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[PMID]:28453793
[Au] Autor:Sabashnikov A; Heinen S; Deppe AC; Zeriouh M; Weymann A; Slottosch I; Eghbalzadeh K; Popov AF; Liakopoulos O; Rahmanian PB; Madershahian N; Kroener A; Choi YH; Kuhn-Régnier F; Simon AR; Wahlers T; Wippermann J
[Ad] Endereço:Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany.
[Ti] Título:Impact of gender on long-term outcomes after surgical repair for acute Stanford A aortic dissection: a propensity score matched analysis.
[So] Source:Interact Cardiovasc Thorac Surg;24(5):702-707, 2017 05 01.
[Is] ISSN:1569-9285
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Previous research suggests that female gender is associated with increased mortality rates after surgery for Stanford A acute aortic dissection (AAD). However, women with AAD usually present with different clinical symptoms that may bias outcomes. Moreover, there is a lack of long-term results regarding overall mortality and freedom from major cerebrovascular events. We analysed the impact of gender on long-term outcomes after surgery for Stanford A AAD by comparing genders with similar risk profiles using propensity score matching. METHODS: A total of 240 patients operated for Stanford A AAD were included in this study. To control for selection bias and other confounders, propensity score matching was applied to gender groups. RESULTS: After propensity score matching, the gender groups were well balanced in terms of risk profiles. There were no statistically significant differences regarding duration of cardiopulmonary bypass ( P = 0.165) and duration of aortic cross-clamp time ( P = 0.111). Female patients received less fresh frozen plasma ( P = 0.021), had shorter stays in the intensive care unit ( P = 0.031), lower incidence of temporary neurological dysfunction ( P < 0.001) and lower incidence of dialysis ( P = 0.008). There were no significant differences regarding intraoperative mortality ( P = 1.000), 30-day mortality ( P = 0.271), long-term overall cumulative survival ( P = 0.954) and long-term freedom from cerebrovascular events ( P = 0.235) with up to a 9-year follow-up. CONCLUSIONS: Considering patients with similar risk profiles, female gender per se is not associated with worse long-term survival and freedom from stroke after surgical aortic repair. Moreover, female patients might even benefit from a smoother early postoperative course and lower incidence of early postoperative complications.
[Mh] Termos MeSH primário: Aneurisma Dissecante/cirurgia
Aneurisma da Aorta Torácica/cirurgia
Complicações Pós-Operatórias/epidemiologia
Pontuação de Propensão
Procedimentos Cirúrgicos Vasculares/métodos
[Mh] Termos MeSH secundário: Idoso
Feminino
Seguimentos
Alemanha/epidemiologia
Seres Humanos
Incidência
Masculino
Meia-Idade
Estudos Retrospectivos
Fatores de Risco
Distribuição por Sexo
Fatores Sexuais
Taxa de Sobrevida/tendências
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1093/icvts/ivw426


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[PMID]:29249768
[Au] Autor:Baha A; Baha RM; Eroglu V; Logoglu A; Icen YK
[Ad] Endereço:Department of Pulmonary Medicine, Osmaniye National Hospital, Turkey.
[Ti] Título:A Case of Massive Pulmonary Embolism Following Varicose Vein Surgery That Was Successfully Treated with Thrombolytic Therapy.
[So] Source:Intern Med;56(24):3409, 2017.
[Is] ISSN:1349-7235
[Cp] País de publicação:Japan
[La] Idioma:eng
[Mh] Termos MeSH primário: Embolia Pulmonar
Terapia Trombolítica
[Mh] Termos MeSH secundário: Seres Humanos
Varizes
Procedimentos Cirúrgicos Vasculares
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE
[do] DOI:10.2169/internalmedicine.9213-17


