Surgery for valvular heart disease: a population-based study in a Brazilian urban center.
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2012 |
| Outros Autores: | , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/7491 |
Resumo: | Federal University of Bahia. Institute of Collective Health. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil |
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Ribeiro, Guilherme de SousaTartof, Sara YeeOliveira, Dalton W. S.Guedes, Aldalice C. S.Reis, Mitermayer Galvão dosRiley, Lee WoodlandKo, Albert Icksang2014-04-03T17:45:49Z2014-04-03T17:45:49Z2012RIBEIRO, G. S. et al. Surgery for valvular heart disease: a population-based study in a Brazilian urban center.Plos One, v. 7, p. e37855, 2012.1932-6203https://www.arca.fiocruz.br/handle/icict/749110.1371/journal.pone.0037855engPublic Library of ScienceSurgery for valvular heart disease: a population-based study in a Brazilian urban center.info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFederal University of Bahia. Institute of Collective Health. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, BrasilUniversity of California. School of Public Health. Berkeley, California, USAFundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, BrasilUniversity of California. School of Public Health. Berkeley, California, USAFundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil / Yale School of Public Health. Epidemiology of Microbial Diseases Division. New Haven, Connecticut, USABACKGROUND: In middle income countries, the burden of rheumatic heart disease (RHD) remains high, but the prevalence of other heart valve diseases may rise as the population life expectancy increases. Here, we compared population-based data on surgical procedures to assess the relative importance of causes of heart valve disease in Salvador, Brazil. METHODOLOGY/PRINCIPAL FINDINGS: Medical charts of patients who underwent surgery for valvular heart disease from January 2002-December 2005 were reviewed. Incidence of surgery for valvular heart disease was calculated. Logistic regression was used to identify factors associated with in-hospital death following surgery. The most common etiologies for valvular dysfunction in 491 valvular heart surgery patients were RHD (60.3%), degenerative valve disease (15.3%), and endocarditis (4.5%). Mean annual incidence for surgeries due to any valvular heart diseases, RHD, and degenerative valvular disease were 5.02, 3.03, and 0.77 per 100,000 population, respectively. Incidence of surgery due to RHD was highest in young adults; procedures were predominantly paid by the public health sector. In contrast, the incidence of surgery due to degenerative valvular disease was highest among those older than 60 years of age; procedures were mostly paid by the private sector. The overall in-hospital case-fatality ratio was 11.9%. Independent factors associated with death included increase in age (odds ratio: 1.04 per year of age; 95% confidence interval: 1.02-1.06), endocarditis (6.35; 1.92-21.04), multiple valve operative procedures (4.35; 2.12-8.95), and prior heart valve surgery (2.49; 1.05-5.87). CONCLUSIONS/SIGNIFICANCE: RHD remains the main cause for valvular heart surgery in Salvador, which primarily affects young adults without private health insurance. In contrast, surgery due to degenerative valvular disease primarily impacts the elderly with private health insurance. Strategies to reduce the burden of valvular heart disease will need to address the disparate factors that contribute to RHD as well as degenerative valve disease.Cidades/estatística & dados numéricosDoenças das Valvas Cardíacas/epidemiologiaDoenças das Valvas Cardíacas/cirurgiaBrasil/epidemiologiaAdultoIdosoBrasil/epidemiologiaFemininoDoenças das Valvas Cardíacas/etiologiaDoenças das Valvas Cardíacas/mortalidadeHospitais/estatística & dados numéricosHumanosMeia-IdadeMasculinoFatores de Riscoinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALRibeiro GS Durgery for valvular....pdfRibeiro GS Durgery for valvular....pdfapplication/pdf187849https://www.arca.fiocruz.br/bitstream/icict/7491/1/Ribeiro%20GS%20Durgery%20for%20valvular....pdfcebd6138df1410d6bac02ef57ceb0031MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81914https://www.arca.fiocruz.br/bitstream/icict/7491/2/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD52TEXTRibeiro GS Durgery for valvular....pdf.txtRibeiro GS Durgery for valvular....pdf.txtExtracted texttext/plain36197https://www.arca.fiocruz.br/bitstream/icict/7491/5/Ribeiro%20GS%20Durgery%20for%20valvular....pdf.txt10d031fb54e83e8b1907ead70ba4cc27MD55THUMBNAILRibeiro GS Durgery for valvular....pdf.jpgRibeiro GS Durgery for valvular....pdf.jpgGenerated Thumbnailimage/jpeg2525https://www.arca.fiocruz.br/bitstream/icict/7491/4/Ribeiro%20GS%20Durgery%20for%20valvular....pdf.jpg05c9c05ef1155b58ca77c780e79322d2MD54icict/74912023-03-15 14:33:01.868oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-03-15T17:33:01Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
