التفاصيل البيبلوغرافية
| العنوان: |
Impact of tricuspid regurgitation on postoperative outcomes after non-cardiac surgeries |
| المؤلفون: |
Brian Griffin, Samir Kapadia, Venu Menon, Parth Parikh, Kinjal Banerjee, Ambreen Ali, Anil Anumandla, Aditi Patel, Yash Jobanputra, E Murat Tuzcu |
| المصدر: |
Open Heart, Vol 7, Iss 1 (2020) |
| بيانات النشر: |
BMJ Publishing Group, 2020. |
| سنة النشر: |
2020 |
| المجموعة: |
LCC:Diseases of the circulatory (Cardiovascular) system |
| مصطلحات موضوعية: |
Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| الوصف: |
ObjectiveTricuspid regurgitation (TR) severity has known adverse implications, its impact on patients undergoing non-cardiac surgery (NCS) remains unclear. We sought to determine the impact of TR on patient outcomes after NCS.MethodsWe performed a retrospective cohort study in patients undergoing NCS. Outcomes in patients with moderate or severe TR were compared with no/trivial TR after adjusting for baseline characteristics and revised cardiac risk index (RCRI). The primary outcome was defined as 30-day mortality and heart failure (HF), while the secondary outcome was long-term mortality.ResultsOf the 7064 patients included, 312 and 80 patients had moderate and severe TR, respectively. Thirty-day mortality was higher in moderate TR (adjusted OR 2.44, 95% CI 1.25 to 4.76) and severe TR (OR 2.85, 95% CI 1.04 to 7.79) compared with no/trivial TR. There was no difference in 30-day HF in patients with moderate TR (OR 1.48, 95% CI 0.90 to 2.44) or severe TR (OR 1.42, 95% CI 0.60 to 3.39). The adjusted HR for long-term mortality in moderate TR was 1.55 (95% CI 1.31 to 1.82) and 1.87 (95% CI 1.40 to 2.50) for severe TR compared with no/trivial TR.ConclusionIncreasing TR severity has higher postoperative 30-day mortality in patients undergoing NCS, independent of RCRI risk factors, ejection fraction or mitral regurgitation. Severity of TR should be considered in risk stratification for patients undergoing NCS. |
| نوع الوثيقة: |
article |
| وصف الملف: |
electronic resource |
| اللغة: |
English |
| تدمد: |
2053-3624 |
| Relation: |
https://openheart.bmj.com/content/7/1/e001183.full; https://doaj.org/toc/2053-3624 |
| DOI: |
10.1136/openhrt-2019-001183 |
| URL الوصول: |
https://doaj.org/article/d16e39c6a1c34938b9809b3df4526809 |
| رقم الانضمام: |
edsdoj.16e39c6a1c34938b9809b3df4526809 |
| قاعدة البيانات: |
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