The Brazilian Registry of Adult Patient Undergoing Cardiovascular Surgery, the BYPASS Project: Results of the First 1,722 Patients.
Braz J Cardiovasc Surg 2017;
32:71-76. [PMID:
28492786 PMCID:
PMC5409255 DOI:
10.21470/1678-9741-2017-0053]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2017] [Accepted: 02/27/2017] [Indexed: 11/04/2022] Open
Abstract
Objective
To report the early results of the BYPASS project - the Brazilian registrY of
adult Patient undergoing cArdiovaScular Surgery - a national, observational,
prospective, and longitudinal follow-up registry, aiming to chart a profile
of patients undergoing cardiovascular surgery in Brazil, assessing the data
harvested from the initial 1,722 patients.
Methods
Data collection involved institutions throughout the whole country,
comprising 17 centers in 4 regions: Southeast (8), Northeast (5), South (3),
and Center-West (1). The study population consists of patients over 18 years
of age, and the types of operations recorded were: coronary artery bypass
graft (CABG), mitral valve, aortic valve (either conventional or
transcatheter), surgical correction of atrial fibrillation, cardiac
transplantation, mechanical circulatory support and congenital heart
diseases in adults.
Results
83.1% of patients came from the public health system (SUS), 9.6% from the
supplemental (private insurance) healthcare systems; and 7.3% from private
(out-of -pocket) clinic. Male patients comprised 66%, 30% were diabetics,
46% had dyslipidemia, 28% previously sustained a myocardial infarction, and
9.4% underwent prior cardiovascular surgery. Patients underwent coronary
artery bypass surgery were 54.1% and 31.5% to valve surgery, either isolated
or combined. The overall postoperative mortality up to the 7th
postoperative day was 4%; for CABG was 2.6%, and for valve operations,
4.4%.
Conclusion
This first report outlines the consecution of the Brazilian surgical cardiac
database, intended to serve primarily as a tool for providing information
for clinical improvement and patient safety and constitute a basis for
production of research protocols.
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