Surgical aortic valve replacement and patient-prosthesis mismatch: a meta-analysis of 108 182 patients
This study sought to evaluate the impact of patient-prosthesis mismatch (PPM) on the risk of perioperative, early-, mid- and long-term mortality rates after surgical aortic valve replacement. Databases were searched for studies published until March 2018. The main outcomes of interest were periopera...
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| Veröffentlicht in: | European journal of cardio-thoracic surgery 2019-07, Vol.56 (1), p.44-54 |
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| container_title | European journal of cardio-thoracic surgery |
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| creator | Sá, Michel Pompeu Barros de Oliveira de Carvalho, Martinha Millianny Barros Sobral Filho, Dário Celestino Cavalcanti, Luiz Rafael Pereira Rayol, Sérgio da Costa Diniz, Roberto Gouvea Silva Menezes, Alexandre Motta Clavel, Marie-Annick Pibarot, Philippe Lima, Ricardo Carvalho |
| description | This study sought to evaluate the impact of patient-prosthesis mismatch (PPM) on the risk of perioperative, early-, mid- and long-term mortality rates after surgical aortic valve replacement.
Databases were searched for studies published until March 2018. The main outcomes of interest were perioperative mortality, 1-year mortality, 5-year mortality and 10-year mortality.
The search yielded 3761 studies for inclusion. Of these, 70 articles were analysed, and their data were extracted. The total number of patients included was 108 182 who underwent surgical aortic valve replacement. The incidence of PPM after surgical aortic valve replacement was 53.7% (58 116 with PPM and 50 066 without PPM). Perioperative mortality [odds ratio (OR) 1.491, 95% confidence interval (CI) 1.302-1.707; P |
| doi_str_mv | 10.1093/ejcts/ezy466 |
| format | Article |
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Databases were searched for studies published until March 2018. The main outcomes of interest were perioperative mortality, 1-year mortality, 5-year mortality and 10-year mortality.
The search yielded 3761 studies for inclusion. Of these, 70 articles were analysed, and their data were extracted. The total number of patients included was 108 182 who underwent surgical aortic valve replacement. The incidence of PPM after surgical aortic valve replacement was 53.7% (58 116 with PPM and 50 066 without PPM). Perioperative mortality [odds ratio (OR) 1.491, 95% confidence interval (CI) 1.302-1.707; P < 0.001], 1-year mortality (OR 1.465, 95% CI 1.277-1.681; P < 0.001), 5-year mortality (OR 1.358, 95% CI 1.218-1.515; P < 0.001) and 10-year mortality (OR 1.534, 95% CI 1.290-1.825; P < 0.001) were increased in patients with PPM. Both severe PPM and moderate PPM were associated with increased risk of perioperative mortality, 1-year mortality, 5-year mortality and 10-year mortality when analysed together and separately, although we observed a higher risk in the group with severe PPM.
Moderate/severe PPM increases perioperative, early-, mid- and long-term mortality rates proportionally to its severity. The findings of this study support the implementation of surgical strategies to prevent PPM in order to decrease mortality rates.</description><identifier>ISSN: 1010-7940</identifier><identifier>EISSN: 1873-734X</identifier><identifier>DOI: 10.1093/ejcts/ezy466</identifier><identifier>PMID: 30657945</identifier><language>eng</language><publisher>Germany</publisher><ispartof>European journal of cardio-thoracic surgery, 2019-07, Vol.56 (1), p.44-54</ispartof><rights>The Author(s) 2019. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c329t-2ae8e7d23368112c395dc220ab99ec6608f7c686c16bb1f5c66cc17440ed731b3</citedby><cites>FETCH-LOGICAL-c329t-2ae8e7d23368112c395dc220ab99ec6608f7c686c16bb1f5c66cc17440ed731b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30657945$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sá, Michel Pompeu Barros de Oliveira</creatorcontrib><creatorcontrib>de Carvalho, Martinha Millianny Barros</creatorcontrib><creatorcontrib>Sobral Filho, Dário Celestino</creatorcontrib><creatorcontrib>Cavalcanti, Luiz Rafael Pereira</creatorcontrib><creatorcontrib>Rayol, Sérgio da Costa</creatorcontrib><creatorcontrib>Diniz, Roberto Gouvea Silva</creatorcontrib><creatorcontrib>Menezes, Alexandre Motta</creatorcontrib><creatorcontrib>Clavel, Marie-Annick</creatorcontrib><creatorcontrib>Pibarot, Philippe</creatorcontrib><creatorcontrib>Lima, Ricardo Carvalho</creatorcontrib><title>Surgical aortic valve replacement and patient-prosthesis mismatch: a meta-analysis of 108 182 patients</title><title>European journal of cardio-thoracic surgery</title><addtitle>Eur J Cardiothorac Surg</addtitle><description>This study sought to evaluate the impact of patient-prosthesis mismatch (PPM) on the risk of perioperative, early-, mid- and long-term mortality rates after surgical aortic valve replacement.
