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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/5134
b1b39bbd-38d7-4935-9ad1-093fbb679af2
名前 / ファイル ライセンス アクション
6016.pdf 6016.pdf (607.5 kB)
Item type 学術雑誌論文 / Journal Article_02(1)
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
キーワード
主題Scheme Other
キーワード octogenarians
キーワード
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

紙谷, 寛之

ja-Kana カミヤ, ヒロユキ

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Tanzeem, Nadine

× Tanzeem, Nadine

Tanzeem, Nadine

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Akhyari, Payam

× Akhyari, Payam

Akhyari, Payam

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Pedraza, Anabel

× Pedraza, Anabel

Pedraza, Anabel

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Kallenbach, Klaus

× Kallenbach, Klaus

Kallenbach, Klaus

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Lichtenberg, Artur

× Lichtenberg, Artur

Lichtenberg, Artur

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Karck, Matthias

× Karck, Matthias

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
ISSN
収録物識別子タイプ ISSN
収録物識別子 1341-1098
DOI
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
資源タイプ
内容記述タイプ Other
資源タイプ text
著者版フラグ
出版タイプ VoR
フォーマット
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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