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DC Field | Value | Language |
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dc.contributor.author | DeRose, J. J., Jr. | en |
dc.contributor.author | Toumpoulis, I. K. | en |
dc.contributor.author | Balaram, S. K. | en |
dc.contributor.author | Ioannidis, J. P. | en |
dc.contributor.author | Belsley, S. | en |
dc.contributor.author | Ashton, R. C., Jr. | en |
dc.contributor.author | Swistel, D. G. | en |
dc.contributor.author | Anagnostopoulos, C. E. | en |
dc.date.accessioned | 2015-11-24T18:57:00Z | - |
dc.date.available | 2015-11-24T18:57:00Z | - |
dc.identifier.issn | 0022-5223 | - |
dc.identifier.uri | https://olympias.lib.uoi.gr/jspui/handle/123456789/19122 | - |
dc.rights | Default Licence | - |
dc.subject | Aged | en |
dc.subject | *Coronary Artery Bypass | en |
dc.subject | Coronary Artery Disease/*mortality/*physiopathology/surgery | en |
dc.subject | Female | en |
dc.subject | Follow-Up Studies | en |
dc.subject | Humans | en |
dc.subject | Male | en |
dc.subject | Middle Aged | en |
dc.subject | Multivariate Analysis | en |
dc.subject | New York/epidemiology | en |
dc.subject | Postoperative Complications/etiology/mortality | en |
dc.subject | Predictive Value of Tests | en |
dc.subject | *Preoperative Care | en |
dc.subject | Retrospective Studies | en |
dc.subject | Stroke Volume/*physiology | en |
dc.subject | Survival Analysis | en |
dc.subject | Time Factors | en |
dc.subject | Treatment Outcome | en |
dc.subject | Ventricular Function, Left/*physiology | en |
dc.title | Preoperative prediction of long-term survival after coronary artery bypass grafting in patients with low left ventricular ejection fraction | en |
heal.type | journalArticle | - |
heal.type.en | Journal article | en |
heal.type.el | Άρθρο Περιοδικού | el |
heal.identifier.primary | 10.1016/j.jtcvs.2004.05.022 | - |
heal.identifier.secondary | http://www.ncbi.nlm.nih.gov/pubmed/15678041 | - |
heal.identifier.secondary | http://ac.els-cdn.com/S0022522304008736/1-s2.0-S0022522304008736-main.pdf?_tid=caa941c0a460dbe2d3aef79e495094f2&acdnat=1333364368_3cd3eea842f1631a7881d88e71456db9 | - |
heal.language | en | - |
heal.access | campus | - |
heal.recordProvider | Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής | el |
heal.publicationDate | 2005 | - |
heal.abstract | OBJECTIVE: 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.journalName | J Thorac Cardiovasc Surg | en |
heal.journalType | peer-reviewed | - |
heal.fullTextAvailability | TRUE | - |
Appears in Collections: | Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ |
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DeRose-2005-Preoperative predict.pdf | 207.47 kB | Adobe PDF | View/Open Request a copy |
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