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[PMID]:29428042
[Au] Autor:Hafiz S; Zubowicz EA; Abouassaly C; Ricotta JJ; Sava JA
[Ti] Título:Extremity Vascular Injury Management: Good Outcomes Using Selective Referral to Vascular Surgeons.
[So] Source:Am Surg;84(1):140-143, 2018 Jan 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Revascularization after extremity vascular injury has long been considered an important skill among trauma surgeons. Increasingly, some trauma surgeons defer vascular repair in response to training or practice patterns. This study was designed to document results of extremity revascularization surgery to evaluate trauma surgeon outcomes and judicious referral of more complex injuries to vascular surgeons (VAS). The trauma registry of an urban level I trauma center was used to identify all patients from 2003 to 2013 who underwent an early (<24 hours) procedure for urgent management of acute injury to extremity vessels. Patients were managed by trauma (TRA) versus VAS based on the practice pattern of the on-call trauma surgeon. Injury and outcome variables were recorded. Of 115 patients, 84 patients were revascularized by trauma and 31 vascular surgeries. There was no difference in complication rates or frequency of any type of complication associated with repairs performed by VAS or TRA. There were similar rates between the two groups for patients with multiple injuries, such as venous, bone or tendon, and nerve injury to the affected extremity. One VAS patient and two TRA patients developed compartment syndrome. In appropriately selected patients, trauma surgeons achieve good outcomes after revascularization of injured extremities.
[Mh] Termos MeSH primário: Extremidade Inferior/irrigação sanguínea
Seleção de Pacientes
Extremidade Superior/irrigação sanguínea
Lesões do Sistema Vascular/diagnóstico
Lesões do Sistema Vascular/cirurgia
Ferimentos Penetrantes/diagnóstico
Ferimentos Penetrantes/cirurgia
[Mh] Termos MeSH secundário: Adulto
Síndromes Compartimentais/prevenção & controle
Feminino
Seres Humanos
Tempo de Internação
Masculino
Meia-Idade
Padrões de Prática Médica
Estudos Retrospectivos
Fatores de Risco
Fatores de Tempo
Centros de Traumatologia
Índices de Gravidade do Trauma
Resultado do Tratamento
Procedimentos Cirúrgicos Vasculares
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180212
[St] Status:MEDLINE


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[PMID]:29391105
[Au] Autor:Showen A; Russell TA; Young S; Gupta S; Gibbons MM
[Ad] Endereço:University of California, Los Angeles, California, USA.
[Ti] Título:Hyperglycemia Is Associated with Surgical Site Infections among General and Vascular Surgery Patients.
[So] Source:Am Surg;83(10):1108-1111, 2017 Oct 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Surgical site infection (SSI) is a common cause of morbidity in general and vascular surgery patients. There is inconsistent evidence on the association of glycemic status with SSI, and its utility in predicting and mitigating SSI. General and vascular surgery patients at a public teaching hospital had the following markers of glycemic status prospectively collected: preoperative hemoglobin A1c (HbA1c) and capillary blood glucose (cBG, within six months before surgery), perioperative cBG (within 24 hours before surgery), and postoperative cBG (peak value up to 48 hours after surgery). Patient records were assessed for SSI within 30 days of surgery. Over a two-month period, 229 patients underwent surgery. The overall SSI rate was 9.6 per cent. Preoperative HbA1c >7 per cent and postoperative cBG ≥180 mL/dL occurred in 25.9 and 27.0 per cent of patients, respectively. Preoperative HbA1c >7 per cent was significantly associated with SSI [odds ratio (OR) 2.26, 80 per cent confidence interval (CI) 1.01-5.07], as was postoperative cBG ≥180 mg/dL (OR 2.12, 80 per cent CI 1.02-4.41). There was no significant correlation between preoperative or perioperative cBG and SSI. In conclusion, SSI and hyperglycemia were frequent among the study population, and positively associated. Glycemic status may be used for improved preoperative risk assessment, and as it is potentially mutable, to reduce SSI.
[Mh] Termos MeSH primário: Hiperglicemia/complicações
Infecção da Ferida Cirúrgica/etiologia
Procedimentos Cirúrgicos Vasculares
[Mh] Termos MeSH secundário: Seguimentos
Cirurgia Geral
Seres Humanos
Hiperglicemia/diagnóstico
Razão de Chances
Período Pós-Operatório
Período Pré-Operatório
Estudos Prospectivos
Medição de Risco
Fatores de Risco
Infecção da Ferida Cirúrgica/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE


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[PMID]:29390426
[Au] Autor:Guo Z; Zhong Y; Hu B; Jiang JH; Li LQ; Xiang BD
[Ad] Endereço:Department of Hepatobiliary Surgery, Tumor Hospital of Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region.
[Ti] Título:Hepatic resection or transarterial chemoembolization for hepatocellular carcinoma within Milan criteria: A propensity score matching analysis.
[So] Source:Medicine (Baltimore);96(51):e8933, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study aimed to compare the long-term survival of patients with hepatocellular carcinoma (HCC) within the Milan criteria who underwent hepatic resection (HR) or transarterial chemoembolization (TACE).Medical records were retrospectively analyzed for HCC patients within the Milan criteria treated at Affiliated Tumor Hospital of Guangxi Medical University between March 2003 and March 2008, 159 of whom underwent HR and 42 of whom underwent TACE. Long-term overall survival (OS) was evaluated using the Kaplan-Meier method before and after propensity score matching. Cox proportional hazard modeling was used to identify possible predictors of OS.Propensity score matching was used to generate 32 pairs of patients, for which OS was significantly higher after HR than TACE at 1 year, 96.6% versus 84.4%; 3 years, 75.4% versus 53.1%; 5 years, 48.8% versus 29.7%, respectively (P = .038). Among all patients with multinodular HCC (2-3 tumors ≤3 cm), HR was also associated with significantly higher OS than TACE at 1 year, 95.2% versus 72.7%; 3 years, 71.4% versus 9.1%; 5 years, 35.1% versus 0%, respectively (P < .001). By contrast, among all patients with a single HCC tumor ≤5 cm, HR and TACE were associated with similar OS at 1 year, 85.9% versus 90.3%; 3 years, 62.0% versus 61.3%; 5 years, 42.1% versus 33.2%, respectively (P = .332).HR provides survival benefit over TACE in HCC patients within the Milan criteria, especially patients with multinodular HCC involving 2 to 3 tumors ≤3 cm. However, HR and TACE appear to be similarly effective for patients with single-tumor HCC ≤5 cm.
[Mh] Termos MeSH primário: Carcinoma Hepatocelular/cirurgia
Neoplasias Hepáticas/cirurgia
[Mh] Termos MeSH secundário: Carcinoma Hepatocelular/mortalidade
Carcinoma Hepatocelular/patologia
China
Bases de Dados Factuais
Embolização Terapêutica
Feminino
Seres Humanos
Neoplasias Hepáticas/mortalidade
Neoplasias Hepáticas/patologia
Masculino
Meia-Idade
Pontuação de Propensão
Modelos de Riscos Proporcionais
Estudos Retrospectivos
Análise de Sobrevida
Procedimentos Cirúrgicos Vasculares
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008933


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[PMID]:29341578
[Au] Autor:Banzic I; Fatic N; Pejkic S; Davidovic L; Sladojevic M; Koncar I
[Ti] Título:Case report of gross hematuria in the nutcracker syndrome resolved by renocaval reimplantation.
[So] Source:Vojnosanit Pregl;73(12):1178-80, 2016 Dec.
[Is] ISSN:0042-8450
[Cp] País de publicação:Serbia
[La] Idioma:eng
[Ab] Resumo:Introduction: Nutcracker syndrome is defined as a set of signs and symptoms secondary to compression of the left renal vein (LRV) in the acute anatomic angle between the aorta and its superior mesenteric branch. Case report: A 38-year old woman with asymptomatic and "idiopathic" gross hematuria came to the Clinic for Vascular and Endovascular Surgery, Clinical Center of Serbia in Belgrade. Hematuria was documented by cystoscopy and was found to be unilateral, located to the left urethral orifice. The contrast-enhanced multidetector computed tomography (MDCT) scan showed a stenotic LRV due to the extrinsic compression in the angle formed by the ventral aorta and superior mesenteric artery (MSA), with a jet of contrast through the lumen. Considering the negative investigations for more common causes of hematuria, its incapacitating nature, and above mentioned imaging findings suggestive of the nutcracker syndrome, an indication for the open surgical correction of the LRV entrapment was established. The patient underwent reimplantation of the LRV into the more distal inferior vena cava (IVC), to relocate it out of the constrictive aortomesenteric space. Intraoperative findings were notable for blood flow turbulence in the LRV and hypertrophy of its tributaries, which were ligated. We presented the first published case in the Serbian literature on nutcracker syndrome with hematuria resolved by renocaval reimplantation. Conclusion: This case report demonstrates that renocaval reimplantation, as the open surgery technique, could be the adequate method for resolving gross hematuria in patients with nutcracker syndrome.
[Mh] Termos MeSH primário: Hematúria/etiologia
Síndrome do Quebra-Nozes/cirurgia
Veias Renais/cirurgia
Reimplante
Procedimentos Cirúrgicos Vasculares
Veia Cava Inferior/cirurgia
[Mh] Termos MeSH secundário: Adulto
Angiografia por Tomografia Computadorizada
Feminino
Seres Humanos
Tomografia Computadorizada Multidetectores
Flebografia/métodos
Síndrome do Quebra-Nozes/complicações
Síndrome do Quebra-Nozes/diagnóstico por imagem
Veias Renais/diagnóstico por imagem
Resultado do Tratamento
Veia Cava Inferior/diagnóstico por imagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180118
[St] Status:MEDLINE
[do] DOI:10.2298/VSP150401132B


