Husam Abuawad, Mohammad AlShatnawi, R. Shawashreh, Maya Attarakih, Mahmoud AlHarbi, Eman AlShebli, Husam Twaissi, Mohammad Sunoqrot
{"title":"Predictors of Mortality Following Mitral Valve Replacement: A Systematic\u0000Review","authors":"Husam Abuawad, Mohammad AlShatnawi, R. Shawashreh, Maya Attarakih, Mahmoud AlHarbi, Eman AlShebli, Husam Twaissi, Mohammad Sunoqrot","doi":"10.2174/0102506882312599240708105339","DOIUrl":"https://doi.org/10.2174/0102506882312599240708105339","url":null,"abstract":"\u0000\u0000Valvular heart diseases are some of the most common causes of cardiovascular morbidity and mortality worldwide. The mitral valve is estimated to\u0000be the cause of 15% of deaths in heart valve disease. Mitral valve dysfunction can be treated with a variety of operative options, one of whichis\u0000mitral valve replacement. Although it is less desirable than repair, in some situations, it is the only viable option. Thus, we conducted this\u0000systematic review to help guide future risk assessment for mitral valve replacement patients and help in the construction of pre-operative risk\u0000assessment tools.\u0000\u0000\u0000\u0000This is a systematic review of original articles discussing the topic of predictors of mortality for patients undergoing mitral valve replacement\u0000surgery. A systematic search was conducted via independent researchers across a number of databases, starting with PubMed databases utilizing its\u0000MeSH database, followed by a complementary search through Google Scholar.\u0000\u0000\u0000\u0000In total, 27 original articles were included in a collective cohort of 145005 patients. Older age was the most commonly cited variable as a mortality\u0000predictor, followed by decreased left ventricular ejection fraction. EuroSCORE is a well-known scoring system that predicts in-hospital mortality\u0000following major cardiac surgeries. It was found that it overestimated mortality greatly, while another study found that the revised EuroSCORE II\u0000system was a better predictor of mortality. Overall, we note that both versions usually overestimate mortality.\u0000\u0000\u0000\u0000There seems to be an overall agreement over several factors, including older age, decreased ejection fraction, and the expertise of the surgeon and\u0000the institution on being clear predictors of postoperative mortality. There is also an obvious need for new tools to better predict mortality rates\u0000preoperatively, as the currently used scores often result in greatly inaccurate predictions\u0000","PeriodicalId":110816,"journal":{"name":"New Emirates Medical Journal","volume":"42 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141658527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}