Publications by authors named "P Ergina"
Article Synopsis
- The study compared outcomes of patients undergoing surgical aortic valve replacement (SAVR) based on their referral process: those evaluated by a heart team (HT) and those referred directly to surgery.
- A total of 288 patients were analyzed, showing that those referred to the heart team (both historical and contemporary) were generally younger and had better surgical risk scores compared to those not referred to the HT.
- The findings indicated that patients evaluated by the heart team before surgery had significantly lower complication rates compared to historical patients who did not have this assessment, suggesting that referral to a heart team may be influenced more by age than by the patients’ overall health risks.
This case report describes an initially stabilized transcatheter heart valve that embolized in the ascending aorta, leading to a postprocedural acute type A aortic dissection.
View Article and Find Full Text PDFObjective: To describe the evolution of the use and reporting of propensity score (PS) analysis in observational studies assessing a surgical procedure.
Background: Assessing surgery in randomized controlled trials raises several challenges. Observational studies with PS analysis are a robust alternative for comparative effectiveness research.
The IDEAL framework describes the stages of evaluation for surgical innovations. This paper considers the role of observational studies in the exploration and assessment stages. At the exploration stage, the surgical intervention is usually more widely used, and observational studies should collect prospective data from multiple surgeons, deal with factors such as case mix and learning, and prepare for a definitive evaluation at the next stage of assessment.
View Article and Find Full Text PDFBackground: A prospective study of survival, functional outcome, living arrangements, daily activities and leisure engagements among octogenarians up to 5 years after cardiac surgery was performed.
Methods: The study consisted of a cohort of 300 consecutive octogenarians with three interviews made at 6-month intervals for a total of 593 postoperative interviews. Functional outcomes were measured using the Barthel index and Karnofsky performance scores and divided into autonomous, semiautonomous, or dependent.