Electronic Resource
Impact of smoking status on early and late outcomes after isolated aortic valve replacement surgery.
| العنوان: | Impact of smoking status on early and late outcomes after isolated aortic valve replacement surgery. |
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| المؤلفون: | Reid C.M., Newcomb A.E., Saxena A., Shan L., Dinh D.T., Smith J.A., Shardey G.C. |
| بيانات النشر: | ICR Publishers Ltd (12/A South Approach, Moor Park, Northwood HA6 2ET, United Kingdom) United Kingdom 2013-11-25 |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | Background and aim of the study: Currently, insufficient data exist relating to the impact of smoking status on outcomes after isolated aortic valve replacement (AVR) surgery. Method(s): Data obtained prospectively between June 2001 and December 2009 by the Australian and New Zealand Society of Cardiac and Thoracic Surgeons (SCTS) Cardiac Surgery Database Program was analyzed retrospectively. Demographic and operative data were compared between patients who were non-smokers, previous smokers and current smokers, using chi-square and t-tests. The independent impact of smoking status on 14 shortterm complications and long-term mortality was determined using binary logistic and Cox regression, respectively. Result(s): Isolated AVR surgery was performed in 2,790 patients; smoking status was recorded in 2,784 cases (99.8%). Of these patients 1,346 (48.3%) had no previous smoking history, 1,232 (44.3%) were previous smokers, and 206 (7.4%) were current smokers. The 30-day mortality rate was 2.3% in nonsmokers, 2.7% in previous smokers, and 0.5% in current smokers (p = NS). The incidence of perioperative complications was generally similar in the three groups, but current smokers were at an increased risk of pneumonia (p = 0.030) and postoperative myocardila infarction (p = 0.007). The mean follow up period for the study was 37 months (range: 0-105 months). After adjusting for differences in patient variables, the incidence of late mortality was not higher in previous smokers (HR 1.13; 95% Cl 0.87-1.46; p = 0.372) or current smokers (HR 1.25; 95% Cl 0.66-2.36; p = 0.494) compared to non-smokers. Conclusion(s): Smoking status does not necessarily portend a poorer perioperative outcome in patients undergoing isolated AVR. © Copyright by ICR Publishers 2013. |
| مصطلحات الفهرس: | medical history, outcome assessment, peripheral vascular disease, pneumonia/co [Complication], postoperative complication/co [Complication], preoperative evaluation, priority journal, retrospective study, septicemia/co [Complication], smoking, surgical infection/co [Complication], unstable angina pectoris, triple vessel disease, long term survival, major clinical study, male, mortality, multiple organ failure/co [Complication], New York Heart Association class, obesity, adult, aged, aorta clamping, aorta valve replacement, article, artificial ventilation, cardiopulmonary bypass, cardiovascular mortality, cerebrovascular accident/co [Complication], cerebrovascular disease, chronic obstructive lung disease, controlled study, coronary artery disease, diabetes mellitus, erythrocyte transfusion, female, follow up, gastrointestinal disease/co [Complication], heart failure, heart infarction/co [Complication], heart left ventricle ejection fraction, heart valve bioprosthesis, high risk patient, human, hypercholesterolemia, hypertension, kidney failure, Article |
| URL: | Click here for full text options LibKey Link |
| الاتاحة: | Open access content. Open access content Copyright 2013 Elsevier B.V., All rights reserved. |
| Other Numbers: | AUSHL oai:repository.monashhealth.org:1/42611 Journal of Heart Valve Disease. 22 (2) (pp 184-191), 2013. Date of Publication: March 2013. 0966-8519 https://repository.monashhealth.org/monashhealthjspui/handle/1/42611 23798206 [http://www.ncbi.nlm.nih.gov/pubmed/?term=23798206] 370267060 (Saxena, Shan, Newcomb) Department of Cardiothoracic Surgery, St. Vincent's Hospital Melbourne, Fitzroy, VIC, Australia (Dinh, Reid) Department of Epidemiology and Preventative Medicine, Monash University, Prahran, VIC, Australia (Smith) Department of Surgery (MMC), Monash University, Monash Medical Centre, Clayton, VIC, Australia (Shardey) Cabrini Medical Centre, Malvern, VIC, Australia (Newcomb) University of Melbourne, Department of Surgery, St. Vincent's Hospital Melbourne, Fitzroy, VIC, Australia Newcomb A.E.; andrew.newcomb@svhm.org.au 1305122436 |
| المصدر المساهم: | MONASH HEALTH LIBRS From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.on1305122436 |
| قاعدة البيانات: | OAIster |
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