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[Mortality in cardiac surgery]
Insights
This study analyzes cardiac surgery outcomes, reporting zero mortality for closed procedures and 5.7% for open procedures. Standardizing treatment stages may reduce cardiac surgery mortality.
Area of Science:
- Cardiovascular Surgery
- Surgical Outcomes Analysis
Context:
- Analysis of a 75-bed cardiosurgical hospital's experience.
- Annual performance of 500-600 heart operations using extracorporeal circulation.
Purpose:
- To evaluate the status of cardiac surgical problems.
- To compare outcomes of different cardiac surgical interventions.
- To identify causes of mortality in cardiac surgery.
Summary:
- Zero mortality observed in "closed" cardiac interventions.
- 5.7% mortality rate for "open" cardiac corrections.
- Specific mortality rates detailed for aortocoronary shunting (1.8%), mitral valve (6.7%), aortic valve (8%), and Fallot's tetrad (6.2%).
- Iatrogenesis identified as a significant cause of lethality.
Impact:
- Highlights the need for improved patient treatment standardization.
- Suggests intensification of surgical work through standardization to reduce mortality.
- Provides data for improving cardiac surgical protocols and patient safety.
Abstract:
The authors analyse the status of the title problem as compared with the experience in surgical activity of the cardiosurgical hospital designed for 75 beds, performing 500-600 heart operations a year with the use of extracorporeal circulation. The total hospital lethality was 0 after "closed" interventions and 5.7% after open correction. Analysis is made of the lethality after the most common operations: aortocoronary shunting (1.8%), prosthetic mitral valve (6.7%), prosthetic aortal valves (8%), and radical correction of Fallot's tetrad (6.2%), and so forth. The paper treats of the structure and causes of the lethality, among which attention is drawn to iatrogenesis. Intensification of surgical work on the basis of the standardization of the main stages of the patient's treatment is regarded as one of the approaches to the lethality reduction.