Type of valvular heart disease requiring surgery in the 21st century

Mortality and length-of-stay related to surgery

Konstantinos Dean Boudoulas, Yazhini Ravi, Daniel Garcia, Uksha Saini, Gbemiga G. Sofowora, Richard J. Gumina, Chittoor Sai Sudhakar

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Aim: While the incidence of rheumatic heart disease has declined dramatically over the last half-century, the number of valve surgeries has not changed. This study was undertaken to define the most common type of valvular heart disease requiring surgery today, and determine in-hospital surgical mortality and length-of-stay (LOS) for isolated aortic or mitral valve surgery in a United States tertiary-care hospital. Methods: Patients with valve surgery between January 2002 to June 2008 at The Ohio State University Medical Center were studied. Patients only with isolated aortic or mitral valve surgery were analyzed. Results: From 915 patients undergoing at least aortic or mitral valve surgery, the majority had concomitant cardiac procedures mostly coronary artery bypass grafting (CABG); only 340 patients had isolated aortic (n=204) or mitral (n=136) valve surgery. In-hospital surgical mortality for mitral regurgitation (n=119), aortic stenosis (n=151), aortic insufficiency (n=53) and mitral stenosis (n=17) was 2.5% (replacement 3.4%; repair 1.6%), 3.9%, 5.6% and 5.8%, respectively (p=NS). Median LOS for aortic insufficiency, aortic stenosis, mitral regurgitation, and mitral stenosis was 7, 8, 9 (replacement 11.5; repair 7) and 11 days, respectively (p<0.05 for group). In-hospital surgical mortality for single valve surgery plus CABG was 10.2% (p<0.005 compared to single valve surgery). Conclusions: Aortic stenosis and mitral regurgitation are the most common valvular lesions requiring surgery today. Surgery for isolated aortic or mitral valve disease has low in-hospital mortality with modest LOS. Concomitant CABG with valve surgery increases mortality substantially. Hospital analysis is needed to monitor quality and stimulate improvement among Institutions.

Original languageEnglish (US)
Pages (from-to)104-109
Number of pages6
JournalOpen Cardiovascular Medicine Journal
Volume7
Issue number1
DOIs
StatePublished - Jan 1 2013
Externally publishedYes

Fingerprint

Heart Valve Diseases
Length of Stay
Mortality
Hospital Mortality
Aortic Valve
Mitral Valve
Aortic Valve Stenosis
Mitral Valve Insufficiency
Coronary Artery Bypass
Mitral Valve Stenosis
Rheumatic Heart Disease
State Hospitals
Aortic Valve Insufficiency
Tertiary Healthcare
Quality Improvement
Tertiary Care Centers

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Type of valvular heart disease requiring surgery in the 21st century : Mortality and length-of-stay related to surgery. / Boudoulas, Konstantinos Dean; Ravi, Yazhini; Garcia, Daniel; Saini, Uksha; Sofowora, Gbemiga G.; Gumina, Richard J.; Sai Sudhakar, Chittoor.

In: Open Cardiovascular Medicine Journal, Vol. 7, No. 1, 01.01.2013, p. 104-109.

Research output: Contribution to journalArticle

Boudoulas, Konstantinos Dean ; Ravi, Yazhini ; Garcia, Daniel ; Saini, Uksha ; Sofowora, Gbemiga G. ; Gumina, Richard J. ; Sai Sudhakar, Chittoor. / Type of valvular heart disease requiring surgery in the 21st century : Mortality and length-of-stay related to surgery. In: Open Cardiovascular Medicine Journal. 2013 ; Vol. 7, No. 1. pp. 104-109.
@article{89a47eeb3adb4df49164b78a106ef6b5,
title = "Type of valvular heart disease requiring surgery in the 21st century: Mortality and length-of-stay related to surgery",
abstract = "Aim: While the incidence of rheumatic heart disease has declined dramatically over the last half-century, the number of valve surgeries has not changed. This study was undertaken to define the most common type of valvular heart disease requiring surgery today, and determine in-hospital surgical mortality and length-of-stay (LOS) for isolated aortic or mitral valve surgery in a United States tertiary-care hospital. Methods: Patients with valve surgery between January 2002 to June 2008 at The Ohio State University Medical Center were studied. Patients only with isolated aortic or mitral valve surgery were analyzed. Results: From 915 patients undergoing at least aortic or mitral valve surgery, the majority had concomitant cardiac procedures mostly coronary artery bypass grafting (CABG); only 340 patients had isolated aortic (n=204) or mitral (n=136) valve surgery. In-hospital surgical mortality for mitral regurgitation (n=119), aortic stenosis (n=151), aortic insufficiency (n=53) and mitral stenosis (n=17) was 2.5{\%} (replacement 3.4{\%}; repair 1.6{\%}), 3.9{\%}, 5.6{\%} and 5.8{\%}, respectively (p=NS). Median LOS for aortic insufficiency, aortic stenosis, mitral regurgitation, and mitral stenosis was 7, 8, 9 (replacement 11.5; repair 7) and 11 days, respectively (p<0.05 for group). In-hospital surgical mortality for single valve surgery plus CABG was 10.2{\%} (p<0.005 compared to single valve surgery). Conclusions: Aortic stenosis and mitral regurgitation are the most common valvular lesions requiring surgery today. Surgery for isolated aortic or mitral valve disease has low in-hospital mortality with modest LOS. Concomitant CABG with valve surgery increases mortality substantially. Hospital analysis is needed to monitor quality and stimulate improvement among Institutions.",
author = "Boudoulas, {Konstantinos Dean} and Yazhini Ravi and Daniel Garcia and Uksha Saini and Sofowora, {Gbemiga G.} and Gumina, {Richard J.} and {Sai Sudhakar}, Chittoor",
year = "2013",
month = "1",
day = "1",
doi = "10.2174/1874192420130902001",
language = "English (US)",
volume = "7",
pages = "104--109",
journal = "Open Cardiovascular Medicine Journal",
issn = "1874-1924",
publisher = "Bentham Science Publishers B.V.",
number = "1",

