Document Detail


Impact of socio-economic profile on the prosthesis type choice used on heart surgery.
MedLine Citation:
PMID:  22996971     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Valvar heart disease is an important public health problem, more common in developing countries, especially in younger. OBJECTIVE: To evaluate the epidemiological features of patients and its influence on the prosthesis type choice used on patients who underwent valve surgery. METHODS: Cross-sectional. Data such as age, sex, provenance, surgery procedure and prosthesis type were retrospectively analyzed. We reviewed 366 charts of all patients submitted to heart valve surgery during three years in a public health cardiovascular treatment center. RESULTS: 52% of patients were female. The age range was from 5 to 82, the median was 41 years old. In regards 37.7% of patients came from Salvador (Bahia, Brazil) and 62.3% from countryside. Valve replacement was performed in 73% of patients, whereas 7.38% underwent valvuloplasty and 18.3% underwent valve repair and replacement. Regarding type of prosthesis, 70.0% received bioprosthesis and 30.0% received metal prosthesis. On note bioprosthesis were more used in younger (P<0,001). CONCLUSION: Biological prostheses were used predominantly in younger. This might be possible due to a low social-economic status, avoiding metal valve implantation and the consequent anticoagulation therapy.
Authors:
André Maurício S Fernandes; Larissa Santana Bitencourt; Igor Nogueira Lessa; Agnaldo Viana; Felipe Pereira; Gabriel Bastos; Cristiano Ricardo Bastos de Macedo; Roque Aras Júnior
Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular     Volume:  27     ISSN:  1678-9741     ISO Abbreviation:  Rev Bras Cir Cardiovasc     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-9-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9104279     Medline TA:  Rev Bras Cir Cardiovasc     Country:  -    
Other Details:
Languages:  ENG; POR     Pagination:  211-216     Citation Subset:  -    
Affiliation:
Unidade de Internação Cardiologia, Hospital Ana Nery, Universidade Federal da Bahia, Salvador, BA, Brasil.
Vernacular Title:
Impacto do perfil socioeconômico na escolha da prótese valvar em cirurgia cardíaca.
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