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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
1
|
| pubmed:dateCreated |
1995-2-22
|
| pubmed:abstractText |
Seventy consecutive operations involving the renal arteries were reviewed to identify factors linked to perioperative mortality. Aortorenal bypass (n = 29), endarterectomy (n = 12), extraanatomic bypass (n = 12), thrombectomy (n = 4), and reimplantation (n = 13) were associated with a 16% perioperative mortality that was often secondary to multisystem organ failure. Patients who died exhibited a higher serum creatinine (3.4 vs 2.1 mg/dL; P < 0.05). Stratification of patients by risk revealed higher American Society of Anesthesiologists (ASA) (P < 0.005) and modified Acute Physiology Score, and Chronic Health Evaluation (APACHE II) (P < 0.02) score among patients who died. Higher mortality was also observed after bilateral renal artery operations (31% vs 5%; P < 0.005) or concomitant mesenteric revascularization (37% vs 12%; P < 0.05), but not simultaneous aortic procedures (18% vs 11%; P = NS). Bilateral operation (P < 0.0001), age (P < 0.001), and ASA class (P < 0.01) were independent predictors of mortality according to multivariate analysis. Because of higher mortality in these specific situations, modification or limitation of operative scope may be appropriate.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jan
|
| pubmed:issn |
0003-1348
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
61
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
45-51
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:7832381-APACHE,
pubmed-meshheading:7832381-Adolescent,
pubmed-meshheading:7832381-Adult,
pubmed-meshheading:7832381-Aged,
pubmed-meshheading:7832381-Aged, 80 and over,
pubmed-meshheading:7832381-Cause of Death,
pubmed-meshheading:7832381-Child,
pubmed-meshheading:7832381-Creatinine,
pubmed-meshheading:7832381-Endarterectomy,
pubmed-meshheading:7832381-Female,
pubmed-meshheading:7832381-Follow-Up Studies,
pubmed-meshheading:7832381-Humans,
pubmed-meshheading:7832381-Hypertension, Renovascular,
pubmed-meshheading:7832381-Male,
pubmed-meshheading:7832381-Middle Aged,
pubmed-meshheading:7832381-Multivariate Analysis,
pubmed-meshheading:7832381-Predictive Value of Tests,
pubmed-meshheading:7832381-Prognosis,
pubmed-meshheading:7832381-Replantation,
pubmed-meshheading:7832381-Risk Factors,
pubmed-meshheading:7832381-Thrombectomy
|
| pubmed:year |
1995
|
| pubmed:articleTitle |
Stratification of mortality risk for renal artery surgery.
|
| pubmed:affiliation |
Medical University of South Carolina, Charleston.
|
| pubmed:publicationType |
Journal Article
|