Practical use of a risk assessment model for complications after cardiac surgery.

Abstract:

BACKGROUND:The identification of risk factors for postoperative complications in cardiac patients with surgical indication may influence the therapeutic decision. OBJECTIVE:To describe the experience of a Cardiology hospital in the validation and practical use of a preoperative risk score. METHODS:To validate TUMAN's score, chosen by considering morbidity and mortality, 300 adult patients were prospectively evaluated before elective cardiac surgery with the use of extracorporeal circulation (ECC). Patients with a score of zero to five were considered as being low risk; from six to nine, as moderate risk and a score higher than 10 as high risk for cardiac, infectious, neurological, pulmonary and renal complications, as well as death. RESULTS:The TUMAN classification showed a statistically significant association with the occurrence of infectious complications (p = 0.010), with the other postoperative complications (p = 0.034) and death (p <0.001). Pulmonary infection was the most frequent infectious complication (15.3%) and Infected patients had a longer ICU stay duration (p = 0.001) and more prolonged hospitalization (p = 0001). After routine use, a new review of 154 patients operated in 2005, confirmed the validity of this score in the identification of those with the highest risk of postoperative infections. CONCLUSION:TUMAN's score was chosen as it uses variables that can be promptly obtained, classifies in the same system the most frequently performed surgeries and predicts risk of postoperative complications, in addition to mortality. Its continued use in this hospital has been able to identify the group of patients with increased risk of complications, especially infectious ones, although it was not useful in the prediction of individual risk.

journal_name

Arq Bras Cardiol

authors

Strabelli TM,Stolf NA,Uip DE

doi

10.1590/s0066-782x2008001700010

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

342-7

issue

5

eissn

0066-782X

issn

1678-4170

pii

S0066-782X2008001700010

journal_volume

91

pub_type

杂志文章
  • Quantification of DNA Damage in Different Tissues in Rats with Heart Failure.

    abstract:BACKGROUND:Chronic heart failure (CHF) is a complex syndrome which comprises structural and functional alterations in the heart in maintaining the adequate blood demand to all tissues. Few investigations sought to evaluate oxidative DNA damage in CHF. OBJECTIVE:To quantify the DNA damage using the comet assay in left ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.36660/abc.20180198

    authors: Stefani GP,Nunes RB,Rossato DD,Hentschke VS,Domenico MD,Lago PD,Rhoden CR

    更新日期:2020-02-01 00:00:00

  • [Pharmacokinetics of statins].

    abstract::Statins are lipid lowering agents that promote their effects on plasma lipids through the inhibition of HMG-CoA reductase, a crucial enzyme in the cascade of cholesterol synthesis, leading to reduction of tissue cholesterol pool and consequently, to an upregulation of the LDL receptor expression. There are considerabl...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:/S0066-782X2005002400003

    authors: Fonseca FA

    更新日期:2005-10-01 00:00:00

  • Time of exercise as indicator of quality control in ergometry services.

    abstract:BACKGROUND:The search for quality requires assessment tools in the various subdivisions of a health complex. In diagnostic medicine, they are scarce and in ergometry suggestions of indicators were not found. OBJECTIVE:To establish indicator for quality control on ergometry based on III Guidelines of the Brazilian Card...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20140005

    authors: Meneghelo RS,Morhy SS,Zucchi P

    更新日期:2014-02-01 00:00:00

  • Coronary artery disease in patients with rheumatic and non-rheumatic valvular heart disease treated at a public hospital in Rio de Janeiro.

    abstract:OBJECTIVE:to estimate the prevalence of coronary artery disease (CAD) in valvular heart disease of rheumatic (RVHD) and non-rheumatic (NVHD) etiology, assessing possible predictive factors for the presence of CAD. METHODS:This is a cross-sectional study of a series of cases obtained from a pre-defined population, wher...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2008000300010

    authors: Kruczan DD,Silva NA,Pereira Bde B,Romão VA,Correa Filho WB,Morales FE

    更新日期:2008-03-01 00:00:00

  • Echocardiography in chronic liver disease: systematic review.

