ArticleScientific reports2019
Risk factors of postoperative major adverse cardiac events after radical cystectomy: implication of diastolic dysfunction.
Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 19 citations in OpenAlex.
- Stress Hyperglycemia Drives CD4Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026Article
- Monocytes perturbation implicated in the association of stress hyperglycemia with postoperative poor prognosis in non-diabetic patients with Stanford type-A acute aortic dissection.Cardiovascular diabetology · 2024Article
- Clinical variables associated with major adverse cardiac events following radical cystectomy.BJUI compass · 2024Article
- Prevalence of left ventricular diastolic dysfunction in asymptomatic patients undergoing routine endoscopic urological surgery under regional anaesthesia-A prospective, observational study.Indian journal of anaesthesia · 2023Article
- Disparities in cause-specific mortality by race and sex among bladder cancer patients from the SEER database.Cancer causes & control : CCC · 2023Article
- Managing Diastolic Dysfunction Perioperatively.Seminars in cardiothoracic and vascular anesthesia · 2023Review
- Editorial: New evaluation and management for postoperative cardiopulmonary and renal morbidity and mortality.Frontiers in medicine · 2023Article
- Influence of fluid balance on postoperative outcomes after hepatic resection in patients with left ventricular diastolic dysfunction.Frontiers in surgery · 2022Article
- Can we lower the rates of cystectomy complications by modifying risk factors? A review of the literature.Central European journal of urology · 2022Review
- Impact of Prognostic Nutritional Index on Postoperative Pulmonary Complications in Radical Cystectomy: A Propensity Score-Matched Analysis.Annals of surgical oncology · 2021Article
- Association of Apoptosis-Mediated CD4Frontiers in cardiovascular medicine · 2021Article
- Comparison of a Significant Decline in the Glomerular Filtration Rate between Ileal Conduit and Ileal Neobladder Urinary Diversions after Radical Cystectomy: A Propensity Score-Matched Analysis.Journal of clinical medicine · 2020Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Radical cystectomy, which is a standard treatment of muscle invasive and high-grade non-invasive bladder tumour, is accompanied with high rates of postoperative complications including major adverse cardiac events (MACE). Diastolic dysfunction is associated with postoperative complications. We evaluated perioperative risk factors including diastolic dysfunction related with MACE within 6 months after radical cystectomy. The 546 patients who underwent elective radical cystectomy were included. Diastolic dysfunction was defined as early transmitral flow velocity (E)/early diastolic mitral annulus velocity (e') > 15. Logistic regression analysis, Kaplan-Meier survival analysis and log-rank test were performed. MACE within 6 months after radical cystectomy developed in 43 (7.9%) patients. MACE was related with female (odds ratio 2.546, 95% confidence interval 1.166-5.557, P = 0.019) and diastolic dysfunction (odds ratio 3.077, 95% confidence interval 1.147-8.252, P = 0.026). The 6-month mortality were significantly higher in the MACE group, and hospital stay and intensive care unit stay were significantly longer in the MACE group compared to the non-MACE group. Accordingly, preoperative diastolic dysfunction (E/e' > 15) was related with postoperative MACE and MACE was related with 6-month survival after radical cystectomy. These results suggest that preoperative diastolic dysfunction can provide useful information on postoperative complications.
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