| dc.title.pt_BR.fl_str_mv |
Surgery for valvular heart disease: a population-based study in a Brazilian urban center. |
| title |
Surgery for valvular heart disease: a population-based study in a Brazilian urban center. |
| spellingShingle |
Surgery for valvular heart disease: a population-based study in a Brazilian urban center. Ribeiro, Guilherme de Sousa Cidades/estatística & dados numéricos Doenças das Valvas Cardíacas/epidemiologia Doenças das Valvas Cardíacas/cirurgia Brasil/epidemiologia Adulto Idoso Brasil/epidemiologia Feminino Doenças das Valvas Cardíacas/etiologia Doenças das Valvas Cardíacas/mortalidade Hospitais/estatística & dados numéricos Humanos Meia-Idade Masculino Fatores de Risco |
| title_short |
Surgery for valvular heart disease: a population-based study in a Brazilian urban center. |
| title_full |
Surgery for valvular heart disease: a population-based study in a Brazilian urban center. |
| title_fullStr |
Surgery for valvular heart disease: a population-based study in a Brazilian urban center. |
| title_full_unstemmed |
Surgery for valvular heart disease: a population-based study in a Brazilian urban center. |
| title_sort |
Surgery for valvular heart disease: a population-based study in a Brazilian urban center. |
| author |
Ribeiro, Guilherme de Sousa |
| author_facet |
Ribeiro, Guilherme de Sousa Tartof, Sara Yee Oliveira, Dalton W. S. Guedes, Aldalice C. S. Reis, Mitermayer Galvão dos Riley, Lee Woodland Ko, Albert Icksang |
| author_role |
author |
| author2 |
Tartof, Sara Yee Oliveira, Dalton W. S. Guedes, Aldalice C. S. Reis, Mitermayer Galvão dos Riley, Lee Woodland Ko, Albert Icksang |
| author2_role |
author author author author author author |
| dc.contributor.author.fl_str_mv |
Ribeiro, Guilherme de Sousa Tartof, Sara Yee Oliveira, Dalton W. S. Guedes, Aldalice C. S. Reis, Mitermayer Galvão dos Riley, Lee Woodland Ko, Albert Icksang |
| dc.subject.decs.pt_BR.fl_str_mv |
Cidades/estatística & dados numéricos Doenças das Valvas Cardíacas/epidemiologia Doenças das Valvas Cardíacas/cirurgia Brasil/epidemiologia Adulto Idoso Brasil/epidemiologia Feminino Doenças das Valvas Cardíacas/etiologia Doenças das Valvas Cardíacas/mortalidade Hospitais/estatística & dados numéricos Humanos Meia-Idade Masculino Fatores de Risco |
| topic |
Cidades/estatística & dados numéricos Doenças das Valvas Cardíacas/epidemiologia Doenças das Valvas Cardíacas/cirurgia Brasil/epidemiologia Adulto Idoso Brasil/epidemiologia Feminino Doenças das Valvas Cardíacas/etiologia Doenças das Valvas Cardíacas/mortalidade Hospitais/estatística & dados numéricos Humanos Meia-Idade Masculino Fatores de Risco |
| description |
Federal University of Bahia. Institute of Collective Health. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil |
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2012 |
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2012 |
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2014-04-03T17:45:49Z |
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2014-04-03T17:45:49Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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RIBEIRO, G. S. et al. Surgery for valvular heart disease: a population-based study in a Brazilian urban center.Plos One, v. 7, p. e37855, 2012. |
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https://www.arca.fiocruz.br/handle/icict/7491 |
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1932-6203 |
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10.1371/journal.pone.0037855 |
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RIBEIRO, G. S. et al. Surgery for valvular heart disease: a population-based study in a Brazilian urban center.Plos One, v. 7, p. e37855, 2012. 1932-6203 10.1371/journal.pone.0037855 |
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Public Library of Science |
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Public Library of Science |
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