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Impact of socio-economic profile on the prosthesis type choice used on heart surgery.
Rev Bras Cir Cardiovasc ; 27(2): 211-6, 2012.
Artigo em Inglês, Português | MEDLINE | ID: mdl-22996971
ABSTRACT

BACKGROUND:

Valvar heart disease is an important public health problem, more common in developing countries, especially in younger.

OBJECTIVE:

To evaluate the epidemiological features of patients and its influence on the prosthesis type choice used on patients who underwent valve surgery.

METHODS:

Cross-sectional. Data such as age, sex, provenance, surgery procedure and prosthesis type were retrospectively analyzed. We reviewed 366 charts of all patients submitted to heart valve surgery during three years in a public health cardiovascular treatment center.

RESULTS:

52% of patients were female. The age range was from 5 to 82, the median was 41 years old. In regards 37.7% of patients came from Salvador (Bahia, Brazil) and 62.3% from countryside. Valve replacement was performed in 73% of patients, whereas 7.38% underwent valvuloplasty and 18.3% underwent valve repair and replacement. Regarding type of prosthesis, 70.0% received bioprosthesis and 30.0% received metal prosthesis. On note bioprosthesis were more used in younger (P<0,001).

CONCLUSION:

Biological prostheses were used predominantly in younger. This might be possible due to a low social-economic status, avoiding metal valve implantation and the consequent anticoagulation therapy.
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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Bioprótese / Próteses Valvulares Cardíacas / Implante de Prótese de Valva Cardíaca / Doenças das Valvas Cardíacas Tipo de estudo: Avaliação econômica em saúde Aspecto clínico: Etiologia Limite: Adolescente / Adulto / Idoso / Criança / Criança, pré-escolar / Feminino / Humanos / Masculino / Meia-Idade / Jovem adulto País/Região como assunto: América do Sul / Brasil Idioma: Inglês / Português Revista: Rev Bras Cir Cardiovasc Assunto da revista: Angiologia / Cardiologia Ano de publicação: 2012 Tipo de documento: Artigo País de afiliação: Brasil