Databases were searched for studies published until March 2018. The main outcomes of interest were perioperative mortality, 1-year mortality, 5-year mortality and 10-year mortality.
The search yielded 3761 studies for inclusion. Of these, 70 articles were analysed, and their data were extracted. The total number of patients included was 108 182 who underwent surgical aortic valve replacement. The incidence of PPM after surgical aortic valve replacement was 53.7% (58 116 with PPM and 50 066 without PPM). Perioperative mortality [odds ratio (OR) 1.491, 95% confidence interval (CI) 1.302-1.707; P < 0.001], 1-year mortality (OR 1.465, 95% CI 1.277-1.681; P < 0.001), 5-year mortality (OR 1.358, 95% CI 1.218-1.515; P < 0.001) and 10-year mortality (OR 1.534, 95% CI 1.290-1.825; P < 0.001) were increased in patients with PPM. Both severe PPM and moderate PPM were associated with increased risk of perioperative mortality, 1-year mortality, 5-year mortality and 10-year mortality when analysed together and separately, although we observed a higher risk in the group with severe PPM.
Moderate/severe PPM increases perioperative, early-, mid- and long-term mortality rates proportionally to its severity. The findings of this study support the implementation of surgical strategies to prevent PPM in order to decrease mortality rates.</description><issn>1010-7940</issn><issn>1873-734X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNo9kLtOw0AQRVcIREKgo0ZbUmCyD3vXpkMRLykSBSDRWeP1mDjyC-86Uqho-U2-hA0JVDO6c-dq5hByytklZ4mc4tI4O8WPdajUHhnzWMtAy_B13_eMs0AnIRuRI2uXjDElhT4kI8lU5PVoTBZPQ_9WGqgotL0rDV1BtULaY1eBwRobR6HJaQeu9H3Q9a11C7SlpXVpa3BmcUWB1ugggAaq9WbSFpSz-Pvzi8fib9Mek4MCKosnuzohL7c3z7P7YP549zC7ngdGisQFAjBGnQspVcy5MDKJciMEgyxJ0CjF4kIbFSvDVZbxIvKSMVyHIcNcS57JCTnf5vpT3we0LvWHGqwqaLAdbCq4TqQOhUc3IRdbq_Ff2R6LtOvLGvp1ylm6YZv-sk23bL39bJc8ZDXm_-Y_mPIHEfR4MQ</recordid><startdate>20190701</startdate><enddate>20190701</enddate><creator>Sá, Michel Pompeu Barros de Oliveira</creator><creator>de Carvalho, Martinha Millianny Barros</creator><creator>Sobral Filho, Dário Celestino</creator><creator>Cavalcanti, Luiz Rafael Pereira</creator><creator>Rayol, Sérgio da Costa</creator><creator>Diniz, Roberto Gouvea Silva</creator><creator>Menezes, Alexandre Motta</creator><creator>Clavel, Marie-Annick</creator><creator>Pibarot, Philippe</creator><creator>Lima, Ricardo Carvalho</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20190701</creationdate><title>Surgical aortic valve replacement and patient-prosthesis mismatch: a meta-analysis of 108 182 patients</title><author>Sá, Michel Pompeu Barros de Oliveira ; de Carvalho, Martinha Millianny Barros ; Sobral Filho, Dário Celestino ; Cavalcanti, Luiz Rafael Pereira ; Rayol, Sérgio da Costa ; Diniz, Roberto Gouvea Silva ; Menezes, Alexandre Motta ; Clavel, Marie-Annick ; Pibarot, Philippe ; Lima, Ricardo Carvalho</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c329t-2ae8e7d23368112c395dc220ab99ec6608f7c686c16bb1f5c66cc17440ed731b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sá, Michel Pompeu Barros de Oliveira</creatorcontrib><creatorcontrib>de Carvalho, Martinha Millianny Barros</creatorcontrib><creatorcontrib>Sobral Filho, Dário