Brazilian Journal of Cardiovascular Surgery ()

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

  • Walter J. Gomes,
  • Rita Simone Moreira,
  • Alexandre Cabral Zilli,
  • Luiz Carlos Bettiati Jr,
  • Fernando Augusto Marinho dos Santos Figueira,
  • Stephanie Steremberg Pires D' Azevedo,
  • Marcelo José Ferreira Soares,
  • Marcio Pimentel Fernandes,
  • Roberto Vito Ardito,
  • Renata Andrea Barberio Bogdan,
  • Valquíria Pelisser Campagnucci,
  • Diana Nakasako,
  • Renato Abdala Karam Kalil,
  • Clarissa Garcia Rodrigues,
  • Anilton Bezerra Rodrigues Junior,
  • Marcelo Matos Cascudo,
  • Fernando Antibas Atik,
  • Elson Borges Lima,
  • Vinicius José da Silva Nina,
  • Renato Albuquerque Heluy,
  • Lisandro Gonçalves Azeredo,
  • Odilon Silva Henrique Junior,
  • José Teles de Mendonça,
  • Katharina Kelly de Oliveira Gama Silva,
  • Marcelo Pandolfo,
  • José Dantas de Lima Júnior,
  • Renato Max Faria,
  • Jonas Pereira dos Santos,
  • Rodrigo Pereira Paez,
  • Guilherme Henrique Biachi Coelho,
  • Sergio Nunes Pereira,
  • Roberta Senger,
  • Enio Buffolo,
  • Guido Marco Caputi,
  • José Amalth do Espírito Santo,
  • Juliana Aparecida Borges de Oliveira,
  • Otavio Berwanger,
  • Alexandre Biasi Cavalcanti,
  • Fabio B. Jatene

DOI
https://doi.org/10.21470/1678-9741-2017-0053
Journal volume & issue
Vol. 32, no. 2
pp. 71 – 76

Abstract

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Abstract 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.

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