The cardiac risk (CR) in noncardiac surgery represents the probability of acute cardiovascular conditions appearance, assessed as perioperative complications. The most frequent perioperative complications are the acute manifestations of coronary or noncoronary ischemia; acute or exacerbated chronic heart failure (CHF); acute rhythm and conductive disorders; acute cardiac inflammatory processes;...

OBJECTIVES To differentiate surgical bleeding requiring re-exploration from postoperative coagulopathy and determine the differences in patient outcomes. METHODS This was a retrospective chart review of 2,263 adult patients undergoing elective and emergency open heart procedures encompassing coronary artery bypass, valvular, and a combined procedure to determine the impact of source of bleedi...

Surgical morbidity and mortality are rightly considered public health concerns. It has been estimated that more than 200 hundredmillionmajor surgical procedures are performed annually worldwide1. Risks vary widely, related to the procedure involved, as well as patient and provider factors. Across these clinically diverse populations, at least a million patients die and an order of magnitude mor...

All cardiac surgical procedures performed in 79 German cardiac surgical units in the year 2004 are presented in this report, which is based on a voluntary registry organized by the German Society for Thoracic and Cardiovascular Surgery. A total of 100 830 cardiac surgical procedures (ICD and pacemaker procedures excluded) were reported to the registry for the year 2004, an increase by 1.1 % com...

OBJECTIVE To determine operative mortality in surgical programs from resource-limited settings. DESIGN, SETTING, AND PARTICIPANTS A retrospective cohort study of 17 surgical programs in 13 developing countries by 1 humanitarian organization, Médecins Sans Frontières, was performed between January 1, 2001, and December 31, 2008. Participants included patients undergoing surgical procedures. ...

Introduction The mean age of the population is increasing in the western countries. In particular, in Italy 14% of the population are over 70 years old. The rising of the older population is associated to the increase of the number of emergency abdominal surgical procedures. Postoperative morbidity and mortality are strictly dependent on comorbidities. The aim of this study was to analyze morbi...

background: the adult cardiac surgery databank (acsd) of tehran heart center was established in 2002 with a view to providing clinical prediction rules for outcomes of cardiac procedures, developing risk score systems, and devising clinical guidelines. this is a general analysis of the collected data. methods: all the patients referred to tehran heart center for any kind of heart surgery betwee...