    abstract:BACKGROUND:Doppler echocardiography (Echo) is a non-invasive method of excellent accuracy to screen portopulmonary hypertension (PPH) and to assess intrapulmonary shunts (IPS) in chronic liver disease (CLD). In the past decade, Echo proved to play a fundamental role in the diagnosis of cirrhotic cardiomyopathy (CCM). ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审

    doi:

    authors: Mota VG,Markman Filho B

    更新日期:2013-04-01 00:00:00

  • [Salvage coronary angioplasty in a young patient with Takayasu arteritis and myocardial infarction].

    abstract::A 16 year old boy with Takayasu's disease was admitted with myocardial infarction. Thrombolytic therapy with intravenous streptokinase showed no signs of reperfusion. Rescue angioplasty of the left descending coronary artery was performed with success. ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Antelmi I,Magalhães L,Caramelli B,Nakano O,Tranchesi Júnior B,Nicolau JC,Nogueira P,Machado NC,Bellotti G,Pileggi F

    更新日期:1993-01-01 00:00:00

  • Elevated Heart Rate is Associated with Cardiac Denervation in Patients with Heart Failure: A 123-Iodine-MIBG Myocardial Scintigraphy Study.

    abstract:Background::In the Systolic Heart Failure Treatment With the If Inhibitor Ivabradine Trial (SHIFT), heart rate (HR) reduction with ivabradine was associated with improved survival and reduced hospitalizations in patients with heart failure (HF). The mechanisms by which elevated HR increases mortality are not fully unde...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,随机对照试验

    doi:10.5935/abc.20160166

    authors: Villacorta AS,Villacorta H Junior,Souza JS,Teixeira JA,Muradas MC,Alves CR,Precht BC,Porto P,Ubaldo L,Mesquita CT,Nóbrega AC

    更新日期:2016-11-01 00:00:00

  • Ischemic preconditioning influence ventricular function in off-pump revascularization surgery.

    abstract:BACKGROUND:Ischemic preconditioning is a method that prepares and protects cells to tolerate a long period of ischemia with the least possible injury. OBJECTIVES:Evaluate the influence of ischemic preconditioning over left ventricular function during off-pump myocardial revascularization. METHOD:Forty patients with c...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,随机对照试验

    doi:10.1590/s0066-782x2010000300010

    authors: Succi JE,Gerola LR,Succi GM,Almeida RA,Novais LS,Rocha B

    更新日期:2010-03-01 00:00:00

  • [Anomalous origin of the right pulmonary artery from the ascending aorta (Hemitruncus)].

    abstract::The origin of the right pulmonary artery from the ascending aorta is a rare cogenital anomaly, with very few reports in the literature. We describe two cases of this rare malformation, one of them, associated with interruption of the aortic arch (type B). In both cases, the diagnosis was made by two-dimensional echoca...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x1998000500007

    authors: Rivera IR,Moisés VA,Silva CC,Leal SB,Maluf MA,Andrade JL,Carvalho AC

    更新日期:1998-05-01 00:00:00

  • Transhepatic access for atrioseptostomy in a neonate.

    abstract::We report a case in which a neonate with complete transposition of the great arteries was submitted to an atrial septostomy through transhepatic access due to congenital interruption of the inferior vena cava. The technical aspects of the procedure are discussed. ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2007000300024

    authors: Neves JR,Ferreiro CR,Fontes VF,Pedra CA

    更新日期:2007-03-01 00:00:00

  • Cross-sectional study of treatment strategies on atrial fibrillation.

