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El intervencionismo coronario percutáneo previo no aumenta la mortalidad hospitalaria en cirugía coronaria: análisis de una serie de 63.420 casos;
Previous Percutaneous Coronary Intervention Does Not Increase In-Hospital Mortality After Surgical Revascularization: Analysis of 63420 Cases

Creators:Sánchez, Eladio; Revista de la Sociedad Argentina de Cardiología, Cid-Cumplido, Manuela, Moreno-Millán, Emilio, Tarhini, Ibrahim S, Khan, Ijaz, Pineda, Tomás, González, José-Ramón
2013-07-25

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Descripción

RESUMENIntroducciónEn diversas publicaciones de los últimos años se señala una mortalidad hospitalaria mayor dela cirugía de revascularización miocárdica en pacientes con antecedente de intervencionismocoronario percutáneo previo exitoso; por su parte, los modelos de riesgo de mortalidad en cirugíacardíaca publicados hasta la actualidad no han incluido este antecedente como factor de riesgo.ObjetivoAnalizar si el intervencionismo coronario percutáneo previo es un factor de riesgo de mortalidadhospitalaria en la cirugía de revascularización coronaria.Material y métodosEntre enero de 1997 y diciembre de 2007 se analizaron un total de 78.794 pacientes sometidosa cirugía coronaria, recogidos en la base de datos del Ministerio de Sanidad de España. Trasaplicar los criterios de exclusión, el estudio se realizó sobre un total de 63.420 pacientes, delos que 2.942 (4,6%) tenían intervencionismo coronario percutáneo previo. Las variablescontinuas se compararon con las pruebas de U de Mann-Whitney o de la t de Student y lasvariables categóricas, mediante chi cuadrado. Se realizó un análisis de regresión logísticaunivariado y multivariado y un análisis multivariado que incluía un índice de propensión.ResultadosEl intervencionismo coronario percutáneo previo no fue un predictor independiente de mortalidadhospitalaria en el análisis multivariado (odds ratio 0,88; intervalo de confianza del95% 0,72-1,07; p = 0,20) ni en el modelo que incluía un índice de propensión (odds ratio 0,9;intervalo de confianza 95% 0,75-1,08; p = 0,27).ConclusiónEl intervencionismo coronario percutáneo previo parece no ser un factor de riesgo independientede mortalidad hospitalaria en pacientes con intervención quirúrgica coronaria.

BackgroundRecent publications indicate higher in-hospital mortality following myocardialrevascularization in patients with previous history of successful percutaneouscoronary intervention. Yet, no risk models of surgical mortality have includedpercutaneous intervention as a risk factor.ObjectivesThe purpose of this study was to analyze whether previous percutaneous coronaryintervention is a risk factor of in-hospital mortality in coronary artery bypassgrafting.MethodsThe study included 78794 patients retrieved from the Spanish Ministry of Healthdatabase, who underwent coronary artery bypass graft surgery between January 1997and December 2007. After applying exclusion criteria, 63420 patients were includedin the study, 2942 (4.6%) of whom had previously undergone percutaneous coronaryintervention. Continuous variables were compared using the Mann-Whitney U testor Student’s t test, and categorical variables using the chi-square test. Univariateand multivariate logistic regression analyses and a multivariate analysis including apropensity score were performed.ResultsPrevious percutaneous coronary intervention was not an independent risk factor ofin-hospital mortality in the multivariate logistic regression analysis (odds ratio 0.88;95% confidence interval, 0.72-1.07; p=0.20) or after adjusting for propensity score(odds ratio 0.9; 95% confidence interval, 0.75-1.08; p=0.27).ConclusionPrevious percutaneous coronary intervention is not an independent risk factor of inhospitalmortality in patients undergoing coronary artery bypass grafting.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 81, No 3 (2013); 225-232, Argentine Journal of Cardiology; Vol 81, No 3 (2013); 225-232

Citación

Sánchez, Eladio; Revista de la Sociedad Argentina de Cardiología et al., “El intervencionismo coronario percutáneo previo no aumenta la mortalidad hospitalaria en cirugía coronaria: análisis de una serie de 63.420 casos,” Archivo PPCT, consulta 2 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/8255.

Dublin Core

Autor

Sánchez, Eladio; Revista de la Sociedad Argentina de Cardiología
Cid-Cumplido, Manuela
Moreno-Millán, Emilio
Tarhini, Ibrahim S
Khan, Ijaz
Pineda, Tomás
González, José-Ramón

Fuente

Revista Argentina de Cardiología; Vol 81, No 3 (2013); 225-232
Argentine Journal of Cardiology; Vol 81, No 3 (2013); 225-232

Editor

Sociedad Argentina de Cardiología

Fecha

2013-07-25

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

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spa
eng

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info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion