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Journals / MN Kardiyoloji / 2014 / Cilt: 21 - Sayı: 3

Impact of peripheral arterial disease on mortality in cardiac surgery Patients: Underestimation of risk by euroscore II

Kalp cerrahisi hastalarında periferik arter hastalığının mortaliteye etkisi: Euroscore ıı'nin risk tahminindeki yetersizliği

Şükrü AKYÜZ
Ufuk ÇİLOĞLU
Hakan KUTLU
Ufuk Sadık CEYLAN
Özlem YILDIRIMTÜRK
Denizhan KARAÇİMEN
Nazmi ÇALIK
Mehmet KARACA
Emrah BOZBEYOĞLU
Seçkin SATILMIŞ
Pages
156–160
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Peripheral arterial disease may be related to more pronounced mortality increase much more than previously known.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: It is known that accompanying peripheral arterial disease (PAD) increases mortality in patients undergoing open-heart surgery.
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Key Findings & Data:However, as being a referral tertiary center, it is our clinical observation that EuroSCORE II significantly underestimates mortality much more than observed mortality in patients with PAD un- dergoing open-heart surgery.
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Conclusion & Impact:Peripheral arterial disease may be related to more pronounced mortality increase much more than previously known.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: It is known that accompanying peripheral arterial disease (PAD) increases mortality in patients undergoing open-heart surgery. Accordingly, it has been used for the calculation of risk by EuroSCORE II. However, as being a referral tertiary center, it is our clinical observation that EuroSCORE II significantly underestimates mortality much more than observed mortality in patients with PAD un- dergoing open-heart surgery. The purpose of the present study is to investigate the accuracy of our observation. Material and Method: One hundred and six patients undergoing open-heart surgery with varying diagnoses were divided into two groups as those with and without peripheral arterial disease. The predicted mortality was calculated by EuroSCORE II in the preoper- ative period, and then compared with the observed mortality. Results: The predicted and observed mortality rates were 1.3% and 21% in patients with peripheral arterial disease whereas these were 0.8% and 1.1% in patients without peripheral arterial disease, respectively. Conclusion: EuroSCORE II significantly underestimates mortality risk in patients with peripheral arterial disease undergoing open- heart surgery. Peripheral arterial disease may be related to more pronounced mortality increase much more than previously known.

Özet

Amaç: Periferik arter hastalığı (PAH) açık kalp ameliyatı olan hastalarda mortaliteyi artırmaktadır ve bu nedenle EuroSCORE II ile risk hesaplamasında kullanılan parametrelerden biridir. Üçüncü basamak bir merkez olarak klinik gözlemimiz; açık kalp ameliyatı olan hastalarda eşlik eden PAH varsa, EuroSCORE II’nin mortaliteyi gözlenen (gerçek) mortaliteden çok daha düşük hesapladığıdır. Bu çalışmanın amacı da gözlemimizin doğruluğunu test etmektir. Gereç ve Yöntem: Değişik tanılarla açık kalp ameliyatı olan, art arda gelen 106 hasta PAH olanlar (n=19) ve olmayanlar (n=87) olarak iki gruba ayrıldı. Ameliyat öncesi EuroSCORE II ile tahmini mortalite hesaplandı. Daha sonra tahmini mortalite gözlenen mortalite ile karşılaştırıldı. Bulgular: PAH olanlarda hesaplanan ortanca EuroSCORE II değeri %1,3 iken, gözlenen mortalite %21 (4/19)’di. PAH olmayanlarda ise, hesaplanan ortanca EuroSCORE II değeri %0,8 iken, gözlenen mortalite %1,1 (1/87)’di. Sonuç: Eşlik eden PAH olanlarda, açık kalp ameliyatı öncesi mortalite riskini EuroSCORE II oldukça düşük hesaplamaktadır. PAH, bilinenden daha fazla oranda mortaliteyi artırmaktadır.

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Cite This Article

AKYÜZ, Ş., ÇİLOĞLU, U., KUTLU, H., CEYLAN, U. S., YILDIRIMTÜRK, Ö., KARAÇİMEN, D., ÇALIK, N., KARACA, M., BOZBEYOĞLU, E., SATILMIŞ, S. (2014). Impact of peripheral arterial disease on mortality in cardiac surgery Patients: Underestimation of risk by euroscore II. MN Kardiyoloji, Cilt: 21 - Sayı: 3, 156–160. https://ajindex.com/articles/297301

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