The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · May 2013
Depression before and after cardiac surgery: do all patients respond the same?
To characterize the prevalence, incidence, and risk factors for depression before and after cardiac surgery. ⋯ Depression is prevalent in one-third of cardiac surgery patients at time of discharge. It is not associated with operative or postoperative risk factors, with the exception of prolonged hospital stay >7 days. Preoperative depression or being at risk for depression, is associated with the highest risk for postoperative depression.
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J. Thorac. Cardiovasc. Surg. · May 2013
Comparative StudyNational perioperative outcomes of pulmonary lobectomy for cancer in the obese patient: a propensity score matched analysis.
Obesity in the United States is a growing epidemic that results in challenging patients with complicated comorbidities. We sought to compare hospital outcomes of obese patients with those of nonobese patients undergoing pulmonary lobectomy for cancer. ⋯ Obese patients have an increased risk for postoperative pulmonary complications but not other morbidity, mortality, or prolonged hospital length of stay after lobectomy for cancer. Obesity should not be considered a surgical risk factor for pulmonary resection.
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J. Thorac. Cardiovasc. Surg. · May 2013
Comparative StudyOutcomes after thymectomy in class I myasthenia gravis.
The role of extended thymectomy in the treatment of class I myasthenia gravis is still controversial. This study compared the long-term outcomes of operated and nonoperated patients allocated according to their will. ⋯ Extended thymectomy achieved a more rapid remission than after nonsurgical treatment of class I myasthenia gravis. Significantly better outcomes resulted when thymectomy was performed within 6 months from the onset of symptoms.
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J. Thorac. Cardiovasc. Surg. · May 2013
Predictors of in-hospital complications after pericardiectomy: a nationwide outcomes study.
Advances in medical care had caused a paradigm shift in the indications for pericardiectomy. We evaluated the current predictors of in-hospital complications for pericardiectomy. ⋯ Morbidity remains high for pericardiectomy. In addition to age, gender, and comorbidities, attention should be given to etiology during surgical planning or referral. This significantly influences the requirement for cardiopulmonary bypass, chances of bleeding complications, and transfusion requirements.