Electronic Resource
Training surgeon status is not associated with an increased risk of early or late mortality after isolated aortic valve replacement surgery.
| العنوان: | Training surgeon status is not associated with an increased risk of early or late mortality after isolated aortic valve replacement surgery. |
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| المؤلفون: | Smith J.A., Reid C.M., Shardey G., Newcomb A.E., Saxena A., Dinh D. |
| بيانات النشر: | Via Medica (Ul. Swietokrzyska 73, Gdansk 80-180, Poland) Poland 2014-04-30 |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | Background: Few studies have addressed the effect of "trainee surgeon" status on outcomes after isolated aortic valve replacement (AVR). Methods and Results: A retrospective analysis of data, collected by the Australasian Society of Cardiac and Thoracic Surgeons Cardiac Surgery Database Program between June 2001 and December 2009 was performed. Patient demographics, intra-operative characteristics and early morbidity were compared between trainee and staff cases. Multivariate analyses were used to determine the independent association of training status with 30-day and late mortality. Isolated AVR was performed in 2747 patients; of these, 369 (13.4%) were by trainees. Compared to staff cases, trainee cases were less likely to present with renal failure (1.1% vs. 3.7%, p = 0.010) or in a critical preoperative state (1.4% vs. 3.7%, p = 0.020). The mean EuroSCORE was lower in trainee patients, compared to staff patients (8.11 +/- 2.80 vs. 8.81 +/- 3.09, p < 0.001). Trainee cases had longer mean perfusion (117.9 min vs. 98.9 min, p < 0.001) and cross-clamp (88.8 min vs. 73.2 min, p < 0.001) times. The incidence of early complications was similar between the two groups, except for post-operative myocardial infarction (1.1% vs. 0.3%, p = 0.008) and red blood cell transfusion (43.9 vs. 40.0%, p = 0.006). On multivariate analysis, trainee status was not associated with an increased risk of 30-day mortality (2.2% vs. 2.4%, p = 0.823). Moreover, there was no significant difference in long-term outcomes and 5-year survival was comparable in both groups (89.9% vs. 84.8%, p = 0.274). Conclusion(s): Isolated AVR can be safely and effectively performed by trainee surgeons who are strictly supervised in the operating theatre especially during the technically complex parts of the procedure. © 2014 Via Medica. |
| مصطلحات الفهرس: | retrospective study, septicemia/co [Complication], surgeon, surgical infection/co [Complication], surgical mortality, surgical training, treatment outcome, creatinine/ec [Endogenous Compound], long term survival, aged, aorta valve replacement, article, bleeding/co [Complication], cardiopulmonary bypass, disease association, erythrocyte transfusion/co [Complication], female, gastrointestinal symptom/co [Complication], heart infarction/co [Complication], heart stroke volume, human, incidence, kidney failure/co [Complication], major clinical study, male, multiple organ failure/co [Complication], postoperative complication, Article |
| URL: | Cardiology Journal Click here for full text options LibKey Link |
| الاتاحة: | Open access content. Open access content Copyright 2016 Elsevier B.V., All rights reserved. |
| Other Numbers: | AUSHL oai:repository.monashhealth.org:1/42058 Cardiology Journal. 21 (2) (pp 183-190), 2014. Date of Publication: 2014. 1897-5593 https://repository.monashhealth.org/monashhealthjspui/handle/1/42058 23799562 [http://www.ncbi.nlm.nih.gov/pubmed/?term=23799562] 372840281 (Saxena, 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, Monash University, Monash Medical Centre, Clayton, VIC, Australia (Smith) Department of Cardiothoracic Surgery, Monash Medical Centre, Clayton, VIC, Australia (Shardey) Cabrini Medical Centre, Malvern, VIC, Australia (Newcomb) Department of Surgery, University of Melbourne, St Vincent's Hospital Melbourne, Fitzroy, VIC, Australia Saxena A.; andrew.newcomb@svhm.org.au 1305130198 |
| المصدر المساهم: | MONASH HEALTH LIBRS From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.on1305130198 |
| قاعدة البيانات: | OAIster |
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