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Impact of severe postoperative complications after cardiac surgery on mortality in patients aged over 80 years.
https://asahikawa-med.repo.nii.ac.jp/records/5134
https://asahikawa-med.repo.nii.ac.jp/records/5134b1b39bbd-38d7-4935-9ad1-093fbb679af2
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6016.pdf (607.5 kB)
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| Item type | 学術雑誌論文 / Journal Article_02(1) | |||||||||||||||||||||
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| 公開日 | 2015-03-12 | |||||||||||||||||||||
| タイトル | ||||||||||||||||||||||
| タイトル | Impact of severe postoperative complications after cardiac surgery on mortality in patients aged over 80 years. | |||||||||||||||||||||
| 言語 | ||||||||||||||||||||||
| 言語 | eng | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| キーワード | cardiac surgery | |||||||||||||||||||||
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| 主題Scheme | Other | |||||||||||||||||||||
| キーワード | octogenarians | |||||||||||||||||||||
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| 主題Scheme | Other | |||||||||||||||||||||
| キーワード | postoperative complication and mortality | |||||||||||||||||||||
| 資源タイプ | ||||||||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||||||
| 著者 |
紙谷, 寛之
× 紙谷, 寛之
× Tanzeem, Nadine
× Akhyari, Payam
× Pedraza, Anabel
× Kallenbach, Klaus
× Lichtenberg, Artur
× Karck, Matthias
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| 著者 ローマ字 | ||||||||||||||||||||||
| Kamiya, Hiroyuki | ||||||||||||||||||||||
| 書誌情報 |
Annals of Thoracic and Cardiovascular Surgery 巻 20, 号 5, p. 383-389, 発行日 2014-10-01 |
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| 収録物識別子タイプ | ISSN | |||||||||||||||||||||
| 収録物識別子 | 1341-1098 | |||||||||||||||||||||
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| 関連タイプ | isIdenticalTo | |||||||||||||||||||||
| 識別子タイプ | DOI | |||||||||||||||||||||
| 関連識別子 | 10.5761/atcs.oa.13-02268 | |||||||||||||||||||||
| リンクURL | ||||||||||||||||||||||
| 内容記述タイプ | Other | |||||||||||||||||||||
| 内容記述 | https://www.jstage.jst.go.jp/browse/atcs | https://www.jstage.jst.go.jp/browse/atcs | |||||||||||||||||||||
| 識別番号 その他 | ||||||||||||||||||||||
| 内容記述タイプ | Other | |||||||||||||||||||||
| 内容記述 | PMID:23903712 | |||||||||||||||||||||
| 抄録 | ||||||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||||||
| 内容記述 | Background: The aims of this study are (1) to investigate the occurrence rate of postoperative complications in patients ≥ 80 years old after cardiac surgery and (2) to elucidate the impact of the most common postoperative complications on mortality.Methods: Between January 1998 and December 2007, 649 patients aged over 80 years received isolated first-time coronary artery bypass graft (CABG), isolated aortic valve replacement (AVR) or a combination of both in our institute. Prospectively entered patient data were analyzed with respect to major complications and outcome parameters.Results: Acute renal failure (55.0% vs. 7.5%, p = 0.0001), low cardiac out-put syndrome (43.1% vs. 8.8%, p = 0.0001), sepsis (52.0% vs. 10.3%, p = 0.0001), prolonged respiratory failure with tracheotomy (29.0% vs. 11.0%, p = 0.002), re-thoracotomy due to bleeding (26.9% vs. 10.6%, p = 0.0001), and postoperative laparotomy (30.8% vs. 11.5%, p = 0.033) had a significant impact on mortality. A multivariate analysis revealed that advanced age (OR 1.130, 95%CI; 1.017–1.256, p = 0.023), low output syndrome (OR 5.094, 95%CI; 1.1635–15.871, p = 0.005), renal failure (OR 8.128, 95%CI; 3.347–19.742, p = 0.0001) and sepsis (OR 4.975, 95%CI; 1.420–17.426, p = 0.012) as independent risk factors.Conclusions: The present study demonstrates that among major complications, low output syndrome, renal failure requiring renal replacement therapy and sepsis, dramatically impaired the postoperative course patients aged over 80 years undergoing CABG, AVR or combined CABG and AVR. | |||||||||||||||||||||
| 注記 | ||||||||||||||||||||||
| 内容記述タイプ | Other | |||||||||||||||||||||
| 注記 | 出版社版 | |||||||||||||||||||||
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| 内容記述タイプ | Other | |||||||||||||||||||||
| 資源タイプ | text | |||||||||||||||||||||
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| 出版タイプ | VoR | |||||||||||||||||||||
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| 内容記述タイプ | Other | |||||||||||||||||||||
| 内容記述 | application/pdf | |||||||||||||||||||||
| ID(XooNIps) | ||||||||||||||||||||||
| 23903712 | ||||||||||||||||||||||
| 閲覧数(XooNIps) | ||||||||||||||||||||||
| ダウンロード数(XooNIps) | ||||||||||||||||||||||
| 744 | ||||||||||||||||||||||
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紙谷, 寛之, Tanzeem, Nadine, Akhyari, Payam, Pedraza, Anabel, Kallenbach, Klaus, Lichtenberg, Artur, Karck, Matthias, n.d., Impact of severe postoperative complications after cardiac surgery on mortality in patients aged over 80 years.: 383–389 p.
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