Valve Surgery in a Low-Volume Center in a Low- and Middle-Income Country: A Retrospective Cross-Sectional Study
Amjad Bani Hani,1 Nour Awamleh,2 Shahd Mansour,2 Ahmad A Toubasi,2 Moaath AlSmady,1 Mutaz Abbad,1 Mohammad Banifawaz,1 Mahmoud Abu Abeeleh1 1Department of General Surgery, Division of Cardiac Surgery, The University of Jordan, Amman, 11942, Jordan; 2School of Medicine, The University of Jordan, Amma...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2023-10-01
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| Series: | International Journal of General Medicine |
| Subjects: | |
| Online Access: | https://www.dovepress.com/valve-surgery-in-a-low-volume-center-in-a-low--and-middle-income-count-peer-reviewed-fulltext-article-IJGM |
| _version_ | 1797659020545228800 |
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| author | Bani Hani A Awamleh N Mansour S Toubasi AA AlSmady M Abbad M Banifawaz M Abu Abeeleh M |
| author_facet | Bani Hani A Awamleh N Mansour S Toubasi AA AlSmady M Abbad M Banifawaz M Abu Abeeleh M |
| author_sort | Bani Hani A |
| collection | DOAJ |
| description | Amjad Bani Hani,1 Nour Awamleh,2 Shahd Mansour,2 Ahmad A Toubasi,2 Moaath AlSmady,1 Mutaz Abbad,1 Mohammad Banifawaz,1 Mahmoud Abu Abeeleh1 1Department of General Surgery, Division of Cardiac Surgery, The University of Jordan, Amman, 11942, Jordan; 2School of Medicine, The University of Jordan, Amman, 11942, JordanCorrespondence: Shahd Mansour, School of Medicine, The University of Jordan, PO Box 13046, Amman, 11942, Jordan, Tel +962 6 5355000, Email mansourshahd00@gmail.comBackground: Valvular heart disease (VHD) has a significant prevalence and mortality rate with surgical intervention continuing to be a cornerstone of therapy. We aim to report the outcome of patients undergoing heart valve surgery (HVS) in a low-volume center (LVC) in a low- and middle-income country (LMIC).Methods: A cross-sectional retrospective study was conducted at the Jordan University Hospital (JUH), a tertiary teaching hospital in a developing country, between April 2014 and December 2019. Patients who underwent mitral valve replacement (MVR), aortic valve replacement (AVR), tricuspid valve replacement (TVR), double valve replacement (DVR), CABG + MVR, and CABG + AVR patients were included. Thirty-day and two-year mortalities were taken as the primary and secondary outcomes, respectively.Results: A total number of 122 patients were included, and the mean age was 54.46 ± 14.89 years. AVR was most common (42.6%). There was no significant association between STS mortality score or Euroscore II with 30-day and 2-year mortality.Conclusion: LVC will continue to have a role in LMICs, especially during development to HICs. Further global studies are needed to assert the safety of HVS in LVC and LMICs.Keywords: valve surgery, low-volume center, low- and middle-income country |
| first_indexed | 2024-03-11T18:07:56Z |
| format | Article |
| id | doaj.art-191958c501f843b499b260825ebbe185 |
| institution | Directory Open Access Journal |
| issn | 1178-7074 |
| language | English |
| last_indexed | 2024-03-11T18:07:56Z |
| publishDate | 2023-10-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of General Medicine |
| spelling | doaj.art-191958c501f843b499b260825ebbe1852023-10-17T02:37:55ZengDove Medical PressInternational Journal of General Medicine1178-70742023-10-01Volume 164649466087388Valve Surgery in a Low-Volume Center in a Low- and Middle-Income Country: A Retrospective Cross-Sectional StudyBani Hani AAwamleh NMansour SToubasi AAAlSmady MAbbad MBanifawaz MAbu Abeeleh MAmjad Bani Hani,1 Nour Awamleh,2 Shahd Mansour,2 Ahmad A Toubasi,2 Moaath AlSmady,1 Mutaz Abbad,1 Mohammad Banifawaz,1 Mahmoud Abu Abeeleh1 1Department of General Surgery, Division of Cardiac Surgery, The University of Jordan, Amman, 11942, Jordan; 2School of Medicine, The University of Jordan, Amman, 11942, JordanCorrespondence: Shahd Mansour, School of Medicine, The University of Jordan, PO Box 13046, Amman, 11942, Jordan, Tel +962 6 5355000, Email mansourshahd00@gmail.comBackground: Valvular heart disease (VHD) has a significant prevalence and mortality rate with surgical intervention continuing to be a cornerstone of therapy. We aim to report the outcome of patients undergoing heart valve surgery (HVS) in a low-volume center (LVC) in a low- and middle-income country (LMIC).Methods: A cross-sectional retrospective study was conducted at the Jordan University Hospital (JUH), a tertiary teaching hospital in a developing country, between April 2014 and December 2019. Patients who underwent mitral valve replacement (MVR), aortic valve replacement (AVR), tricuspid valve replacement (TVR), double valve replacement (DVR), CABG + MVR, and CABG + AVR patients were included. Thirty-day and two-year mortalities were taken as the primary and secondary outcomes, respectively.Results: A total number of 122 patients were included, and the mean age was 54.46 ± 14.89 years. AVR was most common (42.6%). There was no significant association between STS mortality score or Euroscore II with 30-day and 2-year mortality.Conclusion: LVC will continue to have a role in LMICs, especially during development to HICs. Further global studies are needed to assert the safety of HVS in LVC and LMICs.Keywords: valve surgery, low-volume center, low- and middle-income countryhttps://www.dovepress.com/valve-surgery-in-a-low-volume-center-in-a-low--and-middle-income-count-peer-reviewed-fulltext-article-IJGMvalve surgerylow-volume centerlow- and middle-income country. |
| spellingShingle | Bani Hani A Awamleh N Mansour S Toubasi AA AlSmady M Abbad M Banifawaz M Abu Abeeleh M Valve Surgery in a Low-Volume Center in a Low- and Middle-Income Country: A Retrospective Cross-Sectional Study International Journal of General Medicine valve surgery low-volume center low- and middle-income country. |
| title | Valve Surgery in a Low-Volume Center in a Low- and Middle-Income Country: A Retrospective Cross-Sectional Study |
| title_full | Valve Surgery in a Low-Volume Center in a Low- and Middle-Income Country: A Retrospective Cross-Sectional Study |
| title_fullStr | Valve Surgery in a Low-Volume Center in a Low- and Middle-Income Country: A Retrospective Cross-Sectional Study |
| title_full_unstemmed | Valve Surgery in a Low-Volume Center in a Low- and Middle-Income Country: A Retrospective Cross-Sectional Study |
| title_short | Valve Surgery in a Low-Volume Center in a Low- and Middle-Income Country: A Retrospective Cross-Sectional Study |
| title_sort | valve surgery in a low volume center in a low and middle income country a retrospective cross sectional study |
| topic | valve surgery low-volume center low- and middle-income country. |
| url | https://www.dovepress.com/valve-surgery-in-a-low-volume-center-in-a-low--and-middle-income-count-peer-reviewed-fulltext-article-IJGM |
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