Survival curve identifies critical period for postoperative mortality in cardiac patients undergoing emergency general surgery

Abstract The number of non-cardiac major surgeries carried out has significantly increased in recent years to around 200 million procedures carried out annually. Approximately 30% of patients submitted to non-cardiac surgery present some form of cardiovascular comorbidity. In emergency situations, w...

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Autores principales:	Diego Ramos Martines, Fernanda Nii, Kayo Augusto de Almeida Medeiros, Bárbara Justo Carvalho, Leonardo Zumerkorn Pipek, Gustavo Heluani Antunes de Mesquita, Leandro Ryuchi Iuamoto, Gustavo B. F. Oliveira, Antonio Carlos Mugayar Bianco, Alberto Meyer
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6855ead88b5446c098ea79c49f4ab894
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spelling	oai:doaj.org-article:6855ead88b5446c098ea79c49f4ab8942021-12-02T18:48:22ZSurvival curve identifies critical period for postoperative mortality in cardiac patients undergoing emergency general surgery10.1038/s41598-020-72647-72045-2322https://doaj.org/article/6855ead88b5446c098ea79c49f4ab8942020-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-72647-7https://doaj.org/toc/2045-2322Abstract The number of non-cardiac major surgeries carried out has significantly increased in recent years to around 200 million procedures carried out annually. Approximately 30% of patients submitted to non-cardiac surgery present some form of cardiovascular comorbidity. In emergency situations, with less surgery planning time and greater clinical severity, the risks become even more significant. The aim of this study is to determine the incidence and clinical outcomes in patients with cardiovascular disease submitted to non-cardiac surgical procedures in a single cardiovascular referral center. This is a prospective cohort study of patients with cardiovascular disease submitted to non-cardiovascular surgery. All procedures were carried out by the same surgeon, between January 2006 and January 2018. 240 patients included were elderly, 154 were male (64%), 8 patients presented two diagnoses. Of the resulting 248 procedures carried out, 230 were emergency (92.8%). From the data obtained it was possible to estimate the day from which the occurrence of mortality is less probable in the postoperative phase. Our research evaluated the epidemiological profile of the surgeries and we were able to estimate the survival and delimit the period of greatest risk of mortality in these patients. The high rate of acute mesenteric ischemia was notable, a serious and frequently fatal condition.Diego Ramos MartinesFernanda NiiKayo Augusto de Almeida MedeirosBárbara Justo CarvalhoLeonardo Zumerkorn PipekGustavo Heluani Antunes de MesquitaLeandro Ryuchi IuamotoGustavo B. F. OliveiraAntonio Carlos Mugayar BiancoAlberto MeyerNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-6 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Diego Ramos Martines Fernanda Nii Kayo Augusto de Almeida Medeiros Bárbara Justo Carvalho Leonardo Zumerkorn Pipek Gustavo Heluani Antunes de Mesquita Leandro Ryuchi Iuamoto Gustavo B. F. Oliveira Antonio Carlos Mugayar Bianco Alberto Meyer Survival curve identifies critical period for postoperative mortality in cardiac patients undergoing emergency general surgery
description	Abstract The number of non-cardiac major surgeries carried out has significantly increased in recent years to around 200 million procedures carried out annually. Approximately 30% of patients submitted to non-cardiac surgery present some form of cardiovascular comorbidity. In emergency situations, with less surgery planning time and greater clinical severity, the risks become even more significant. The aim of this study is to determine the incidence and clinical outcomes in patients with cardiovascular disease submitted to non-cardiac surgical procedures in a single cardiovascular referral center. This is a prospective cohort study of patients with cardiovascular disease submitted to non-cardiovascular surgery. All procedures were carried out by the same surgeon, between January 2006 and January 2018. 240 patients included were elderly, 154 were male (64%), 8 patients presented two diagnoses. Of the resulting 248 procedures carried out, 230 were emergency (92.8%). From the data obtained it was possible to estimate the day from which the occurrence of mortality is less probable in the postoperative phase. Our research evaluated the epidemiological profile of the surgeries and we were able to estimate the survival and delimit the period of greatest risk of mortality in these patients. The high rate of acute mesenteric ischemia was notable, a serious and frequently fatal condition.
format	article
author	Diego Ramos Martines Fernanda Nii Kayo Augusto de Almeida Medeiros Bárbara Justo Carvalho Leonardo Zumerkorn Pipek Gustavo Heluani Antunes de Mesquita Leandro Ryuchi Iuamoto Gustavo B. F. Oliveira Antonio Carlos Mugayar Bianco Alberto Meyer
author_facet	Diego Ramos Martines Fernanda Nii Kayo Augusto de Almeida Medeiros Bárbara Justo Carvalho Leonardo Zumerkorn Pipek Gustavo Heluani Antunes de Mesquita Leandro Ryuchi Iuamoto Gustavo B. F. Oliveira Antonio Carlos Mugayar Bianco Alberto Meyer
author_sort	Diego Ramos Martines
title	Survival curve identifies critical period for postoperative mortality in cardiac patients undergoing emergency general surgery
title_short	Survival curve identifies critical period for postoperative mortality in cardiac patients undergoing emergency general surgery
title_full	Survival curve identifies critical period for postoperative mortality in cardiac patients undergoing emergency general surgery
title_fullStr	Survival curve identifies critical period for postoperative mortality in cardiac patients undergoing emergency general surgery
title_full_unstemmed	Survival curve identifies critical period for postoperative mortality in cardiac patients undergoing emergency general surgery
title_sort	survival curve identifies critical period for postoperative mortality in cardiac patients undergoing emergency general surgery
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/6855ead88b5446c098ea79c49f4ab894
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Survival curve identifies critical period for postoperative mortality in cardiac patients undergoing emergency general surgery

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