  7 / 23892 MEDLINE  
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[PMID]:28467577
[Au] Autor:Keles MK; Simsek T; Polat V; Yosma E; Demir A
[Ad] Endereço:Department of Plastic, Reconstructive and Aesthetic Surgery, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara-Turkey. mukeke@gmail.com.
[Ti] Título:Evaluation of forearm arterial repairs: Functional outcomes related to arterial repair.
[So] Source:Ulus Travma Acil Cerrahi Derg;23(2):117-121, 2017 Mar.
[Is] ISSN:1306-696X
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: There are few studies of single forearm arterial injury repair that compare long-term results of intact and obliterated forearm arterial repair. Aim of the present study was to compare long-term results of forearm arterial repair using Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) score and color Doppler ultrasound (CDUS). METHODS: Records of 166 consecutive patients with forearm arterial injury were reviewed, and 30 patients with same injury (ulnar artery, ulnar nerve, and tendon injuries at flexor zone V) were called back for CDUS and QuickDASH scoring. Patients evaluated with CDUS were divided into 2 groups according to results: patent vessels (Group 1) and obliterated vessels (Group 2), and statistical analysis was performed to compare QuickDASH scores of groups. RESULTS: Difference in QuickDASH scores was statistically significant: Group 1 had lower score (24.27) than Group 2 (36.34), indicating better outcome in patients with patent vessels. CONCLUSION: Vascular repair that achieved vessel patency led to better functional outcome with lower QuickDASH score and less cold intolerance.
[Mh] Termos MeSH primário: Traumatismos do Antebraço/cirurgia
Antebraço
Procedimentos Cirúrgicos Reconstrutivos
Artéria Ulnar
Procedimentos Cirúrgicos Vasculares
Lesões do Sistema Vascular/cirurgia
[Mh] Termos MeSH secundário: Antebraço/irrigação sanguínea
Antebraço/cirurgia
Seres Humanos
Resultado do Tratamento
Artéria Ulnar/lesões
Artéria Ulnar/cirurgia
Nervo Ulnar/lesões
Nervo Ulnar/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.5505/tjtes.2016.36080


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[PMID]:29332920
[Au] Autor:Zhao C; Zhu Z; Zheng X; Liu K
[Ad] Endereço:Department of Cardiovascular Surgery, 2nd Hospital of Bethune, Jilin University, Changchun.
[Ti] Título:Aorto-Cutaneous Fistula after Surgical Treatment of Stanford Type A Aortic Dissection.
[So] Source:Int Heart J;59(1):223-225, 2018 Jan 27.
[Is] ISSN:1349-3299
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:An aorto-cutaneous fistula is a rare complication that occurs after aortic surgery. Due to its rarity, postoperative complications are not normally highlighted in most standard teaching. We report here a case of aorto-cutaneous fistula after surgical treatment of a Stanford type A aortic dissection (AD) in a 67-year-old Chinese male. The patient presented with severe right heart dysfunction and a mass was found in the upper-middle of his chest, which started bleeding in the next years. On admission, preoperative aortic computed tomography angiography (CTA) showed a huge hematoma located in the anterior superior mediastinum and a shunt between the embedding cavity of the aortic root and right atrium. An emergent procedure was performed. Intraoperatively, we found two leaks approximately 2 mm from the anastomosis of the greater curvature of the ascending aortic graft and stented graft after the hematoma was cleared and we confirmed the shunt had a large amount of blood flow after a right atrium incision. After the surgery, the patient was diagnosed with a cerebral hemorrhage, and his family decided to refuse therapy on the third postoperative day (p.o.d.).
[Mh] Termos MeSH primário: Aneurisma Dissecante/cirurgia
Aneurisma da Aorta Torácica/cirurgia
Implante de Prótese Vascular/efeitos adversos
Fístula Cutânea/etiologia
Complicações Pós-Operatórias
Stents/efeitos adversos
Fístula Vascular/etiologia
[Mh] Termos MeSH secundário: Idoso
Aneurisma Dissecante/diagnóstico
Aneurisma da Aorta Torácica/diagnóstico
Angiografia por Tomografia Computadorizada
Fístula Cutânea/diagnóstico
Fístula Cutânea/cirurgia
Ecocardiografia Doppler em Cores
Seres Humanos
Masculino
Reoperação
Fístula Vascular/diagnóstico
Fístula Vascular/cirurgia
Procedimentos Cirúrgicos Vasculares/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180206
[Lr] Data última revisão:
180206
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180116
[St] Status:MEDLINE
[do] DOI:10.1536/ihj.17-109


