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Determinants of Clinical Outcomes of Surgery for Isolated Severe Tricuspid Regurgitation by Sung Jun Park; Jin Kyung Oh; Seon-Ok Kim; Seung-Ah Lee; Ho Jin Kim; Sahmin Lee; Sung Ho Jung; Jong-Min Song; Suk Jung Choo; Duk-Hyun Kang; Cheol Hyun Chung; Jae-Kwan Song; Jae Won Lee; Dae-Hee Kim; Joon Bum Kim is a Medicine article available to read on EtoBox.
What is Determinants of Clinical Outcomes of Surgery for Isolated Severe Tricuspid Regurgitation about?
## Objectives Although the incidence of patients with isolated tricuspid regurgitation (TR) is increasing, data regarding the clinical outcomes of isolated TR surgery are limited. This study sought to investigate the prognostic implications according to procedural types, and to identify preoperative predictors of clinical outcomes after isolated TR surgery. ## Methods Among consecutive 2610 patients receiving tricuspid valve (TV) procedure, we analysed 238 patients (age, 59.6 years; 143 females) who underwent stand-alone TV surgery (repair, 132; replacement, 106) for severe TR. Primary outcome was the composite of all-cause mortality and heart transplantation. Clinical outcomes between the repair and the replacement groups were compared after adjusting with the inverse probability of treatment weighting (IPTW) method. ## Results During follow-up (median, 4.1 years), 53 patients died and 4 received heart transplantation. Multivariable analysis revealed that age (p=0.001), haemoglobin level (p=0.003), total bilirubin (p=0.040), TR jet area (p=0.005) and right atrial (RA) pressure (p=0.022) were independent predictors of the primary outcome. After IPTW adjustment, there were no signif
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- Author
- Sung Jun Park; Jin Kyung Oh; Seon-Ok Kim; Seung-Ah Lee; Ho Jin Kim; Sahmin Lee; Sung Ho Jung; Jong-Min Song; Suk Jung Choo; Duk-Hyun Kang; Cheol Hyun Chung; Jae-Kwan Song; Jae Won Lee; Dae-Hee Kim; Joon Bum Kim
- Publisher
- BMJ
- Published
- 2020
- Language
- EN
- Field
- Medicine (Health Sciences)