A5052258460- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac and Coronary Surgery Techniques
- Cardiac Valve Diseases and Treatments
- Acute Myocardial Infarction Research
- Infective Endocarditis Diagnosis and Management
- Surgical site infection prevention
- Cardiac Health and Mental Health
- Cardiac tumors and thrombi
- Pericarditis and Cardiac Tamponade
- Congenital Heart Disease Studies
- Transplantation: Methods and Outcomes
- Reproductive Biology and Fertility
- Health Systems, Economic Evaluations, Quality of Life
- Cardiac pacing and defibrillation studies
- Hemodynamic Monitoring and Therapy
- Data Quality and Management
- Cardiovascular Conditions and Treatments
- Frailty in Older Adults
- Healthcare Systems and Public Health
- Blood transfusion and management
- COVID-19 Clinical Research Studies
- Artificial Intelligence in Healthcare
- Case Reports on Hematomas
- Reproductive Health and Technologies
- Cardiac Structural Anomalies and Repair
Santa Casa de Misericórdia de Marília
2014-2025
Universidade de São Paulo
2008-2017
Centro Universitário das Faculdades Metropolitanas Unidas
2012
Instituto do Coração
2011
Resumo Fundamento Reduzir as readmissões hospitalares após cirurgias de revascularização miocárdica (CRM) é essencial para otimizar os resultados a médio e longo prazo. Objetivo Analisar preditores pré-operatórios associados à readmissão por todas causas cardíacas em até 5 anos CRM. Métodos Foram analisados 1387 pacientes submetidos CRM entre junho 2017 julho 2019, utilizando dados do registro multicêntrico REPLICCAR II. O seguimento foi realizado entrevista telefônica com questionário...
Abstract Background Analyses of extensive registries indicate adverse outcomes for women undergoing coronary artery bypass grafting (CABG) surgery, while randomized studies often lack representativeness. Objective To compare adjusted hospital between men and CABG. Methods From July 2017 to June 2019, 3991 patients underwent primary isolated CABG, both electively urgently, in 5 hospitals the state São Paulo, Brazil. mitigate demographic differences women, populations were using propensity...
Failure-to-rescue refers to the rate of failure amongst healthcare teams in reversing complications that occur during a patient's hospitalization. This study aimed investigate failure-to-rescue following coronary artery bypass grafting (CABG). Cross-sectional cohort multicenter database "Registro Paulista de Cirurgia Cardiovascular II" (REPLICCAR II), which includes data from nine reference centers for cardiac surgery São Paulo State. The population included patients > 18 years age who had...
Abstract Background Reducing hospital readmissions following coronary artery bypass grafting (CABG) surgeries is essential to optimizing medium- and long-term patient outcomes. Objective To analyze preoperative predictors associated with all-cause cardiac within 5 years CABG. Methods We analyzed 1,387 patients who underwent CABG between June 2017 July 2019 using data from the multicenter REPLICCAR II registry. Follow-up was carried out by telephone interviews a questionnaire structured in...
Background: The impact of quality improvement initiatives Program (QIP) on coronary artery bypass grafting surgery (CABG) remains scarce, despite improved outcomes in other surgical areas. This study aims to evaluate the a package QIP mortality rates among patients undergoing CABG. Materials and methods: prospective cohort utilized data from multicenter database Registro Paulista de Cirurgia Cardiovascular II (REPLICCAR II), spanning July 2017 June 2019. Data 4,018 isolated CABG adult were...
Longitudinal median sternotomy is the most common surgical approach for access to heart disease treatment. The deep wound infections in postoperative period of cardiovascular surgery are a serious complication requiring high costs during Different studies have indicated some risk factors development mediastinitis and preoperative variables currently under investigation.The aim this study identify patients undergoing coronary artery bypass grafting valve replacement.This observational...
The quality of data in electronic healthcare databases is a critical component when used for research and health practice. aim the present study was to assess Paulista Cardiovascular Surgery Registry II (REPLICCAR II) using two different audit methods, direct indirect. REPLICCAR database contains from 9 hospitals São Paulo State with over 700 variables 2229 surgical patients. collection performed REDCap platform trained managers abstract information. We directly audited random sample (n =...
The objectives of this study were to describe a novel statewide registry for cardiac surgery in Brazil (REPLICCAR), compare regional risk model (SPScore) with EuroSCORE II and STS, understand where quality improvement safety initiatives can be implemented.A total 11 sites the state São Paulo, Brazil, formed an online platform capture information on factors outcomes after procedures all consecutive patients. STS values calculated each patient. An SPScore was designed compared predict 30-day...
Abstract It is observed that death rates in cardiac surgery has decreased, however, root causes behave like triggers of potentially avoidable deaths (AD), especially low-risk patients (less bias) are often unknown and underexplored, Phase Care Mortality Analysis (POCMA) can be a valuable tool to identify seminal events (SE), providing information where it possible make improvements the quality safety future procedures. Our results show São Paul State, only one third AD was related specific...
This study aimed to determine the incidence of nosocomial infections, risk factors and impact these infections on mortality among patients undergoing cardiac surgery.Retrospective cohort 2060 consecutive from 2006 2012 at Santa Casa de Misericórdia Marília.351 were diagnosed (17%), 227 non-surgical 124 surgical wound infections. Major mediastinitis (2.0%), urinary tract infection (2.8%), pneumonia (2.3%), bloodstream (1.7%). The in-hospital was 6.4%. Independent variables associated with age...
