Risk Analysis and Outcomes of Postoperative Renal Failure After Aortic Valve Surgery in the United States. (Record no. 4598)

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
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 10/10/2019   31494138 31494138 10/10/2019 10/10/2019 Journal Article

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