The Brazilian Registry of Adult Patient Undergoing Cardiovascular Surgery, the BYPASS Project: Results of the First 1,722 Patients

• Autor(a) principal: Gomes, Walter José [UNIFESP]
• Data de Publicação: 2017
• Outros Autores: Moreira, Rita Simone Lopes [UNIFESP], Zilli, Alexandre Cabral, Bettiati, Luiz Carlos, Jr., Figueira, Fernando Augusto Marinho dos Santos, D'Azevedo, Stephanie Steremberg Pires, Soares, Marcelo José Ferreira, Fernandes, Marcio Pimentel, Ardito, Roberto Vito, Bogdan, Renata Andrea Barberio, Campagnucci, Valquiria Pelisser, Nakasako, Diana, Kalil, Renato Abdala Karam, Rodrigues, Clarissa Garcia, Rodrigues Junior, Anilton Bezerra, Cascudo, Marcelo Matos, Atik, Fernando Antibas, Lima, Elson Borges, Nina, Vinicius Jose da Silva, Heluy, Renato Albuquerque, Azeredo, Lisandro Goncalves, Henrique Junior, Odilon Silva, Mendonca, Jose Teles de, Silva, Katharina Kelly de Oliveira Gama, Pandolfo, Marcelo, Lima Junior, Jose Dantas de, Faria, Renato Max, Santos, Jonas Pereira dos, Paez, Rodrigo Pereira, Coelho, Guilherme Henrique Biachi, Pereira, Sergio Nunes, Senger, Roberta, Buffolo, Enio, Caputi, Guido Marco, Espirito Santo, Jose Amalth do, Oliveira, Juliana Aparecida Borges de, Berwanger, Otavio, Cavalcanti, Alexandre Biasi, Jatene, Fabio Biscegli
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: https://dx.doi.org/10.21470/1678-9741-2017-0053; https://repositorio.unifesp.br/handle/11600/55484
• topic: Registries; Database; Cardiovascular Surgical Procedures; Cardiac Surgical Procedures

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.