The Brazilian Registry of Adult Patient Undergoing Cardiovascular Surgery, the BYPASS Project: Results of the First 1,722 Patients
Nenhuma Miniatura disponível
Data
2017
Autores
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
Orientadores
Tipo
Artigo
Título da Revista
ISSN da Revista
Título de Volume
Resumo
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.
Descrição
Citação
Brazilian Journal Of Cardiovascular Surgery. Sao Paulo Sp, v. 32, n. 2, p. 71-76, 2017.