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2,000 results for “cardiac surgery”
Relationship Between Parameters of VOT Using NIRS and Clinical Outcomes in Pediatric Cardiac Surgery
ClinicalTrials.gov study NCT02287753. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Comparison of Priming Constituents in Patients Undergoing CPB Assisted Cardiac Surgery: HES 130/0.4 or Albumin 5%
ClinicalTrials.gov study NCT01849757. IPD Sharing: Not stated. Countries: 1. Publications: 6.
Platelet Inhibition and Transcranial Doppler (TCD)-Detected Microemboli During and After Carotid Artery Stenting (CAS) in Asymptomatic Patients Prior to Cardiac Surgery
ClinicalTrials.gov study NCT01146301. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Evaluation of the Risk of Hyperoxia-induced Hypercapnia in Obese Cardiac Surgery Patients
ClinicalTrials.gov study NCT02917668. IPD Sharing: YES. Countries: 1. Publications: 4.
Dexamethasone for Cardiac Surgery-II Trial
ClinicalTrials.gov study NCT03002259. IPD Sharing: NO. Countries: 1. Publications: 2.
Evaluation of Virtual Reality for Reducing Opioid Use After Cardiac and Thoracic Surgery
ClinicalTrials.gov study NCT07063394. IPD Sharing: NO. Countries: 1. Publications: 2.
Assessment of Frailty as a Risk Factor for Cardiac and Vascular Surgery
ClinicalTrials.gov study NCT02224222. IPD Sharing: Not stated. Countries: 1. Publications: 2.
Hypertonic Saline-hetastarch in Cardiac Surgery
ClinicalTrials.gov study NCT00469716. IPD Sharing: Not stated. Countries: 1. Publications: 7.
Clinical Investigation Evaluating a New Autotransfusion Device in Cardiac Surgery
ClinicalTrials.gov study NCT04588350. IPD Sharing: NO. Countries: 1. Publications: 1.
QPI-1002 Phase 3 for Prevention of Major Adverse Kidney Events (MAKE) in Subjects at High Risk for AKI Following Cardiac Surgery
ClinicalTrials.gov study NCT03510897. IPD Sharing: Not stated. Countries: 11. Publications: 3.
Restrictive Transfusion StratEgy Adjusted by SvO2 During Cardiac Surgery
ClinicalTrials.gov study NCT05740059. IPD Sharing: UNDECIDED. Countries: 1. Publications: 14.
Data from: Impact of microRNA expression in human atrial tissue in patients with atrial fibrillation undergoing cardiac surgery
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Data from: Self-reported functional status predicts post-operative outcomes in non-cardiac surgery patients with pulmonary hypertension
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Data from: Smart bracelet to assess physical activity after cardiac surgery: a prospective study
<p><strong>Objectives</strong>: Little is known about the physical activity of patients after cardiac surgery. This study was designed to assess this activity using a connected bracelet. </p> <p><strong>Methods</strong>: In this prospective, monocentric study, patients scheduled for cardiac surgery were offered to wear an electronic bracelet. The main objective was to measure the physical activity recovery. Secondary objectives were the predictors of the correct use of the monitoring system, of the physical recovery and, if any, the relationship between physical activity and out-of-hospital morbidity. </p> <p><strong>Results</strong>: One hundred patients were included. Most patients (86%) were interested in participating in the study. The compliance to the device and to the study protocol was good (94%). At discharge, the mean number of daily steps was 1454 ± 145 steps, increasing quite homogeneously, reaching 5801±1151 steps at Day 60. The best fit regression curve gave a maximum number of steps at 5897±119 (r²=0.97). The 85% level of activity was achieved at Day 30±3. No predictor of noncompliance was found. At discharge, age was independently associated with a lower number of daily steps (p <0.001). At Day 60, age, peripheral arterial disease and cardio-pulmonary bypass duration were independently associated with a lower number of daily steps (p=0.039, p=0.041 and p=0.033, respectively). </p> <p><strong>Conclusions</strong>: After cardiac surgery, wearing a smart bracelet recording daily steps is simple, well tolerated and suitable for measuring physical activity. Standard patients achieved around 6000 daily steps 2 months after discharge. 85% of this activity is reached in the first month. </p>
Raw data for the article: Risk factors for surgical site infection following cardiac surgery in a region endemic for multidrug resistant organisms
<p><strong>Objectives: </strong>To identify risk factors for surgical site infections following cardiosurgery in an area endemic for multidrug resistant organisms.</p> <p><strong>Design: </strong>Single-center, historical cohort study including patients who underwent cardiosurgery during a 6-year period (2014-2020).</p> <p><strong>Setting: </strong>Joint Commission International accredited, multiorgan transplant center in Palermo, Italy.</p> <p><strong>Main outcome measures: </strong>Surgical site infection was the main outcome.</p> <p><strong>Results: </strong>On a total of 3609 cardiosurgery patients, 184 developed surgical site infection (5.1 %). Intestinal colonization with multidrug resistant organisms was more frequent in patients with surgical site infections (69.6 % vs. 33.3 %; p < 0.001). About half of surgical site infections were caused by Gram-negative bacteria (n = 97; 52.7 %). Fifty surgical site infections were caused by multidrug resistant organisms (27.1 %), with extended-spectrum Beta-lactamase-producing Enterobacterales (n = 16; 8.7 %) and carbapenem-resistant Enterobacterales (n = 26; 14.1 %) being the predominant resistance problem. However, in only 24 of surgical site infections caused by multidrug resistant organisms (48 %), mostly carbapenem-resistant Enterobacterales (n = 22), a pathogen match between the rectal surveillance culture and surgical site infections clinical culture was demonstrated. Nevertheless, multivariate logistic regression analysis identified a rectal swab culture positive for multidrug resistant organisms as an independent risk factor for SSI (odds ratio 3.95, 95 % confidence interval 2.79-5.60). Other independent risk factors were female sex, chronic dialysis, diabetes mellitus, previous cardiosurgery, previous myocardial infarction, being overweight/obese, and longer intubation time.</p> <p><strong>Conclusion: </strong>In an area endemic for carbapenem-resistant Enterobacterales, intestinal colonization with multidrug resistant organisms was recognized as independent risk factor for surgical site infections.</p> <p><strong>Implications for clinical practice: </strong>No causal relationship between colonization with resistant pathogens and subsequent infection could be demonstrated. However, from a broader epidemiological perspective, having a positive multidrug resistant organisms colonization status appeared a risk factor for surgical site infections. Therefore, strict infection control measures to prevent cross-transmission remain pivotal (e.g., nasal decolonization, hand hygiene, and skin antisepsis).</p>
Trial Comparing Intrathecal Morphine With Placebo In Patients Undergoing Robotic Cardiac Surgery
ClinicalTrials.gov study NCT03241485. IPD Sharing: NO. Countries: 1. Publications: 0.
Biomarkers for Postoperative Myocardial Infarction in Cardiac Surgery.
ClinicalTrials.gov study NCT02569177. IPD Sharing: Not stated. Countries: 0. Publications: 3.
A Trial of Cardiac Injections of iMP Cells During CABG Surgery
ClinicalTrials.gov study NCT03515291. IPD Sharing: NO. Countries: 0. Publications: 1.
Prognostic Value of Peak Lactate During Cardiopulmonary Bypass in Adult Cardiac Surgeries
ClinicalTrials.gov study NCT03934892. IPD Sharing: UNDECIDED. Countries: 0. Publications: 2.
Prospective Trial of Tranexamic Acid in Cardiac Surgery
ClinicalTrials.gov study NCT01998438. IPD Sharing: Not stated. Countries: 1. Publications: 0.
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