Heart Surgery Over Two Decades: What We Have Learned About Results and Changing Risks

Heart Surgery Over Two Decades: What We Have Learned About Results and Changing Risks Publisher Pubmed

Tajdini M¹ ; Behnoush AH^{1, 2} ; Pashang M^{1, 2} ; Jameie M^{1, 2} ; Khalaji A^{1, 2} ; Sadeghian S^{1, 2} ; Vasheghanifarahani A^{1, 2} ; Poorhosseini H^{1, 2} ; Masoudkabir F^{1, 2} ; Hosseini K^{1, 2} ; Davoodi S^{1, 2} ; Sahebjam M^{1, 2} ; Barkhordari K^{1, 2} ; Ashraf H^{1, 2} Show All Authors

Tajdini M¹
Behnoush AH^{1, 2}
Pashang M^{1, 2}
Jameie M^{1, 2}
Khalaji A^{1, 2}
Sadeghian S^{1, 2}
Vasheghanifarahani A^{1, 2}
Poorhosseini H^{1, 2}
Masoudkabir F^{1, 2}
Hosseini K^{1, 2}
Davoodi S^{1, 2}
Sahebjam M^{1, 2}
Barkhordari K^{1, 2}
Ashraf H^{1, 2}
Shafiei A^{1, 2}
Karimi A^{1, 2}

Show Affiliations

1. Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
2. Cardiac Primary Prevention Research Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran

Source: BMC cardiovascular disorders Published:2024

Abstract

OBJECTIVES: Using the cardiac surgery database is of high importance in referral centers and can lead to a better quality of care for patients. Tehran Heart Center (THC) is a cardiovascular referral center that was inaugurated in 2001. In this report, we aimed to present the third report of trends in patients' cardiovascular risk factors and surgical procedures from 2002 to 2021 that have been gathered for all THC patients. METHODS: This serial cross-sectional study was conducted at Tehran Heart Center from 2002 to 2021. All patients undergoing cardiac surgeries were eligible to enter the study (N = 63,974). Those with miscellaneous types of surgeries were excluded (N = 9556). The distribution of cardiac surgeries (including isolated coronary artery bypass graft (CABG), isolated valve, and CABG + valve surgeries) and their respective in-hospital mortality were recorded. Furthermore, 20-year trends in the prevalence of various cardiovascular risk factors (CVRFs) among the following groups were evaluated: a) isolated CABG, b) aortic valve replacement/repair for aortic stenosis (AS/AVR/r), and c) isolated other valve surgeries (IVS). RESULTS: A total of 54,418 patients (male: 70.7%, age: 62.7 ± 10.8 years) comprised the final study population, with 84.5% prevalence of isolated CABG. Overall, the AS/AVR/r group was in between the CABG and IVS groups concerning CVRFs distribution. Excluding some exceptions for the AS/AVR/r group (in which the small sample size (N = 909) precluded observing a clear trend), all studied CVRFs demonstrated an overall rising trend from 2002 to 2021 in all three groups. Regarding in-hospital mortality, the highest rate was recorded as 4.0% in 2020, while the lowest rate was 2.0% in 2001. CONCLUSIONS: Isolated CABG remained the most frequent procedure in THC. Notable, increasing trends in CVRFs were observed during this 20-year period and across various types of cardiac surgeries, which highlights the clinical and policy-making implications of our findings. © 2024. The Author(s).

Style	Citing Format
MLA	Tajdini M, et al.. "Heart Surgery Over Two Decades: What We Have Learned About Results and Changing Risks." BMC cardiovascular disorders, vol. 24, no. 1, 2024, pp. 195-.
APA	Tajdini M, Behnoush AH, Pashang M, Jameie M, Khalaji A, Sadeghian S, Vasheghanifarahani A, Poorhosseini H, Masoudkabir F, Hosseini K, Davoodi S, Sahebjam M, Barkhordari K, Ashraf H, Shafiei A, Karimi A (2024). Heart Surgery Over Two Decades: What We Have Learned About Results and Changing Risks. BMC cardiovascular disorders, 24(1), 195-.
Chicago	Tajdini M, Behnoush AH, Pashang M, Jameie M, Khalaji A, Sadeghian S, Vasheghanifarahani A, et al.. "Heart Surgery Over Two Decades: What We Have Learned About Results and Changing Risks." BMC cardiovascular disorders 24, no. 1 (2024): 195-.
Harvard	Tajdini M et al. (2024) 'Heart Surgery Over Two Decades: What We Have Learned About Results and Changing Risks', BMC cardiovascular disorders, 24(1), pp. 195-.
Vancouver	Tajdini M, Behnoush AH, Pashang M, Jameie M, Khalaji A, Sadeghian S, et al.. Heart Surgery Over Two Decades: What We Have Learned About Results and Changing Risks. BMC cardiovascular disorders. 2024;24(1):195-.
BibTex	@article{ author = {Tajdini M and Behnoush AH and Pashang M and Jameie M and Khalaji A and Sadeghian S and Vasheghanifarahani A and Poorhosseini H and Masoudkabir F and Hosseini K and Davoodi S and Sahebjam M and Barkhordari K and Ashraf H and Shafiei A and Karimi A}, title = {Heart Surgery Over Two Decades: What We Have Learned About Results and Changing Risks}, journal = {BMC cardiovascular disorders}, volume = {24}, number = {1}, pages = {195-}, year = {2024} }
RIS	TY - JOUR AU - Tajdini M AU - Behnoush AH AU - Pashang M AU - Jameie M AU - Khalaji A AU - Sadeghian S AU - Vasheghanifarahani A AU - Poorhosseini H AU - Masoudkabir F AU - Hosseini K AU - Davoodi S AU - Sahebjam M AU - Barkhordari K AU - Ashraf H AU - Shafiei A AU - Karimi A TI - Heart Surgery Over Two Decades: What We Have Learned About Results and Changing Risks JO - BMC cardiovascular disorders VL - 24 IS - 1 SP - 195 EP - PY - 2024 ER -

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Abstract