Background and Aim of the Study This study analyzed arrival coronavirus disease 2019 (COVID-19) in Brazil its impact on coronary artery bypass grafting (CABG) surgery. Methods Patients undergoing isolated CABG six hospitals were divided into two periods: pre-COVID-19 (March–May 2019, N = 468) COVID-19 era 2020, 182). Perioperative data included a dedicated REDCap platform. with clinical tomographic criteria and/or PCR (+) for severe acute respiratory syndrome 2 infection considered (+)....
The performance of traditional scores is significantly limited to predict mortality in high-risk cardiac surgery. aim this study was compare the STS, ESII and HiriSCORE models predicting patients undergoing CABG.
ARTIGO ORIGINAL Coronary artery bypass grafting in acute myocardial infarction: analysis of predictors in-hospital mortalityCirurgia de revascularização miocárdica na fase aguda do infarto: análise dos fatores preditores mortalidade intra-hospitalar Resumo Objetivo: A cirurgia (CRM) infarto miocárdio (IAM) está associada a aumento risco operatório.O objetivo estudo foi determinar intrahospitalar nos pacientes submetidos CRM no IAM.Métodos: Durante três anos, todos os IAM foram analisados...
To analyze 34 patients submitted to surgical treatment of patent arterial duct with age beyond 18 years old.Retrospective data collected from patient's charts more than eighteen old, correction between 1997 and 2008 at Instituto do Coração da Faculdade de Medicina Universidade São Paulo.The mean was 28.7 (18 a 53) 22 (64.7%) were female. The prevalent symptom dyspnea (76.5%). Left lateral thoracotomy used in 33 (97.1%); the DA sectioned sutured 25 (73.5%) cases one patient needed...
Objective: To apply and to compare the Society of Thoracic Surgery score (STS), EuroSCORE (Eurosc1), II (Eurosc2) InsCor (IS) for predicting mortality in patients undergoing coronary artery bypass graft and/or valve surgery at Santa Casa Marilia.Methods: The present study is a cohort.It prospective, observational, analytical unicentric.We analyzed 562 consecutive surgery, between April 2011 June 2013 Marilia.Mortality was calculated each patient through scores STS, Eurosc1, Eurosc2 IS.The...
Clinical prediction models for deep sternal wound infections (DSWI) after coronary artery bypass graft (CABG) surgery exist, although they have a poor impact in external validation studies. We developed and validated new predictive model 30-day DSWI CABG (REPINF) compared it with the Society of Thoracic Surgeons (STS). The REPINF was created through multicenter cohort adults undergoing (REPLICCAR II Study) database, using least absolute shrinkage selection operator (LASSO) logistic...
The etiology of myxomatous mitral valve degeneration (MVD) is not fully understood and may depend on time or environmental factors for which the interaction infectious agents has been documented. purpose study to analyze effect Mycoplasma pneumoniae (Mp), Chlamydophila (Cp) Borrelia burgdorferi (Bb) pathogenesis establish whether increased in inflammation collagen degradation etiopathogenesis. An immunohistochemical test was performed detect inflammatory cells (CD20, CD45, CD68) Mp, Bb MMP9...
Resumo Fundamento: A identificação de fatores riscos na cirurgia cardiovascular auxilia previsibilidade resultando otimização desfechos e redução custos. Objetivo: Identificação dos preditores risco pré intraoperatórios para internação prolongada após revascularização do miocárdio (CRM) no Estado São Paulo. Métodos: Análise transversal banco dados REPLICCAR II, registro prospectivo, consecutivo, multicêntrico que incluiu cirurgias miocárdica realizadas entre agosto 2017 julho 2019. O...
Abstract Background: Identifying risk factors in cardiovascular surgery assists predictability, resulting optimization of outcomes and cost reduction. Objective: This study aimed to identify preoperative intraoperative predictors for prolonged hospitalization after coronary artery bypass grafting (CABG) the state São Paulo, Brazil. Methods: A cross-sectional analysis using data from REPLICCAR II database, a prospective, consecutive, multicenter registry that included CABG surgeries performed...
Resumo Fundamento Análises em grandes registros apontam desfechos desfavoráveis para mulheres submetidas à cirurgia de revascularização do miocárdio (CRM), enquanto estudos randomizados sofrem com a falta representatividade. Objetivo Comparar os resultados hospitalares ajustados entre homens e submetidos CRM. Métodos Entre julho 2017 junho 2019, 3991 pacientes foram CRM primária isolada, tanto forma eletiva como urgência, 5 hospitais estado São Paulo, Brasil. Para equilibrar as diferenças...
Paciente encaminhada de outro serviço com história dor torácica aguda forte intensidade diagnóstico hematoma intramural na aorta ascendente para correção cirúrgica. Após investigação diagnóstica, identificou-se tumoração cística no mediastino anterior, que envolvia toda a e produzia restrição ao enchimento diastólico do ventrículo direito. A análise histológica tumor ressecado revelou o cisto tímico. Objetivo deste relato é descrever mediastinal baixa prevalência, pode produzir imagem...