PMID: 9549277Apr 29, 1998Paper

Emergencies (outpatients) in cardiosurgery: national multicenter study. Gruppo di Studio SIAARTI "Anestesia e Rianimazione in Cardiochirurgia"

Minerva anestesiologica

Abstract

Heart Surgery Italian Centres participated in this study to define the rate and the outcome of outpatients' cardiovascular emergencies. Hospital patients and heart and/or lung transplants were excluded. Data were prospectively collected over 6 months (from April 1 through September 30, 1996) and analyzed using SPSS stat programme. 731 emergencies (5.8% of 12551 cardiosurgical procedures) have been recorded. 85.8% of the patients were admitted to the surgical units, coming from other hospitals. 31.6% of emergencies were admitted in the night. 37.2% of the patients were admitted because of myocardial infarction or unstable angina in spite of e.v. drugs; 28.3% because of dissection of thoracic aorta; 18.2% were congenital heart diseases; 9.2% valvular or valve prosthesis dysfunctions; 7.1% were affected by other cardiovascular diseases. On admission, 48.7% of the patients were in cardiogenic shock or severe heart failure, 27.9% presented respiratory failure, 11.8% renal failure, 5.1% brain injury (coma and/or plegia or paresis). 500 (68.4%) patients needed invasive and or not invasive diagnostic procedures. 33 (4.5%) patients died early after admission to the hospital. 30 patients, who did not need surgery, were discharged few day...Continue Reading

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