Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/19122
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dc.contributor.authorDeRose, J. J., Jr.en
dc.contributor.authorToumpoulis, I. K.en
dc.contributor.authorBalaram, S. K.en
dc.contributor.authorIoannidis, J. P.en
dc.contributor.authorBelsley, S.en
dc.contributor.authorAshton, R. C., Jr.en
dc.contributor.authorSwistel, D. G.en
dc.contributor.authorAnagnostopoulos, C. E.en
dc.date.accessioned2015-11-24T18:57:00Z-
dc.date.available2015-11-24T18:57:00Z-
dc.identifier.issn0022-5223-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/19122-
dc.rightsDefault Licence-
dc.subjectAgeden
dc.subject*Coronary Artery Bypassen
dc.subjectCoronary Artery Disease/*mortality/*physiopathology/surgeryen
dc.subjectFemaleen
dc.subjectFollow-Up Studiesen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectMultivariate Analysisen
dc.subjectNew York/epidemiologyen
dc.subjectPostoperative Complications/etiology/mortalityen
dc.subjectPredictive Value of Testsen
dc.subject*Preoperative Careen
dc.subjectRetrospective Studiesen
dc.subjectStroke Volume/*physiologyen
dc.subjectSurvival Analysisen
dc.subjectTime Factorsen
dc.subjectTreatment Outcomeen
dc.subjectVentricular Function, Left/*physiologyen
dc.titlePreoperative prediction of long-term survival after coronary artery bypass grafting in patients with low left ventricular ejection fractionen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.primary10.1016/j.jtcvs.2004.05.022-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/15678041-
heal.identifier.secondaryhttp://ac.els-cdn.com/S0022522304008736/1-s2.0-S0022522304008736-main.pdf?_tid=caa941c0a460dbe2d3aef79e495094f2&acdnat=1333364368_3cd3eea842f1631a7881d88e71456db9-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2005-
heal.abstractOBJECTIVE: We aimed to develop multivariable models of preoperative risk factors that predict long-term survival after coronary artery bypass grafting in patients with ejection fraction 25% or less. METHODS: We retrospectively evaluated 544 consecutive patients with ejection fraction 25% or less who underwent coronary artery bypass grafting from 1992 to 2002 at a single institution. Long-term survival data (mean follow-up 4.1 years) were obtained from the National Death Index. Multivariable Cox regression analysis was performed to construct a predictive score for long-term mortality. A split-sample approach was also used building a model on a training group (n = 360); this model was then tested on a separate validation group (n = 184). RESULTS: From the entire database, the predictive score was calculated according to the following equation: 0.430(if past congestive heart failure) + 0.049(age in years) + 0.507(if peripheral vascular disease) + 0.580(if emergency operation) + 0.366(if chronic obstructive pulmonary disease). The 5-year survivals of the predictive score quartiles were 82.3%, 78.2%, 65.5%, and 45.5% (P < .0001). The model based on the training group had four independent predictors for long-term mortality (the same as the listed equation except for past congestive heart failure). The 5-year survival rates of the quartiles were 90.1%, 75.4%, 64.3%, and 49.2% in the training group (P < .0001) and 77.4%, 71.2%, 65.8%, and 45.5% in the validation group (P = .0001). CONCLUSION: Coronary artery bypass grafting in patients with severe ischemic cardiomyopathy achieves satisfactory midterm and long-term survival in selected patients. This new score, which is based on long-term data from a large number of patients, may aid clinicians in selecting therapeutic interventions for patients with ischemic cardiomyopathy.en
heal.journalNameJ Thorac Cardiovasc Surgen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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