{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:42:09Z","timestamp":1771375329361,"version":"3.50.1"},"reference-count":27,"publisher":"FapUNIFESP (SciELO)","issue":"3","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO  Objetivo: identificar os fatores associados \u00e0 mortalidade em reopera\u00e7\u00e3o valvar mitral, criar um modelo preditivo de mortalidade e avaliar o EuroSCORE.  M\u00e9todos: foram avaliados 65 pacientes submetidos \u00e0 reopera\u00e7\u00e3o de valva mitral no per\u00edodo de janeiro de 2008 a dezembro de 2017. Foi verificada a associa\u00e7\u00e3o das vari\u00e1veis com o \u00f3bito e criado um modelo de regress\u00e3o log\u00edstica m\u00faltiplo para estratificar os pacientes.  Resultados: a mortalidade hospitalar foi de 13,8% e, neste grupo, o EuroSCORE foi de 12,33\u00b18,87 (p=0,017), a fra\u00e7\u00e3o de eje\u00e7\u00e3o do ventr\u00edculo esquerdo (FEVE) foi de 45,33\u00b15,10 (p=0,000), a creatinina foi 1,56\u00b10,29 (p=0,002), o tempo de atividade da protrombina (TAP): 1,64\u00b10,15 (p=0,001), press\u00e3o sist\u00f3lica da art\u00e9ria pulmonar (PSAP): 66,1\u00b113,6 (p=0,002), sexo feminino: 88% (p=0,000), desnutri\u00e7\u00e3o: 77,7% (p=0,007), doen\u00e7a tric\u00faspide associada: 44,4% (p=0,048), presen\u00e7a de arritmia ventricular: 77,7% (p=0,005), implante de pr\u00f3tese biol\u00f3gica: 55,5% (p=0,034), broncopneumonia e sepse: 33,3% (p=0,048), s\u00edndrome da resposta inflamat\u00f3ria sist\u00eamica (SIRS): 55,5% (p=0,001), s\u00edndrome do baixo d\u00e9bito card\u00edaco: 88,8% (p=0,000).  Conclus\u00e3o: os fatores associados \u00e0 mortalidade foram: EuroSCORE, FEVE, creatinina, TAP, PSAP, sexo feminino, desnutri\u00e7\u00e3o, doen\u00e7a tric\u00faspide, arritmia ventricular, implante de pr\u00f3tese biol\u00f3gica, SIRS, SBDC, broncopneumonia e sepse. As vari\u00e1veis explicativas de \u00f3bito do modelo foram: EuroSCORE, creatinina, TAP, FEVE, tempo de internamento na unidade de terapia intensiva (UTI), intervalo entre cirurgias e presen\u00e7a de arritmia ventricular. O EuroSCORE elevado est\u00e1 relacionado \u00e0 maior mortalidade.<\/jats:p>","DOI":"10.1590\/0100-6991e-20192176","type":"journal-article","created":{"date-parts":[[2019,8,3]],"date-time":"2019-08-03T19:34:05Z","timestamp":1564860845000},"source":"Crossref","is-referenced-by-count":2,"title":["Fatores de risco associados \u00e0 mortalidade hospitalar em reopera\u00e7\u00e3o valvar mitral"],"prefix":"10.1590","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8665-6032","authenticated-orcid":false,"given":"Jos\u00e9 Dantas","family":"de Lima J\u00fanior","sequence":"first","affiliation":[{"name":"Universidade Estadual do Oeste do Paran\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge Eduardo Fouto","family":"Matias","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henrique Jorge","family":"Stahlke 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MW","year":"2007","journal-title":"Arq Bras Cardiol"},{"issue":"6","key":"ref4","first-page":"688","article-title":"Does the number of redo mitral valve replacements for structural valve deterioration affect early and late outcomes?: experience from 114 reoperative cases","volume":"23","author":"Fukunaga M","year":"2014","journal-title":"J Heart Valve Dis"},{"issue":"5","key":"ref5","doi-asserted-by":"crossref","first-page":"1260.e1","DOI":"10.1016\/j.jtcvs.2015.11.046","article-title":"Long-term results after surgical treatment of paravavular leak in the aortic and mitral position","volume":"151","author":"Bouhout I","year":"2016","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"5","key":"ref6","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1093\/ejcts\/ezw048","article-title":"Surgical factors and complications affecting hospital outcome in redo mitral surgery: insights from a multicentre experience","volume":"49","author":"Onorati 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