Predictors of in-hospital complications after pericardiectomy: a nationwide outcomes study

The Journal of Thoracic and Cardiovascular Surgery
Raja R GopaldasJohn G Markley

Abstract

Advances in medical care had caused a paradigm shift in the indications for pericardiectomy. We evaluated the current predictors of in-hospital complications for pericardiectomy. Patients who underwent pericardiectomy between 1998 and 2008 were identified from the US Nationwide Inpatient Sample. Risk-adjusted logistic regression model was used to analyze the predictors of surgical outcomes. A total of 13,593 patients underwent pericardiectomy during this period. Pericardiectomy was performed for constrictive pericarditis (28%; n = 3851), pericardial calcification (15%; n = 2061), secondary malignancies (3%; n = 456), adhesive pericarditis (2%; n = 318), and other causes (40%; n = 5461). Unadjusted mortality and complication rates were approximately 8% and 48%, respectively. Fourteen percent of patients required blood transfusion. Only 62% were routinely discharged home. After risk adjustment, age, female gender, comorbidity index, and the primary diagnosis independently predicted in-hospital mortality and overall complication rates (P < .05). Calcific pericarditis was the only etiology associated with lower risk-adjusted mortality (odds ratio [OR], 0.48), operative complications (OR, 0.32), overall complications (OR, 0.32), inc...Continue Reading

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Citations

Feb 7, 2015·Scandinavian Cardiovascular Journal : SCJ·Nadia Lander LandexFinn Gustafsson
Jan 29, 2016·The Journal of Thoracic and Cardiovascular Surgery·John A PowerRobert W W Biederman
Jun 25, 2013·The Annals of Thoracic Surgery·Yoshiyuki TokudaUNKNOWN Japan Adult Cardiovascular Database Organization
Sep 17, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Christiane BuschFriedrich-Wilhelm Mohr
May 17, 2015·The Annals of Thoracic Surgery·Nicola VistariniLouis P Perrault
Apr 19, 2015·Journal of Cardiothoracic Surgery·Peng ZhuShaoyi Zheng
Jun 14, 2014·General Thoracic and Cardiovascular Surgery·Manabu ShiraishiHideo Adachi
May 18, 2016·The Journal of Thoracic and Cardiovascular Surgery·Vincent R Conti
Jun 18, 2014·Journal of Intensive Care Medicine·Katharine R ClaphamTheodore A Stern
Apr 29, 2018·Asian Cardiovascular & Thoracic Annals·Mukesh KumawatDamyanti Agarwal
Jul 30, 2014·Nature Reviews. Cardiology·Faisal F SyedJae K Oh
May 4, 2017·Texas Heart Institute Journal·Burak Can DepboyluMustafa Cikirikcioglu
Sep 25, 2017·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Queen OkerekeJosh Hanson
Mar 17, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Victor C LiuHarish Ramakrishna

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