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Trends in Heart Valve Surgery in Korea: A Report from the Heart Valve Surgery Registry Database
DC Field | Value | Language |
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dc.contributor.author | 이삭 | - |
dc.contributor.author | 이승현 | - |
dc.date.accessioned | 2023-04-07T01:17:47Z | - |
dc.date.available | 2023-04-07T01:17:47Z | - |
dc.date.issued | 2022-10 | - |
dc.identifier.issn | 2765-1606 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/193870 | - |
dc.description.abstract | Background: In this study, we present recent trends in heart valve surgery in Korea through analyses of data from the Korea Heart Valve Surgery Registry (KHVSR). Methods: We enrolled 8,981 patients who were registered in the KHVSR from 2017 to 2020. Yearly trends in patients' baseline characteristics, surgical profiles, and early mortality rates were explored. The observed/expected mortality ratio (O/E ratio), calculated from the actual mortality in the KHVSR and the predicted mortality estimated using the EuroSCORE II, was also analyzed. Results: The proportion of aortic valve surgery significantly increased from 56.8% in 2017 to 60.3% in 2020. The proportion of all combined procedures and minimally invasive surgery significantly increased over the 4-year study period. The operative mortality rate was 2.9% in the entire cohort, while mitral valve repair showed the lowest mortality risk (0.9%). The mortality rates of isolated aortic valve replacement (AVR) significantly decreased from 2.1% in 2017 to 0.8% in 2020 (p=0.016). Overall, the O/E ratio was 0.784 (95% confidence interval [CI], 0.677-0.902) demonstrating significantly lower actual mortality risks than expected based on the EuroSCORE II. In particular, the O/E ratios were as low as 0.364 (95% CI, 0.208-0.591) for isolated AVR. Conclusion: The recent data from the KHVSR showed increasing trends for complex procedures and minimally invasive surgery in heart valve surgery in Korea, and demonstrated remarkably low risks of operative mortality. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Korean Society for Thoracic and Cardiovascular Surgery | - |
dc.relation.isPartOf | Journal of Chest Surgery | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Trends in Heart Valve Surgery in Korea: A Report from the Heart Valve Surgery Registry Database | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) | - |
dc.contributor.googleauthor | Jae Woong Choi | - |
dc.contributor.googleauthor | Joon Bum Kim | - |
dc.contributor.googleauthor | Yoo Jin Jung | - |
dc.contributor.googleauthor | Ho Young Hwang | - |
dc.contributor.googleauthor | Kyung Hwan Kim | - |
dc.contributor.googleauthor | Jae Suk Yoo | - |
dc.contributor.googleauthor | Sak Lee | - |
dc.contributor.googleauthor | Seung Hyun Lee | - |
dc.contributor.googleauthor | Kiick Sung | - |
dc.contributor.googleauthor | Hyung Gon Je | - |
dc.contributor.googleauthor | Mi Hee Lim | - |
dc.contributor.googleauthor | Byung-Chul Chang | - |
dc.contributor.googleauthor | Soon Chang Hong | - |
dc.contributor.googleauthor | Heemoon Lee | - |
dc.contributor.googleauthor | Yoon Cheol Shin | - |
dc.contributor.googleauthor | Jae Hyun Kim | - |
dc.contributor.googleauthor | Cheong Lim | - |
dc.identifier.doi | 10.5090/jcs.22.016 | - |
dc.contributor.localId | A02807 | - |
dc.contributor.localId | A02935 | - |
dc.relation.journalcode | J04004 | - |
dc.identifier.eissn | 2765-1614 | - |
dc.identifier.pmid | 35999692 | - |
dc.subject.keyword | Cardiac surgical procedures | - |
dc.subject.keyword | Heart valves | - |
dc.subject.keyword | Hospital mortality | - |
dc.contributor.alternativeName | Lee, Sak | - |
dc.contributor.affiliatedAuthor | 이삭 | - |
dc.contributor.affiliatedAuthor | 이승현 | - |
dc.citation.volume | 55 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 388 | - |
dc.citation.endPage | 396 | - |
dc.identifier.bibliographicCitation | Journal of Chest Surgery, Vol.55(5) : 388-396, 2022-10 | - |
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