5 documents found, page 1 of 1
Anemia in Cardiac Surgery - Can Something Bad Get Worse?
Faria,Leandro Batisti de; Mejia,Omar Vilca; Miana,Leonardo Augusto; Lisboa,Luiz Augusto Ferreira; Manuel,Valdano; Jatene,Marcelo B.; Jatene,Fabio B.Abstract Introduction: Anemia and blood transfusion are risk factors for morbidity/mortality in patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). The objective of this study is to analyze the association of blood transfusion with morbidity/mortality in patients undergoing coronary artery bypass grafting (CABG) under CPB in the state of São Paulo, Brazil. Methods: This is a retrospective ana...
Impact of COVID-19 Pandemic in a Pediatric and Congenital Cardiovascular Surger...
Miana,Leonardo A.; Manuel,Valdano; Caneo,Luiz Fernando; Strabelli,Tânia Mara Varejão; Arita,Elisandra Trevisan; Monteiro,RosângelaAbstract Introduction: The coronavirus disease 2019 (COVID-19) has negatively impacted healthcare services worldwide. We hypothesized that the pandemic would affect our case mix and mortality. Our objective was to study this impact. Methods: We retrospectively studied all patients who underwent congenital heart surgeries from March 21st to August 21st in 2019 and 2020 using the institutional electronic database...
Translation and Validation of the Boston Technical Performance Score in a Devel...
Miana,Leonardo A.; Nathan,Meena; Tenório,Davi Freitas; Manuel,Valdano; Guerreiro,Gustavo; Fernandes,Natália; Campos,Carolina Vieira de; Gaiolla,Paula V.Abstract Introduction: The Technical Performance Score (TPS) was developed and subsequently refined at the Boston Children's Hospital. Our objective was to translate and validate its application in a developing country. Methods: The score was translated into the Portuguese language and approved by the TPS authors. Subsequently, we studied 1,030 surgeries from June 2018 to October 2020. TPS could not be assigned...
Preoperative Neutrophil-Lymphocyte Ratio Can Predict Outcomes for Patients Unde...
Manuel,Valdano; Miana,Leonardo A.; Guerreiro,Gustavo Pampolha; Turquetto,Aida; Santos,Rômullo Medeiros; Fernandes,Natália; Tenório,Davi FreitasAbstract Introduction: Elevated neutrophil-lymphocyte ratio (NLR) has been associated with poorer outcomes in cyanotic patients undergoing single ventricle palliation. Little is known about this biomarker on patients with tetralogy of Fallot (TOF), the most common cyanotic congenital heart disease. Our objective is to study the impact of preoperative NLR on outcomes of TOF patients undergoing total repair. Meth...
Acute acalculous cholecystitis in systemic lupus erythematosus: a rare initial ...
Manuel,Valdano; Pedro,Gertrudes Maria; Cordeiro,Lemuel Bornelli; Miranda,Sandra Maria da Rocha Neto deABSTRACT Acute acalculous cholecystitis is a very rare gastrointestinal manifestation in systemic lupus erythematosus and becomes rarer as an initial manifestation. There are only two cases reported. The authors report a 20-year-old black woman that presented acute acalculous cholecystitis revealed by abdominal computed tomography. During hospitalization, she was diagnosed systemic lupus erythematosus. Conserva...