Clinical significance and determinants of the universal definition of perioperative bleeding classification in patients undergoing coronary artery bypass.

Slides:

Advertisements

Similar presentations

Myocardial viability and impact of surgical ventricular reconstruction on outcomes of patients with severe left ventricular dysfunction undergoing coronary.

Advertisements

Insights from the STICH trial: Change in left ventricular size after coronary artery bypass grafting with and without surgical ventricular reconstruction

The “occasional open heart surgeon” revisited

Postoperative stroke after off-pump versus on-pump coronary artery bypass surgery Fausto Biancari, MD, PhD, Martti Mosorin, MD, Elsi Rasinaho, MS, Jarmo.

Benefits and risks of using clopidogrel before coronary artery bypass surgery: Systematic review and meta-analysis of randomized trials and observational.

Factors associated with postoperative atrial fibrillation and other adverse events after cardiac surgery Emmanuel Akintoye, MD, MPH, Frank Sellke, MD,

Aortic valve replacement in low-flow, low-gradient aortic stenosis: Left ventricular ejection fraction matters Victor Dayan, MD, PhD, Philippe Pibarot,

Proteinuria predicts postcardiotomy acute kidney injury in patients with preserved glomerular filtration rate Szu-Yuan Li, MD, Chiao-Lin Chuang, MD,

The impact of placing multiple grafts to each myocardial territory on long-term survival after coronary artery bypass grafting Danny Chu, MD, Faisal.

The American Association for Thoracic Surgery 2016 Ethics Forum: Cost-effectiveness and the ethics of left ventricular assist device therapy John W.C.

The persistent problem of new-onset postoperative atrial fibrillation: A single-institution experience over two decades Jeanne Shen, BS, Shelly Lall,

Do higher-risk patients benefit from off-pump coronary artery bypass grafting? Evidence from an ecologic analysis of randomized trials Oliver Kuss, PhD,

Increased late mortality after coronary artery bypass surgery complicated by isolated new-onset atrial fibrillation: A comprehensive propensity-matched.

The predictive value of s-cystatin C for mortality after coronary artery bypass surgery Alain Dardashti, MD, PhD, Shahab Nozohoor, MD, PhD, Lars Algotsson,

Pulmonary atresia with intact ventricular septum: Predictors of early and medium-term outcome in a population-based study Piers E.F. Daubeney, MRCP,

Prevention of postoperative atrial fibrillation in open heart surgery patients by preoperative supplementation of n-3 polyunsaturated fatty acids: An.

Puja Gaur, MD, Tsuyoshi Kaneko, MD, Siobhan McGurk, BS, James D

Stenting versus coronary artery bypass grafting for unprotected left main coronary artery disease: A meta-analysis of comparative studies Hisato Takagi,

Insights from the STICH trial: Change in left ventricular size after coronary artery bypass grafting with and without surgical ventricular reconstruction

Neel R. Sodha, MD, Frank W. Sellke, MD

Prolonged QTc affects short-term and long-term outcomes in patients with normal left ventricular function undergoing cardiac surgery Nattachai Anantasit,

Does preoperative carotid stenosis screening reduce perioperative stroke in patients undergoing coronary artery bypass grafting? Khalil Masabni, MD,

Bahaaldin Alsoufi, MD, Cedric Manlhiot, BSc, William T

Postoperative stroke after off-pump versus on-pump coronary artery bypass surgery Fausto Biancari, MD, PhD, Martti Mosorin, MD, Elsi Rasinaho, MS, Jarmo.

Neurologic complications after off-pump coronary artery bypass grafting with and without aortic manipulation: Meta-analysis of 11,398 cases from 8 studies

Juan A. Crestanello, MD, Richard C. Daly, MD

AusSCORE II in predicting 30-day mortality after isolated coronary artery bypass grafting in Australia and New Zealand Baki Billah, PhD, Molla M. Huq,

Lower graft patency after off-pump than on-pump coronary artery bypass grafting: An updated meta-analysis of randomized trials Hisato Takagi, MD, PhD,

Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD

Multilevel data analysis: What? Why? How?

Definition of postoperative bleeding in children undergoing cardiac surgery with cardiopulmonary bypass: One size doesn't fit all David Faraoni, MD,

Harold L. Lazar, MD The Journal of Thoracic and Cardiovascular Surgery

Preoperative C-reactive protein and outcome after coronary artery bypass surgery Fausto Biancari, MD, PhD, Jarmo Lahtinen, MD, Samuli Lepojärvi, MS, Pekka.

Universal definition of perioperative bleeding in adult cardiac surgery Cornelius Dyke, MD, Solomon Aronson, MD, Wulf Dietrich, MD, PhD, Axel Hofmann,

Right Ventricular Systolic Dysfunction Assessed by Cardiac Magnetic Resonance Is a Strong Predictor of Cardiovascular Death After Coronary Bypass Grafting

Risk-corrected impact of mechanical versus bioprosthetic valves on long-term mortality after aortic valve replacement Ole Lund, MD, PhD, Martin Bland,

Surgical economics: MACRA, MIPS, and bundles—Lessons learned in the first 3 years of a coronary artery bypass grafting alternative payment model Daniel.

Hisato Takagi, MD, PhD, Hideaki Manabe, MD, Takuya Umemoto, MD, PhD

A decade after the Surgical Treatment for Ischemic Heart Failure (STICH) trial: Weaving firm clinical recommendations from lessons learned Robert E.

