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This study aims to investigate the prognostic significance of baseline characteristics for patients undergoing redo cardiac surgery.
Redo cardiac surgery is associated with an increased risk of postoperative morbidity and mortality. Patients undergoing redo cardiac surgery are becoming increasingly complex due to multiple comorbidities, adherence of mediastinal structures to the undersurface of the sternum as well as the spatial location of patent bypass grafts relative to the route of entry. Association estimates between baseline characteristics and outcomes in those cohort are imprecise. The aim of this study is to identify prognostic factors associated with redo cardiac surgery which may help physicians predict clinical outcomes and guide their treatment decision.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Redo cardiac surgery | Procedure | Redo cardiac surgery is technically challenging due to scarring of tissues resulting in loss of tissue planes, adhesions, multiple comorbid factors and risk of injury during re-entry.Suggested techniques in coronary artery surgery with a left internal mammary artery include routing the graft through a slit in the pericardium to minimize the possibility of adherence to the sternal table. |
| Measure | Description | Time Frame |
|---|---|---|
| 28-day mortality | Death from any cause at 28 days | 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| 60- and 90-day mortality | Death from any cause at 60- and 90-days | 60 days and 90 days |
| Measure | Description | Time Frame |
|---|---|---|
| Length of stay in the ICU | the length of stay in the ICU | up to 90 days |
| Length of stay in the hospital | the length of stay in the hospital | up to 90 days |
Inclusion Criteria:
Exclusion Criteria:
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Redo cardiac surgery is associated with an increased risk of postoperative morbidity and mortality. Patients undergoing redo cardiac surgery are becoming increasingly complex due to multiple comorbidities, adherence of mediastinal structures to the undersurface of the sternum as well as the spatial location of patent bypass grafts relative to the route of entry.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zhongshan hospital, Fudan university | Recruiting | Shanghai | 200032 | China |
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| Percentage of participants with adverse events | Adverse events includes haemorrhage; need for intraoperative/postoperative intra-aortic balloon pumping (IABP); prolonged intubation; acute kidney injury or need for continuous renal replacement therapy (CRRT); poor neurological outcome; infection events | up to 90 days |