Navegando por Palavras-chave "Registries"

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    The Brazilian Registry of Adult Patient Undergoing Cardiovascular Surgery, the BYPASS Project: Results of the First 1,722 Patients
    (Soc Brasil Cirurgia Cardiovasc, 2017) Gomes, Walter José [UNIFESP]; Moreira, Rita Simone Lopes [UNIFESP]; Zilli, Alexandre Cabral; Bettiati, Luiz Carlos, Jr.; Figueira, Fernando Augusto Marinho dos Santos; D'Azevedo, Stephanie Steremberg Pires; Soares, Marcelo José Ferreira; Fernandes, Marcio Pimentel; Ardito, Roberto Vito; Bogdan, Renata Andrea Barberio; Campagnucci, Valquiria Pelisser; Nakasako, Diana; Kalil, Renato Abdala Karam; Rodrigues, Clarissa Garcia; Rodrigues Junior, Anilton Bezerra; Cascudo, Marcelo Matos; Atik, Fernando Antibas; Lima, Elson Borges; Nina, Vinicius Jose da Silva; Heluy, Renato Albuquerque; Azeredo, Lisandro Goncalves; Henrique Junior, Odilon Silva; Mendonca, Jose Teles de; Silva, Katharina Kelly de Oliveira Gama; Pandolfo, Marcelo; Lima Junior, Jose Dantas de; Faria, Renato Max; Santos, Jonas Pereira dos; Paez, Rodrigo Pereira; Coelho, Guilherme Henrique Biachi; Pereira, Sergio Nunes; Senger, Roberta; Buffolo, Enio; Caputi, Guido Marco; Espirito Santo, Jose Amalth do; Oliveira, Juliana Aparecida Borges de; Berwanger, Otavio; Cavalcanti, Alexandre Biasi; Jatene, Fabio Biscegli
    Objective: To report the early results of the BYPASS project – the Brazilian registrY of adult Patient undergoing cArdiovaScular Surgery – a national, observational, prospective, and longitudinal follow-up registry, aiming to chart a profile of patients undergoing cardiovascular surgery in Brazil, assessing the data harvested from the initial 1,722 patients. Methods: Data collection involved institutions throughout the whole country, comprising 17 centers in 4 regions: Southeast (8), Northeast (5), South (3), and Center-West (1). The study population consists of patients over 18 years of age, and the types of operations recorded were: coronary artery bypass graft (CABG), mitral valve, aortic valve (either conventional or transcatheter), surgical correction of atrial fibrillation, cardiac transplantation, mechanical circulatory support and congenital heart diseases in adults. Results: 83.1% of patients came from the public health system (SUS), 9.6% from the supplemental (private insurance) healthcare systems; and 7.3% from private (out-of -pocket) clinic. Male patients comprised 66%, 30% were diabetics, 46% had dyslipidemia, 28% previously sustained a myocardial infarction, and 9.4% underwent prior cardiovascular surgery. Patients underwent coronary artery bypass surgery were 54.1% and 31.5% to valve surgery, either isolated or combined. The overall postoperative mortality up to the 7th postoperative day was 4%; for CABG was 2.6%, and for valve operations, 4.4%. Conclusion: This first report outlines the consecution of the Brazilian surgical cardiac database, intended to serve primarily as a tool for providing information for clinical improvement and patient safety and constitute a basis for production of research protocols.
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    Cirurgia de revascularização do miocárdio no Brasil: análise crítica da realidade nacional através do registro Bypass
    (Universidade Federal de São Paulo (UNIFESP), 2019-12-18) Paez, Rodrigo Pereira [UNIFESP]; Gomes, Walter Jose [UNIFESP]; Hossne Junior, Nelson Américo [UNIFESP]; http://lattes.cnpq.br/1049536043140541; http://lattes.cnpq.br/9877675594064089; http://lattes.cnpq.br/0562313854343144; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Coronary artery bypass grafting (CABG) is the most frequently performed heart surgery in Brazil. Recent international guidelines recommend that national societies establish a registry database on surgical practice and results. Anticipating this recommendation, the BYPASS registry started in 2015. Objective: To analyze the profile, risk factors and outcomes of patients undergoing CABG in Brazil, as well as examine the predominant surgical strategy, based on the data included in the BYPASS Registry. Methods: This is a cross-sectional study of 2292 patients undergoing CABG and included in the BYPASS Registry up to November, 2018. Demographic data, clinical presentation, operative variables, and postoperative hospital outcomes were analyzed. Results: Patients referred to CABG in the Registry were predominantly male (71%), with previous myocardial infarction in 41.1% of cases, diabetes in 42.5%, and left ventricular ejection fraction lower than 40% in 9.7%. Surgery was indicated by Heart Team in 32.9% of the cases. Most of the patients underwent cardiopulmonary bypass (87%), where the use of cardioplegia was the strategy of myocardial protection chosen in 95.2% of the cases. The left internal thoracic artery (ITA) was used as graft in 91% of the cases; the right ATI, in 5.6%; and; the radial artery, in 1.1%. The saphenous vein graft was used in 84.1% of the patients, being the only graft employed in 7.7% of the patients. The median of coronary vessels treated was 3. Operative mortality was 2.8%, and the incidence of stroke was 1.2%. Conclusion: CABG data in Brazil provided by the BYPASS registry analysis is representative of our national reality and practice. This database constitutes an important reference for indications and comparisons of therapeutic procedures, as well as to propose subsequent models to improve patient safety and the quality of surgical practice in the country.