    abstract:BACKGROUND:Despite the high prevalence and clinical importance of atrial fibrillation (AF), there is no Brazilian study describing the clinical profile of patients with AF and the most used treatment strategy (rhythm control vs. rate control). OBJECTIVE:Assess the most common treatment on AF in an outpatient specializ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2012005000020

    authors: Oliveira LH,Mallmann FB,Botelho FN,Paul LC,Gianotto M,Abt Rde B,Silva NJ,Luize CM,Nogueira FL,Carvalho RS,Paola AA,Cirenza C

    更新日期:2012-03-01 00:00:00

  • [Value of pericardial biopsy in the etiologic diagnosis of pericardial diseases].

    abstract:PURPOSE:To determine the value of pericardial biopsy as a complementary exam in the etiology of pericardial effusion. METHODS:We analyzed retrospectively (from 1990 to 1997) 38 patients with pericardial effusion. The age ranged between 3 months and 79 years (mean 41.15 +/- 21.78 years). Pericardial biopsy was performe...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x1998000600003

    authors: Fernandes F,Ianni BM,Arteaga E,Benvenutti L,Mady C

    更新日期:1998-06-01 00:00:00

  • Atrioventricular pacemaker. Incidence and causes of reprogramming in long-term follow-up.

    abstract:OBJECTIVE:To assess the incidence of problems requiring reprogramming of atrioventricular pacemakers in a long-term follow-up, and also the causes for this procedure. METHODS:During the period from May '98 to December '99, 657 patients were retrospectively studied, An actuarial curve for the event reprogramming of the...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Martinelli M,de Arruda Melo S,Nishióka SA,Pedrosa AA,de Siqueira SF,Costa R,Sosa E

    更新日期:2001-01-01 00:00:00

  • [Removal of a non-radiopaque catheter fragment under echocardiographic imaging. A case report].

    abstract::Central vein cannulation is used as routine for long-time treatment in paediatric intensive care units. The Sylastic catheter is now a days the most common used because of its non-thrombogenic effect. However, in the case here reported, fragmentation during its removal occurred in a eleven month baby. Non surgical rem...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Piccioni JL,Arie S,Albuquerque AM,Grinberg M

    更新日期:1989-11-01 00:00:00

  • [Evaluation of segmentary contractility in Chagas' disease by using the integral of the myocardial velocity gradient (myocardial strain) obtained through tissue Doppler echocardiography].

    abstract:OBJECTIVE:To quantify the percentage of contractility of different myocardial segments in patients with Chagas' disease by measuring myocardial strain and to assess the differences in the radial and longitudinal ventricular contractile function in the undetermined and dilated forms of chronic chagasic cardiomyopathy as...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2005000400003

    authors: Silva CE,Ferreira LD,Peixoto LB,Monaco CG,Gil MA,Ortiz J,Ianni BM,Andrade JL,Mathias Júnior W,Barretto AC

    更新日期:2005-04-01 00:00:00

  • [Detection of myocardial ischemia during dobutamine stress echocardiography. Correlation with coronary cineangiography].

    abstract:PURPOSE:To detect myocardial ischemia during dobutamine stress echocardiography (DSE). METHODS:Two hundred and seventy one patients were studied; 63 (23%) underwent coronary angiography within a month of DSE. Angiograms were analyzed independently by 3 angiographers, and coronary lesions larger than 50% of luminal occ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Mathias Júnior W,Doya EH,Ribeiro EE,Silva LA,Gasques A,Salvadori RA,Duprat Filho R

    更新日期:1993-04-01 00:00:00

  • [Cardiovascular diseases observed during follow-up of a group of patients with undetermined form of Chagas' disease].

    abstract:PURPOSE:The aim of this study was to evaluate the cardiovascular outcome in patients with the undetermined form of Chagas' disease and whether or not it is related to the infectious disease in the long-term. METHODS:One hundred and sixty patients were prospectively followed-up at three month intervals for up to 177 mo...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x1998000700005

    authors: Ianni BM,Mady C,Arteaga E,Fernandes F

    更新日期:1998-07-01 00:00:00

  • [Heart involvement in systemic amyloidosis. In vivo diagnosis].

