:
https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9c02f0ad9f878f63ac3c02c82f8f8cfdTest https://doi.org/10.1016/j.jtcvs.2020.02.084Test
حقوق:
CLOSED
رقم الانضمام:
edsair.doi.dedup.....9c02f0ad9f878f63ac3c02c82f8f8cfd
قاعدة البيانات:
OpenAIRE
