Acquired thrombocytopenia after transcatheter aortic valve replacement: clinical correlates and association with outcomes. (Record no. 12308)

MARC details
000 -LEADER
fixed length control field 03797nam a22005657a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 160113s20142014 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0195-668X
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 24598983
245 ## - TITLE STATEMENT
Title Acquired thrombocytopenia after transcatheter aortic valve replacement: clinical correlates and association with outcomes.
251 ## - Source
Source European Heart Journal. 35(38):2663-71, 2014 Oct 7.
252 ## - Abbreviated Source
Abbreviated source Eur Heart J. 35(38):2663-71, 2014 Oct 7.
253 ## - Journal Name
Journal name European heart journal
266 ## - Date added to catalog
Date added to catalog 2016-01-13
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 1996 - present (after 1 year), Available in print through MWHC library: 1999 - 2006
520 ## - SUMMARY, ETC.
Abstract AIMS: This study aimed to evaluate incidence and correlates for low platelet count after transcatheter aortic valve replacement (TAVR) and to determine a possible association between acquired thrombocytopenia and clinical outcomes.
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: Acquired thrombocytopenia was common after TAVR and was mostly resolved at patient discharge. The severity of thrombocytopenia after TAVR could be used as an excellent, easily obtainable, marker for worse short- and long-term outcomes after the procedure.Copyright Published on behalf of the European Society of Cardiology. All rights reserved. � The Author 2014. For permissions please email: [email protected].
520 ## - SUMMARY, ETC.
Abstract METHODS AND RESULTS: Patients undergoing TAVR from two medical centres were included in the study. They were stratified according to nadir platelet count post procedure: no/mild thrombocytopenia, >100 x 10(9)/L; moderate, 50-99 x 10(9)/L; and severe, <50 x 10(9)/L. A total of 488 patients composed of the study population (age 84.7 +/- 7.5 years). At a median time of 2 days after TAVR, 176 patients (36.1%) developed significant thrombocytopenia: 149 (30.5%) moderate; 27 patients (5.5%) severe. Upon discharge, the vast majority of patients (90.2%) had no/mild thrombocytopenia. Nadir platelet count <50 x 10(9)/L was highly specific (96.3%), and a count <150 x 10(9)/L highly sensitive (91.2%), for predicting 30-day death (C-statistic 0.76). Patients with severe acquired thrombocytopenia had a significantly higher mortality rate at 1 year (66.7% for severe vs. 16.0% for no/mild vs. 20.1% for moderate; P < 0.001). In multivariate logistic regression, severe thrombocytopenia was independently associated with 1-year mortality (hazard ratio 3.44, CI: 1.02-11.6; P = 0.046).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Aortic Valve Stenosis/su [Surgery]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Thrombocytopenia/et [Etiology]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Transcatheter Aortic Valve Replacement/ae [Adverse Effects]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Aged, 80 and over
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 Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Length of Stay
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 Platelet Count
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Treatment Outcome
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Heart & Vascular Institute
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
657 ## - INDEX TERM--FUNCTION
Medline publication type Multicenter Study
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Badr, Salem
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Barbash, Israel M
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Ben-Dor, Itsik
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Chen, Fang
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Dvir, Danny
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Fields, Jessica N
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Loh, Joshua P
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Minha, Sa'ar
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Okubagzi, Petros
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Pendyala, Lakshmana K
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Pichard, Augusto D
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Satler, Lowell F
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Torguson, Rebecca
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Waksman, Ron
790 ## - Authors
All authors Badr S, Barbash IM, Ben-Dor I, Chen F, Dvir D, Fields JN, Genereux P, Hahn RT, Kirtane AJ, Kodali S, Leon MB, Loh JP, Minha S, Okubagzi PG, Pendyala LK, Pichard AD, Satler LF, Smith C, Torguson R, Waksman R, Williams M, Xu K
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="http://dx.doi.org/10.1093/eurheartj/ehu082">http://dx.doi.org/10.1093/eurheartj/ehu082</a>
Public note http://dx.doi.org/10.1093/eurheartj/ehu082
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Journal article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 01/13/2016   24598983 01/13/2016 01/13/2016 Journal Article

Powered by Koha