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[PMID]:28467535
[Au] Autor:Wahl TS; Graham LA; Hawn MT; Richman J; Hollis RH; Jones CE; Copeland LA; Burns EA; Itani KM; Morris MS
[Ad] Endereço:Birmingham and Tuscaloosa Health Services Research and Development Unit, Birmingham Veterans Affairs Medical Center, Birmingham, Alabama.
[Ti] Título:Association of the Modified Frailty Index With 30-Day Surgical Readmission.
[So] Source:JAMA Surg;152(8):749-757, 2017 Aug 01.
[Is] ISSN:2168-6262
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: Frail patients are known to have poor perioperative outcomes. There is a paucity of literature investigating how the Modified Frailty Index (mFI), a validated measure of frailty, is associated with unplanned readmission among military veterans following surgery. Objective: To understand the association between frailty and 30-day postoperative unplanned readmission. Design, Setting, and Participants: A retrospective cohort study was conducted among adult patients who underwent surgery and were discharged alive from Veterans Affairs hospitals for orthopedic, general, and vascular conditions between October 1, 2007, and September 30, 2014, with a postoperative length of stay between 2 and 30 days. Exposure: Frailty, as calculated by the 11 variables on the mFI. Main Outcomes and Measures: The primary outcome of interest is 30-day unplanned readmission. Secondary outcomes included any 30-day predischarge or postdischarge complication, 30-day postdischarge mortality, and 30-day emergency department visit. Results: The study sample included 236 957 surgical procedures (among 223 877 men and 13 080 women; mean [SD] age, 64.0 [11.3] years) from high-volume surgical specialties: 101 348 procedures (42.8%) in orthopedic surgery, 92 808 procedures (39.2%) in general surgery, and 42 801 procedures (18.1%) in vascular surgery. The mFI was associated with readmission (odds ratio [OR], 1.11; 95% CI, 1.10-1.12; R2 = 10.3%; C statistic, 0.71). Unadjusted rates of overall 30-day readmission (26 262 [11.1%]), postdischarge emergency department visit (34 204 [14.4%]), any predischarge (13 855 [5.9%]) or postdischarge (14 836 [6.3%]) complication, and postdischarge mortality (1985 [0.8%]) varied by frailty in a dose-dependent fashion. In analysis by individual mFI components using Harrell ranking, impaired functional status, identified as nonindependent functional status (OR, 1.16; 95% CI, 1.11-1.21; P < .01) or having a residual deficit from a prior cerebrovascular accident (OR, 1.17; 95% CI, 1.11-1.22; P < .01), contributed most to the ability of the mFI to anticipate readmission compared with the other components. Acutely impaired sensorium (OR, 1.12; 95% CI, 0.99-1.27; P = .08) and history of a myocardial infarction within 6 months (OR, 0.93; 95% CI, 0.81-1.06; P = .28) were not significantly associated with readmission. Conclusions and Relevance: The mFI is associated with poor surgical outcomes, including readmission, primarily due to impaired functional status. Targeting potentially modifiable aspects of frailty preoperatively, such as improving functional status, may improve perioperative outcomes and decrease readmissions.
[Mh] Termos MeSH primário: Idoso Fragilizado/estatística & dados numéricos
Readmissão do Paciente/estatística & dados numéricos
Complicações Pós-Operatórias/etiologia
[Mh] Termos MeSH secundário: Idoso
Feminino
Avaliação Geriátrica/métodos
Seres Humanos
Tempo de Internação/estatística & dados numéricos
Masculino
Procedimentos Ortopédicos/efeitos adversos
Cuidados Pré-Operatórios/métodos
Prognóstico
Estudos Retrospectivos
Medição de Risco/métodos
Estados Unidos
Procedimentos Cirúrgicos Vasculares/efeitos adversos
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; OBSERVATIONAL STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:180202
[Lr] Data última revisão:
180202
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1001/jamasurg.2017.1025


  10 / 23892 MEDLINE  
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[PMID]:28453811
[Au] Autor:Mouawad NJ
[Ad] Endereço:McLaren Bay Heart and Vascular, Michigan State University, Bay City, MI, USA.
[Ti] Título:eComment. Descendo-bifemoral bypass grafting with renal revascularization for complex obliterative arteriopathy.
[So] Source:Interact Cardiovasc Thorac Surg;24(5):658, 2017 05 01.
[Is] ISSN:1569-9285
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Rim
Procedimentos Cirúrgicos Vasculares
[Mh] Termos MeSH secundário: Ponte de Artéria Coronária
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1093/icvts/ivx084



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