}

TY - JOUR

T1 - Type of valvular heart disease requiring surgery in the 21st century

T2 - Mortality and length-of-stay related to surgery

AU - Boudoulas, Konstantinos Dean

AU - Ravi, Yazhini

AU - Garcia, Daniel

AU - Saini, Uksha

AU - Sofowora, Gbemiga G.

AU - Gumina, Richard J.

AU - Sai Sudhakar, Chittoor

PY - 2013/1/1

Y1 - 2013/1/1

N2 - Aim: While the incidence of rheumatic heart disease has declined dramatically over the last half-century, the number of valve surgeries has not changed. This study was undertaken to define the most common type of valvular heart disease requiring surgery today, and determine in-hospital surgical mortality and length-of-stay (LOS) for isolated aortic or mitral valve surgery in a United States tertiary-care hospital. Methods: Patients with valve surgery between January 2002 to June 2008 at The Ohio State University Medical Center were studied. Patients only with isolated aortic or mitral valve surgery were analyzed. Results: From 915 patients undergoing at least aortic or mitral valve surgery, the majority had concomitant cardiac procedures mostly coronary artery bypass grafting (CABG); only 340 patients had isolated aortic (n=204) or mitral (n=136) valve surgery. In-hospital surgical mortality for mitral regurgitation (n=119), aortic stenosis (n=151), aortic insufficiency (n=53) and mitral stenosis (n=17) was 2.5% (replacement 3.4%; repair 1.6%), 3.9%, 5.6% and 5.8%, respectively (p=NS). Median LOS for aortic insufficiency, aortic stenosis, mitral regurgitation, and mitral stenosis was 7, 8, 9 (replacement 11.5; repair 7) and 11 days, respectively (p<0.05 for group). In-hospital surgical mortality for single valve surgery plus CABG was 10.2% (p<0.005 compared to single valve surgery). Conclusions: Aortic stenosis and mitral regurgitation are the most common valvular lesions requiring surgery today. Surgery for isolated aortic or mitral valve disease has low in-hospital mortality with modest LOS. Concomitant CABG with valve surgery increases mortality substantially. Hospital analysis is needed to monitor quality and stimulate improvement among Institutions.

AB - Aim: While the incidence of rheumatic heart disease has declined dramatically over the last half-century, the number of valve surgeries has not changed. This study was undertaken to define the most common type of valvular heart disease requiring surgery today, and determine in-hospital surgical mortality and length-of-stay (LOS) for isolated aortic or mitral valve surgery in a United States tertiary-care hospital. Methods: Patients with valve surgery between January 2002 to June 2008 at The Ohio State University Medical Center were studied. Patients only with isolated aortic or mitral valve surgery were analyzed. Results: From 915 patients undergoing at least aortic or mitral valve surgery, the majority had concomitant cardiac procedures mostly coronary artery bypass grafting (CABG); only 340 patients had isolated aortic (n=204) or mitral (n=136) valve surgery. In-hospital surgical mortality for mitral regurgitation (n=119), aortic stenosis (n=151), aortic insufficiency (n=53) and mitral stenosis (n=17) was 2.5% (replacement 3.4%; repair 1.6%), 3.9%, 5.6% and 5.8%, respectively (p=NS). Median LOS for aortic insufficiency, aortic stenosis, mitral regurgitation, and mitral stenosis was 7, 8, 9 (replacement 11.5; repair 7) and 11 days, respectively (p<0.05 for group). In-hospital surgical mortality for single valve surgery plus CABG was 10.2% (p<0.005 compared to single valve surgery). Conclusions: Aortic stenosis and mitral regurgitation are the most common valvular lesions requiring surgery today. Surgery for isolated aortic or mitral valve disease has low in-hospital mortality with modest LOS. Concomitant CABG with valve surgery increases mortality substantially. Hospital analysis is needed to monitor quality and stimulate improvement among Institutions.

UR - http://www.scopus.com/inward/record.url?scp=84896895615&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84896895615&partnerID=8YFLogxK

U2 - 10.2174/1874192420130902001

DO - 10.2174/1874192420130902001

M3 - Article

VL - 7

SP - 104

EP - 109

JO - Open Cardiovascular Medicine Journal

JF - Open Cardiovascular Medicine Journal

SN - 1874-1924

IS - 1

ER -