Does the degree of preoperative mitral regurgitation predict survival or the need for mitral valve repair or replacement in patients with anomalous origin.

Performance of the European System for Cardiac Operative Risk Evaluation II: A meta- analysis of 22 studies involving 145,592 cardiac surgery procedures

The relationship of plasma transfusion from female and male donors with outcome after cardiac surgery Ian J. Welsby, MBBS, Marla Troughton, MD, Barbara.

A meta-analysis of adjusted hazard ratios from 20 observational studies of bilateral versus single internal thoracic artery coronary artery bypass grafting

Risk-scoring methods for prediction of postoperative stroke after coronary artery bypass surgery Olli-Pekka Kangasniemi, MS, Johannes Luukkonen, MS,

Michele Gallo, MD, Gino Gerosa, MD

Myocardial viability and impact of surgical ventricular reconstruction on outcomes of patients with severe left ventricular dysfunction undergoing coronary.

Effect of the prosthesis–patient mismatch on long-term clinical outcomes after isolated aortic valve replacement for aortic stenosis: A prospective observational.

Chronic obstructive pulmonary disease severity influences outcomes after off-pump coronary artery bypass Benjamin Medalion, MD, Michael G. Katz, MD,

Derrick Y. Tam, MD, Stephen E. Fremes, MD, MSc

Red Blood Cell Transfusion Is Associated With Troponin Release After Elective Off- Pump Coronary Artery Bypass Surgery Fausto Biancari, MD, PhD, Eeva-Maija.

Instrumental variable methods in clinical research

Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD

Are racial differences in hospital mortality after coronary artery bypass graft surgery real? A risk-adjusted meta-analysis Umberto Benedetto, MD, PhD,

Ralph S. Mosca, MD The Journal of Thoracic and Cardiovascular Surgery

Meta-analysis of randomized trials on the efficacy of posterior pericardiotomy in preventing atrial fibrillation after coronary artery bypass surgery

Guidance for the use of bilateral internal thoracic arteries according to survival benefit across age groups Umberto Benedetto, MD, PhD, Mohamed Amrani,

Defining Patient-Prosthesis Mismatch and Its Effect on Survival in Patients With Impaired Ejection Fraction David A. Cotoni, DO, Robert T. Palac, MD,

Off-pump bilateral skeletonized internal thoracic artery grafting in patients with chronic kidney disease Takeshi Kinoshita, MD, PhD, Tohru Asai, MD,

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

Effect of one-stop hybrid coronary revascularization on postoperative renal function and bleeding: A comparison study with off-pump coronary artery bypass.

The future of cardiac surgery training: A survival guide

Ventricular assistant in restrictive cardiomyopathy: Making the right connection Robert D.B. Jaquiss, MD The Journal of Thoracic and Cardiovascular Surgery

Improved quality and cost-effectiveness of coronary artery bypass grafting in the United States from 1988 to 2005 Howard K. Song, MD, PhD, Brian S. Diggs,

Right internal thoracic artery versus radial artery as the second best arterial conduit: Insights from a meta-analysis of propensity-matched data on long-term.

Apples remain apples NO matter what

A large international single-center case-series of coronary artery fistulas in children: When high clinical research standards adopted globally create.

National trends in utilization and in-hospital outcomes of mechanical versus bioprosthetic aortic valve replacements Abby J. Isaacs, MS, Jeffrey Shuhaiber,

Assessment of independent predictors for long-term mortality between women and men after coronary artery bypass grafting: Are women different from men?

The relationship between perioperative temperature and adverse outcomes after off- pump coronary artery bypass graft surgery Edward L. Hannan, PhD, Zaza.

Presentation transcript:

Clinical significance and determinants of the universal definition of perioperative bleeding classification in patients undergoing coronary artery bypass surgery Eeva-Maija Kinnunen, MS, Tatu Juvonen, MD, PhD, Kari Eino Juhani Airaksinen, MD, PhD, Jouni Heikkinen, MD, PhD, Ulla Kettunen, RN, Giovanni Mariscalco, MD, PhD, Fausto Biancari, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 148, Issue 4, Pages 1640-1646.e2 (October 2014) DOI: 10.1016/j.jtcvs.2014.07.040 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Postoperative rates of in-hospital mortality (P < .0001), stroke (P < .0001), renal replacement therapy (P < .0001), and low cardiac output (cardiac index < 2.0 L/min/m2 for ≥2 different measurements, P < .0001) stratified by universal definition of perioperative bleeding class. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1640-1646.e2DOI: (10.1016/j.jtcvs.2014.07.040) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Cox proportional hazards estimate of late survival after coronary artery bypass surgery stratified by universal definition of perioperative bleeding (UDPB) class (adjusted analysis for age, estimated glomerular filtration rate, diabetes, extracardiac arteriopathy, and left ventricular ejection fraction: P < .0001, class 1: hazard ratio [HR], 0.894; 95% confidence interval [CI], 0.485-1.650; class 2: HR, 1.665; 95% CI, 1.142-2.427; class 3: HR, 2.092; 95% CI, 1.411-3.101; class 4: HR, 4.651; 95% CI, 2.819-7.675). The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1640-1646.e2DOI: (10.1016/j.jtcvs.2014.07.040) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions