The Brazilian Registry of Adult Patient Undergoing Cardiovascular Surgery, the BYPASS Project: Results of the First 1,722 Patients
Data
2017
Autores
Gomes, Walter José 
Moreira, Rita Simone Lopes
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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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Brazilian Journal Of Cardiovascular Surgery. Sao Paulo Sp, v. 32, n. 2, p. 71-76, 2017.