    abstract::This is the case of a 42 year-old male with systemic amyloidosis, probably primary, and heart involvement. Physiopathological and clinical aspects are described as well as the rarity of the diagnosis in vivo. The limited aspects of therapy are also described. ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x1998000200010

    authors: Mendes RG,Evora PR,Mendes JA,Haddad J,Carvalho S

    更新日期:1998-02-01 00:00:00

  • Genetic Testing and Pregnancy Outcome Analysis of 362 Fetuses with Congenital Heart Disease Identified by Prenatal Ultrasound.

    abstract:BACKGROUND:Congenital heart defects (CHD), as the most common congenital anomaly, have been reported to be associated with chromosomal abnormalities. Currently, patients with CHD are routinely offered karyotyping and chromosomal microarray (CMA) testing, but the genotype-phenotype relationship has not yet been fully es...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20180144

    authors: Luo S,Meng D,Li Q,Hu X,Chen Y,He C,Xie B,She S,Li Y,Fu C

    更新日期:2018-10-01 00:00:00

  • [Relationship between volume reduction of the left ventricle and the increase of mitral valve prolapse. An experimental study in dogs].

    abstract:PURPOSE:To verify whether accentuated reductions of left ventricular volume lead to mitral valve prolapse. METHODS:Seven mongrel dogs were bled through the internal jugular vein, the systolic systemic pressure being kept between 100 and 140 mmHg by means of continuous infusion of dopamine; the inferior vena cava vein,...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Curti HJ,Ferreira MC,Silveira SA,Sanches PC,Carvalhal S

    更新日期:1993-10-01 00:00:00

  • [Angioplasty in native coronary circulation in patients treated with myocardial revascularization].

    abstract:PURPOSE:To evaluate the clinical results after angioplasty in the native coronary vessels in patients who had undergone previous coronary artery surgery. METHODS:From June 1987 to July 1990, 69 patients with previous coronary artery surgery underwent coronary angioplasty in the native arteries. Age ranged from 31 to 8...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Pimentel Filho WA,Ascer E,Büchler JR,Assis SF,Hirschfeld R,Neves M,Araújo EC,Pinheiro LF,Souza JA,De Carvalho VB

    更新日期:1992-05-01 00:00:00

  • Risk factors for the development of atherosclerosis in childhood and adolescence.

    abstract::Cardiovascular diseases (CVD) are a major cause of death in developed countries as well as in developing countries. In general, the clinical manifestations of CVD, such as myocardial infarction, stroke and peripheral vascular disease, are caused by an atherosclerotic process with onset as from the middle age. However,...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审

    doi:10.1590/s0066-782x2008000400012

    authors: Santos MG,Pegoraro M,Sandrini F,Macuco EC

    更新日期:2008-04-01 00:00:00

  • Cardiovascular risks in adolescents with different degrees of obesity.

    abstract:BACKGROUND:There have been few studies on cardiovascular risk factors in adolescents with different degrees of obesity. OBJECTIVE:To evaluate metabolic effects associated with different degrees of obesity in adolescents and their impact on cardiovascular risks. METHODS:Cross-sectional study of 80 obese adolescents, d...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2010005000166

    authors: Lavrador MS,Abbes PT,Escrivão MA,Taddei JA

    更新日期:2011-03-01 00:00:00

  • Pulse wave velocity, blood pressure and adipocytokines in young adults: the Rio de Janeiro study.

    abstract:BACKGROUND:Data on noninvasive vascular assessment and their association with cardiovascular risk variables are scarce in young individuals. OBJECTIVE:To evaluate the association between pulse wave velocity and blood pressure, anthropometric and metabolic variables, including adipocytokines, in young adults. METHODS:...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2012005000116

    authors: Pizzi OL,Brandão AA,Pozzan R,Magalhães ME,Campana EM,Fonseca FL,Freitas EV,Brandão AP

