Document Detail


A decade of cardiothoracic surgery at a tertiary care hospital in Karachi, Pakistan.
MedLine Citation:
PMID:  18062516     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The medical records at Aga Khan University were reviewed to analyze the trends, mortality and patients characteristics of cardiothoracic surgeries in the last decade. METHOD: The medical records of all adult cardiac, thoracic and combined cardiothoracic operations performed during January 1995 to December 2004 at the Aga Khan University Hospital were reviewed. Data were retrieved and analyzed for trends, patient characteristics, and procedure mortality. RESULTS: From January 1995 - December 2004, 4553 cases were eligible for the study, of which 73% were males and 9.4% were children. Male to female ratio changed from 1.3:1 to 3:1 from childhood to adulthood. Number of patients requiring cardiothoracic intervention increased continuously throughout the period, cardiac operations outnumbering thoracic or combined procedures. Ten-year average annual mortality remained 4.8% with slight variation per annum. Age distribution of cardiac surgery patients remained the same, however, constantly increasing number of over-70-year olds was observed. Mortality for isolated CABG, isolated valve and CABG with valve remained 1.9%, 4.3% and 18.3% respectively. CONCLUSION: Trends of cardiothoracic procedures appear similar to those in the developed countries, so are the mortality figures.
Authors:
Fahad Javaid Siddiqui; Shahid Ahmed Sami
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  JPMA. The Journal of the Pakistan Medical Association     Volume:  57     ISSN:  0030-9982     ISO Abbreviation:  J Pak Med Assoc     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-12-07     Completed Date:  2008-01-08     Revised Date:  2008-02-12    
Medline Journal Info:
Nlm Unique ID:  7501162     Medline TA:  J Pak Med Assoc     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  532-5     Citation Subset:  IM    
Affiliation:
Department of Surgery, Aga Khan University, Karachi, Pakistan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Female
Heart Diseases / mortality,  surgery*
Humans
Male
Middle Aged
Pakistan
Retrospective Studies
Survival
Thoracic Diseases / mortality,  surgery*
Thoracic Surgery / statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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