Navegando por Palavras-chave "Clinical Evolution"

Agora exibindo 1 - 2 de 2
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Analysis of the Use of Extracorporeal Circulation on the In-Hospital Outcomes of Dialytic Patients Who Underwent Myocardial Revascularization Surgery
    (Arquivos Brasileiros Cardiologia, 2016) Miranda, Matheus [UNIFESP]; Branco, João Nelson Rodrigues [UNIFESP]; Vargas, Guilherme Flora [UNIFESP]; Hossne Junior, Nelson Americo [UNIFESP]; Yoshimoto, Michele Costa [UNIFESP]; Fonseca, José Honório de Almeida Palma da [UNIFESP]; Pestana, Jose Osmar Medina [UNIFESP]; Buffolo, Enio [UNIFESP]
    Background: Myocardial revascularization surgery is the best treatment for dyalitic patients with multivessel coronary disease. However, the procedure still has high morbidity and mortality. The use of extracorporeal circulation (ECC) can have a negative impact on the in-hospital outcomes of these patients. Objectives: To evaluate the differences between the techniques with ECC and without ECC during the in-hospital course of dialytic patients who underwent surgical myocardial revascularization. Methods: Unicentric study on 102 consecutive, unselected dialytic patients, who underwent myocardial revascularization surgery in a tertiary university hospital from 2007 to 2014. Results: Sixty-three patients underwent surgery with ECC and 39 without ECC. A high prevalence of cardiovascular risk factors was found in both groups, without statistically significant difference between them. The group "without ECC" had greater number of revascularizations (2.4 vs. 1.7
  • Nenhuma Miniatura disponível
    Item
    Somente Metadadados
    Correlation between classification in risk categories and clinical aspects and outcomes
    (Wiley, 2016) Oliveira, Gabriella Novelli [UNIFESP]; Vancini-Campanharo, Cassia Regina [UNIFESP]; Lopes, Maria Carolina Barbosa Teixeira [UNIFESP]; Barbosa, Dulce Aparecida [UNIFESP]; Okuno, Meiry Fernanda Pinto [UNIFESP]; Batista, Ruth Ester Assayag [UNIFESP]
    Objective: to correlate classification in risk categories with the clinical profiles, outcomes and origins of patients. Method: analytical cross-sectional study conducted with 697 medical forms of adult patients. The variables included: age, sex, origin, signs and symptoms, exams, personal antecedents, classification in risk categories, medical specialties, and outcome. The Chi-square and likelihood ratio tests were used to associate classifications in risk categories with origin, signs and symptoms, exams, personal antecedents, medical specialty, and outcome. Results: most patients were women with an average age of 44.5 years. Pain and dyspnea were the symptoms most frequently reported while hypertension and diabetes mellitus were the most common comorbidities. Classifications in the green and yellow categories were the most frequent and hospital discharge the most common outcome. Patients classified in the red category presented the highest percentage of ambulance origin due to surgical reasons. Those classified in the orange and red categories also presented the highest percentage of hospitalization and death. Conclusion: correlation between clinical aspects and outcomes indicate there is a relationship between the complexity of components in the categories with greater severity, evidenced by the highest percentage of hospitalization and death.