    更新日期:2013-01-01 00:00:00

  • Presystolic Wave is Associated with Subclinical Left Ventricular Dysfunction Assessed by Myocardial Performance Index in Type 2 Diabetes Mellitus.

    abstract:BACKGROUND:Myocardial performance index (MPI), demonstrates both systolic and diastolic functions of the left ventricle. Presystolic wave (PSW) is frequently detected on Doppler examination of the left ventricular outflow tract and possible mechanism of PSW is impaired LV compliance and left ventricular stiffness. OBJ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20190134

    authors: Kul S,Dursun İ,Ayhan S,Sayin MR,Üçüncü Ö,Bülbül NE,Ateş AH,Akyüz AR

    更新日期:2019-07-29 00:00:00

  • Rheumatic carditis treated with high doses of pulsetherapy methylprednisolone. Results in 70 children over 12 years.

    abstract:PURPOSE:To report the result of patients treated with IV methylprednisolone divided into three groups and compare their follow-up during the last 12 years. METHODS:Seventy children with active rheumatic carditis (76 episodes) in heart failure Class III and IV (NYHA) were studied. The diagnosis was based on modified Jo...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x1999000500007

    authors: Herdy GV,Pinto CA,Olivaes MC,Carvalho EA,Tchou H,Cosendey R,Ribeiro R,Azeredo F,de Souza D,Herdy AH,Lopes VG

    更新日期:1999-05-01 00:00:00

  • Mitral valve repair with a malleable bovine pericardium ring.

    abstract:OBJECTIVE:To describe a surgical procedure utilizing a malleable bovine pericardium ring in mitral valve repair and clinical and Doppler echocardiographic results. METHODS:Thirty-two (25 female and 7 male) patients, aged between 9 and 66 (M=36.4+/-17.2) years, were studied over a 16-month period, with 100% follow-up. ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2000001100003

    authors: Volpe MA,Braile DM,Vieira RW,Souza DR

    更新日期:2000-11-01 00:00:00

  • Women with Polycystic Ovarian Syndrome Exhibit Reduced Baroreflex Sensitivity That May Be Associated with Increased Body Fat.

    abstract:BACKGROUND:Polycystic ovarian syndrome (PCOS) women have a high prevalence of obesity and alterations in cardiovascular autonomic control, mainly modifications in heart rate variability (HRV) autonomic modulation. However, there are few studies about other autonomic control parameters, such as blood pressure variabilit...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20190031

    authors: Philbois SV,Gastaldi AC,Facioli TP,Felix ACS,Reis RMD,Fares TH,Souza HCD

    更新日期:2019-04-01 00:00:00

  • [Reproducibility of head-up tilt test in patients with neurocardiogenic syncope].

    abstract:PURPOSE:In order to identify the reproducibility of head-up tilt test, a second test one week later in 22 patients with a positive first test, was performed. METHODS:The test was performed in a fasting state during the morning. The heart rate and blood pressure were monitored during 20 minutes in the supine position a...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Hachul D,Sosa EA,Consolim F,Magalhães L,Scanavacca M,Martinelli M,Bellotti G,Pileggi F

    更新日期:1994-05-01 00:00:00

  • [Correlation between evolution of the cognitive function and mortality after hospital discharge in elderly patients with advanced heart failure].

    abstract:OBJECTIVE:To assess the relation between the evolution of cognitive performance and the prognosis of elderly patients after compensation of advanced heart failure. METHODS:Thirty-one patients older than 64 (68 +/- 7) years and admitted with New York Heart Association class IV heart failure and ejection fraction = 0.45...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2004000300005

    authors: Ochiai ME,Franco LL,Gebara OC,Nussbacher A,Serro-Azul JB,Pierri H,Rays J,Barretto AC,Wajngarten M

    更新日期:2004-03-01 00:00:00