MARC details
000 -LEADER |
fixed length control field |
04313nam a22006737a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
191010s20202020 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
0003-4975 |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
10.1016/j.athoracsur.2019.07.052 [doi] |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
S0003-4975(19)31277-9 [pii] |
040 ## - CATALOGING SOURCE |
Original cataloging agency |
Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
PMID |
31494138 |
245 ## - TITLE STATEMENT |
Title |
Risk Analysis and Outcomes of Postoperative Renal Failure After Aortic Valve Surgery in the United States. |
251 ## - Source |
Source |
Annals of Thoracic Surgery. 109(4):1133-1141, 2020 04. |
252 ## - Abbreviated Source |
Abbreviated source |
Ann Thorac Surg. 109(4):1133-1141, 2020 04. |
252 ## - Abbreviated Source |
Former abbreviated source |
Ann Thorac Surg. 2019 Sep 05 |
253 ## - Journal Name |
Journal name |
The Annals of thoracic surgery |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Year |
2020 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Manufacturer |
FY2020 |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
aheadofprint |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
ppublish |
266 ## - Date added to catalog |
Date added to catalog |
2019-10-10 |
268 ## - Previous citation |
-- |
Annals of Thoracic Surgery. 2019 Sep 05 |
501 ## - WITH NOTE |
Local holdings |
Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007 |
520 ## - SUMMARY, ETC. |
Abstract |
BACKGROUND: Postoperative renal failure(RF) compromises early outcomes in cardiac surgery. In contrast, long-term survival and progression of RF following aortic valve replacement(AVR) with or without coronary artery bypass grafting(CABG) remain undefined. |
520 ## - SUMMARY, ETC. |
Abstract |
CONCLUSIONS: Postoperative RF following AVR+/-CABG was associated with a higher early and late mortality, which further increased with a new requirement for dialysis. Once postoperative RF develops, preoperative renal dysfunction does not increase early mortality, however, predicts late survival. Preoperative renal function is associated with progression of postoperative RF to dialysis. Copyright (c) 2019. Published by Elsevier Inc. |
520 ## - SUMMARY, ETC. |
Abstract |
METHODS: From 2008 through 2015, records of AVR+/-CABG in the Society of Thoracic Surgeons(STS) database were linked to Medicare claims data. Postoperative RF was categorized as with(RF-D) or without new dialysis(RF-no-D). Cox proportional-hazard models were used to conduct a risk analysis and evaluate outcomes in this patient group. |
520 ## - SUMMARY, ETC. |
Abstract |
RESULTS: Of 164,727 AVR+/-CABG patients, 3.5% developed postoperative RF, of which 63.3% required dialysis. Operative mortality of postoperative RF was 39.2%, higher for RF-D vs RF-no-D(46.1% vs 26.1%, p<0.0001). Both RF-D and RF-no-D had a higher early(<30 days) mortality risk(hazard ratio [HR]:11.29, p<0.0001 and HR:8.03, p<0.0001, respectively) compared to no postoperative RF. At a median follow-up of 2.7 years, RF-D and RF-no-D remained relevant risk factors, however, with a lower magnitude of effect(HR:2.42; p<0.0001 and HR:1.69, p<0.0001, respectively). Preoperative glomerular filtration rate(GFR)<30 mL/min/1.73 m2 had a lower early(HR:0.48, p<0.0001), but higher late(HR:1.5, p<0.0001) mortality risk compared to GFR>60. Predictors for long-term progression to RF-D included preoperative GFR<30(HR:13, p<0.0001), GFR 30-60(HR:2.47, p=0.006), and insulin-dependent diabetes(HR:1.96, p=0.001). |
546 ## - LANGUAGE NOTE |
Language note |
English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
*Aortic Valve/su [Surgery] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
*Heart Valve Diseases/su [Surgery] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
*Heart Valve Prosthesis Implantation/ae [Adverse Effects] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
*Postoperative Complications/ep [Epidemiology] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
*Renal Insufficiency/ep [Epidemiology] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
*Risk Assessment/mt [Methods] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Aged |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Disease Progression |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Female |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Follow-Up Studies |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Glomerular Filtration Rate/ph [Physiology] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Humans |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Incidence |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Male |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Postoperative Complications/et [Etiology] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Postoperative Complications/th [Therapy] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Renal Dialysis |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Renal Insufficiency/et [Etiology] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Renal Insufficiency/th [Therapy] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Retrospective Studies |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Risk Factors |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Survival Rate/td [Trends] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Time Factors |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
United States/ep [Epidemiology] |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Heart & Vascular Institute |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Journal Article |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Thourani, Vinod H |
790 ## - Authors |
All authors |
Badhwar V, Polo MC, Shemin RJ, Thibault D, Thourani VH, Xian Y |
856 ## - ELECTRONIC LOCATION AND ACCESS |
DOI |
<a href="https://dx.doi.org/10.1016/j.athoracsur.2019.07.052">https://dx.doi.org/10.1016/j.athoracsur.2019.07.052</a> |
Public note |
https://dx.doi.org/10.1016/j.athoracsur.2019.07.052 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Koha item type |
Journal Article |
Item type description |
Article |