dc.contributorCamacho Mackenzie, Jaime
dc.contributorCarreño Jaimes, Marisol
dc.creatorMedina Garcia, Gabriel Santiago
dc.date.accessioned2016-02-16T16:15:34Z
dc.date.available2016-02-16T16:15:34Z
dc.date.created2016-02-16T16:15:34Z
dc.date.issued2016
dc.identifierhttp://repository.urosario.edu.co/handle/10336/11716
dc.identifierhttps://doi.org/10.48713/10336_11716
dc.description.abstractBackground: From the 1950 to present, valvular disease management has shown significant improvements specifically when mechanical and biological heart valve replacements are used together within the surgical treatment options. Biological valves were developed as an alternative to avoid problems associated with anticoagulation and with the purpose of using a tissue that behave hemodynamically like the native. The aim of this study was to determine the overall survival and freedom from valve reoperation in patients undergoing valvular replacement in aortic and/or mitral position at 1, 3, 5 and 10 years. Methods: A historical Cohort of patients who underwent bioprosthetic valve replacement in aortic and/or mitral position, in an institution in Bogota between 2005 and 2013. A descriptive analysis with technical standard for the overall cohort and survival statistics was conducted. Survival was analyzed with the Kaplan Meyer technique, a value of less than 0. 05 was considered significant, which was performed in STATA 1O. Results: 919 patients were included in the overall analysis. 95. 3% (876/919) of effective follow-up for survival analysis. The average age was 64 years. 1-, 3-, 5- and 10-years survival was 95% (832/876), 90% (788/876), 85% (744/876) y 69% (604/876) respectively. The effective follow-up to the outcome reoperation was 55% (509/919) and it was found a freedom from reoperation of 99% (503/509), 96% (488/509), 93% (473/509) y 81% (412/509) at 1, 3, 5 and 10 years. There were no significant differences neither in the valve placement or in the aortic valve prosthesis employed. Conclusions: The survival of patients who underwent biological valve replacement in this study is comparable to large international cohorts. The survival of patients with bioprosthetic valve replacement in aortic and mitral position was similar at 1, 3, 5 and 10 years. Thus, implementation of national databases allowing to comply cohorts of patients with valve replacements for comprehensive and strict monitoring is required.
dc.languagespa
dc.publisherUniversidad del Rosario
dc.publisherEspecialización en Cirugía Cardiovascular
dc.publisherFacultad de Medicina
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightsAbierto (Texto completo)
dc.rightsAtribución-NoComercial-SinDerivadas 2.5 Colombia
dc.rightsEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
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dc.sourceinstname:Universidad del Rosario
dc.sourcereponame:Repositorio Institucional EdocUR
dc.subjectCirugía cardiovascular
dc.subjectPrótesis valvular
dc.subjectEpidemiología clínica
dc.subjectEstudio analítico
dc.subjectAnálisis de Supervivencia
dc.titleAnálisis de supervivencia en pacientes con prótesis valvular biológica, Fundación Cardioinfantil-Instituto de Cardiología, Colombia, 2005-2013
dc.typemasterThesis


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