ArticleJournal of thoracic disease2021
Operative mortality in adult cardiac surgery: is the currently utilized definition justified?
Article in Journal of thoracic disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07390903 (Global Longitudinal Strain as a Predictor of Difficult Separating From Cardiopulmonary Bypass), which is not on this map. Cited by 22 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Global Longitudinal Strain as a Predictor of Difficult Separating From Cardiopulmonary Bypass
Who cites it
22 citing papers in PubMed, 33 citations in OpenAlex.
- Intraoperative Dynamics of Lactate, pH, and Bicarbonate During Cardiac Surgery: A Prospective Study Exploring a Composite Metabolic Marker of Reperfusion Stress.Diagnostics (Basel, Switzerland) · 2026Article
- The role of SDF_1α/CXCR4 axis in non-antibody mediated TRALI in cardiac surgery patients.Intensive care medicine experimental · 2026Article
- Regional programme of the African Network of Medical Excellence (ANME): a sub-Saharan collaborative model for sustainable specialised surgical programmes.BMJ global health · 2026Article
- Cardiopulmonary bypass complications and their predictors in open-heart surgery at a tertiary cardiac care facility in Tanzania.Global cardiology science & practice · 2026Article
- Electrolyte imbalance and post-open-heart surgery complications: Is there a link?Journal of intensive medicine · 2026Article
- Coming clean: should adults undergoing cardiac surgery be transfused point-of-care washed allogeneic red blood cells?Journal of thoracic disease · 2026Article
- Malperfusion on Presentation Versus Complexity of Operation as Determinants of Early Mortality in Acute Type A Aortic Dissection.Aorta (Stamford, Conn.) · 2026Article
- Risk Stratification for Postoperative Mortality in Cardiac Surgery: "Quo Vadis"?Medicina (Kaunas, Lithuania) · 2026Review
- Associations between myasthenia Gravis and outcomes following cardiac surgery: an analysis of the nationwide inpatient sample.BMC anesthesiology · 2026Article
- Dysglycaemia and the interaction of chronic and acute glycaemia with mortality post cardiac surgery.Scientific reports · 2025Article
- Interhospital variability in 180-day infections following cardiac surgery.The Journal of thoracic and cardiovascular surgery · 2025Article
- Prognostic value of high-sensitivity cardiac troponin I after isolated non-CABG cardiac surgery.Clinical research in cardiology : official journal of the German Cardiac Society · 2025Article
- Review
- Unfavorable impact of female gender on outcomes following aortic valve replacement combined with coronary artery bypass grafting.Scientific reports · 2025Article
- Assessing the validity of Society of Thoracic Surgeons (STS) score in predicting stroke risk among patients undergoing cardiothoracic surgery at a tertiary hospital in Pakistan: a retrospective cohort study.Journal of cardiothoracic surgery · 2025Article
- Device-Assisted Left Atrial Appendage Exclusion: From Basic Sciences to Clinical Applications.Journal of cardiovascular development and disease · 2024Review
- Nutritional Status and Post-Cardiac Surgery Outcomes: An Updated Review with Emphasis on Cognitive Function.Journal of clinical medicine · 2024Review
- Postoperative anemia in cardiac surgery patients: a narrative review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024Review
- Temperature management in acute type A aortic dissection treatment: deep vs. moderate hypothermic circulatory arrest. Is colder better?Frontiers in cardiovascular medicine · 2024Article
- Effects of preoperative nutritional status on disability-free survival after cardiac and thoracic aortic surgery: a prospective observational study.Journal of anesthesia · 2023Observational
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study evaluated operative mortalities following adult cardiac surgical operations to determine if this metric remains appropriate for the modern era.
methodsThis was a retrospective review of Society of Thoracic Surgeons (STS) indexed adult cardiac operations that included coronary artery bypass grafting (CABG), aortic valve replacement (AVR), CABG + AVR, mitral valve repair (MVr), CABG + MVr, mitral valve replacement (MVR) and CABG + MVR, performed at a single institution between 2011 and 2017. The primary outcome was the timing and relatedness of operation mortality, as defined by the STS as mortality within 30-day or during the index hospitalization, compared to the index operation. The secondary outcomes evaluated cause of death and the rates of postoperative complications.
resultsA total of 11,190 index cardiac operations were performed during the study period and operative mortality occurred in 246 (2.2%) of patients. The distribution of operative mortalities included 83.7% (n=206) who expired within 30-day while an inpatient, 6.9% (n=17) died within 30-day as an outpatient, 11.2% (n=23) expired after 30-day. The most common causes of operative mortality were cardiac (38.7%, n=92), renal failure (15.6%, n=37), and strokes (13.9%, n=33). Furthermore, 98.4% (n=242) of deaths were attributable to the index operation. Postoperative complications occurred frequently in those with operative mortality, with blood transfusions (80.1%), reoperations (65.0%) and prolonged ventilation (62.2%) being most common.
conclusionsMost of the operative mortalities seemed to be attributable to the index cardiac operation. We believe that the current definition of mortality remains appropriate in the modern era.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.