Celestino</creatorcontrib><creatorcontrib>Cavalcanti, Luiz Rafael Pereira</creatorcontrib><creatorcontrib>Rayol, Sérgio da Costa</creatorcontrib><creatorcontrib>Diniz, Roberto Gouvea Silva</creatorcontrib><creatorcontrib>Menezes, Alexandre Motta</creatorcontrib><creatorcontrib>Clavel, Marie-Annick</creatorcontrib><creatorcontrib>Pibarot, Philippe</creatorcontrib><creatorcontrib>Lima, Ricardo Carvalho</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cardio-thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sá, Michel Pompeu Barros de Oliveira</au><au>de Carvalho, Martinha Millianny Barros</au><au>Sobral Filho, Dário Celestino</au><au>Cavalcanti, Luiz Rafael Pereira</au><au>Rayol, Sérgio da Costa</au><au>Diniz, Roberto Gouvea Silva</au><au>Menezes, Alexandre Motta</au><au>Clavel, Marie-Annick</au><au>Pibarot, Philippe</au><au>Lima, Ricardo Carvalho</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical aortic valve replacement and patient-prosthesis mismatch: a meta-analysis of 108 182 patients</atitle><jtitle>European journal of cardio-thoracic surgery</jtitle><addtitle>Eur J Cardiothorac Surg</addtitle><date>2019-07-01</date><risdate>2019</risdate><volume>56</volume><issue>1</issue><spage>44</spage><epage>54</epage><pages>44-54</pages><issn>1010-7940</issn><eissn>1873-734X</eissn><abstract>This study sought to evaluate the impact of patient-prosthesis mismatch (PPM) on the risk of perioperative, early-, mid- and long-term mortality rates after surgical aortic valve replacement.
Databases were searched for studies published until March 2018. The main outcomes of interest were perioperative mortality, 1-year mortality, 5-year mortality and 10-year mortality.
The search yielded 3761 studies for inclusion. Of these, 70 articles were analysed, and their data were extracted. The total number of patients included was 108 182 who underwent surgical aortic valve replacement. The incidence of PPM after surgical aortic valve replacement was 53.7% (58 116 with PPM and 50 066 without PPM). Perioperative mortality [odds ratio (OR) 1.491, 95% confidence interval (CI) 1.302-1.707; P < 0.001], 1-year mortality (OR 1.465, 95% CI 1.277-1.681; P < 0.001), 5-year mortality (OR 1.358, 95% CI 1.218-1.515; P < 0.001) and 10-year mortality (OR 1.534, 95% CI 1.290-1.825; P < 0.001) were increased in patients with PPM. Both severe PPM and moderate PPM were associated with increased risk of perioperative mortality, 1-year mortality, 5-year mortality and 10-year mortality when analysed together and separately, although we observed a higher risk in the group with severe PPM.
Moderate/severe PPM increases perioperative, early-, mid- and long-term mortality rates proportionally to its severity. The findings of this study support the implementation of surgical strategies to prevent PPM in order to decrease mortality rates.</abstract><cop>Germany</cop><pmid>30657945</pmid><doi>10.1093/ejcts/ezy466</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current); Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| title | Surgical aortic valve replacement and patient-prosthesis mismatch: a meta-analysis of 108 182 patients |
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