<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092023000700552</article-id>
<article-id pub-id-type="doi">10.35366/114856</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores de riesgo asociados a mortalidad en pacientes sometidos a cirugía cardiaca]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk factors associated with mortality of patients undergoing cardiac surgery]]></article-title>
<article-title xml:lang="pt"><![CDATA[Fatores de risco associados à mortalidade em pacientes submetidos à cirurgia cardíaca]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castañeda Orduña]]></surname>
<given-names><![CDATA[Emmanuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Trejo Arteaga]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cerón Díaz]]></surname>
<given-names><![CDATA[Ulises W]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Español  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>37</volume>
<numero>7</numero>
<fpage>552</fpage>
<lpage>558</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092023000700552&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092023000700552&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092023000700552&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  las enfermedades cardiacas representan la principal causa de muerte. A pesar de los avances en cirugía de mínima invasión y procedimientos percutáneos, la cirugía cardiaca continúa siendo una opción en los casos más complejos aun cuando tiene altas probabilidades de morbimortalidad; hay múltiples factores preoperatorios, transoperatorios y postoperatorios inmediatos asociados a malos desenlaces.  Objetivo:  determinar los factores que están asociados a mortalidad en pacientes sometidos a cirugía cardiaca y construir un modelo predictivo.  Material y métodos:  estudio retrolectivo, transversal y analítico en pacientes ingresados a la Unidad de Terapia Intensiva (UTI) posterior a cirugía cardiaca con circulación extracorpórea durante el 1 de enero de 2017 al 31 de agosto de 2023.  Resultados:  se analizaron datos de 70 pacientes, se determinó una mortalidad de 8.57%, la edad media fue 60.6 ± 11.5 años y 78.5% correspondieron al sexo masculino. El procedimiento más frecuente fue la cirugía de revascularización coronaria (64.3%). El análisis univariado mostró asociación a mortalidad principalmente con días de ventilación mecánica (0.12 vs 1.12, p = 0.01), días de estancia intrahospitalaria (13.82 vs 2.86, p = 0.01), poder cardiaco (0.87 vs 0.55, p = 0.01), índice de volumen latido (55.8 vs 29.3, p = 0.001), lactato (2.25 vs 7.5, p &#8804; 0.0001), troponina I (77.8 vs 1,381.1, p = 0.01), reporte de complicación transoperatoria (7.1% vs 50%, p = 0.001) e infusión de inotrópicos y vasopresores (44.3% vs 100%, p = 0.015). Una regresión logística binaria demostró que sólo el lactato (OR 2.476, IC95% [1.25-4.88]) y troponina I (OR 1.00003, IC95% [1.000-1.001]) tienen una asociación independiente a mortalidad. Se desarrolló un modelo predictivo de mortalidad y se realizó análisis COR con una AUR 0.969 [0.920-1.017].  Conclusiones:  existen distintos factores que se asocian a mortalidad, en nuestro caso después de un análisis de regresión logística sólo el lactato y troponina I se asociaron de manera independiente. Nuestro modelo predictivo es sencillo y podría suponer una herramienta predictora de mortalidad en el abordaje inicial.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  cardiac diseases represent the leading cause of death. Despite advances in minimally invasive surgery and percutaneous procedures, cardiac surgery remain as an option in the most complex cases, even though it has a high probability of morbidity and mortality, and there are multiple preoperative, intraoperative and immediate postoperative factors associated with poor outcomes.  Objective:  to determine the factors associated with mortality in patients undergoing cardiac surgery and to construct a predictive model.  Material and methods:  a retrolective, cross-sectional, analytical study of patients admitted to the Intensive Care Unit (ICU) after cardiac surgery with extracorporeal circulation during January 1, 2017 to August 31, 2023.  Results:  data from 70 patients were analyzed, a mortality of 8.57% was determined, mean age 60.6 ± 11.5 years and 78.5% were male. The most frequent procedure was coronary revascularization surgery (64.3%). Univariate analysis showed association to mortality mainly with days of mechanical ventilation (0.12 vs 1.12, p = 0.01), days of in-hospital stay (13.82 vs 2.86, p = 0.01), cardiac power (0.87 vs 0.55, p = 0.01), beat volume index (55.8 vs 29.3, p = 0.001), lactate (2.25 vs 7.5, p &#8804; 0.0001), troponin I (77.8 vs 1,381.1, p = 0.01), report of trans-operative complication (7.1% vs 50%, p = 0.001) and infusion of inotropes and vasopressors at admission (44.3% vs 100%, p = 0.015). A binary logistic regression showed that only lactate (OR 2.476, 95% CI [1.25-4.88]) and troponin I (OR 1.0, 95% CI [1.000-1.001]) have an independent association with mortality. A predictive model for mortality was developed and ROC analysis was performed with an AUR 0.969 [0.920-1.017].  Conclusions:  there are different factors associated with mortality, in our case after logistic regression analysis only lactate and troponin I were independently associated. Our predictive model is simple and could be a tool to predict mortality on the initial approach.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  as doenças cardíacas representam a principal causa de morte. Apesar dos avanços na cirurgia minimamente invasiva e nos procedimentos percutâneos, a cirurgia cardíaca continua sendo uma opção nos casos mais complexos, embora apresente altas probabilidades de morbidade e mortalidade; existem múltiplos fatores pré-operatórios, intraoperatórios e pós-operatórios imediatos associados a maus resultados.  Objetivo:  determinar os fatores associados à mortalidade em pacientes submetidos à cirurgia cardíaca e construir um modelo preditivo.  Material e métodos:  estudo retrospectivo, transversal e analítico em pacientes internados em Unidade de Terapia Intensiva (UTI) após cirurgia cardíaca com circulação extracorpórea no período de 1o de janeiro de 2017 a 31 de agosto de 2023.  Resultados:  foram analisados dados de 70 pacientes, determinou-se uma mortalidade de 8.57%, a média de idade foi de 60.6 ± 11.5 anos e 78.5% eram do sexo masculino. O procedimento mais realizado foi a cirurgia de revascularização coronariana (64.3%). Na análise univariada, mostrou associação com mortalidade principalmente com dias de ventilação mecânica (0.12 vs 1.12, p = 0.01), dias de internação (13.82 vs 2.86, p = 0.01), potência cardíaca (0.87 vs 0.55, p = 0.01), índice de volume sistólico (55.8 vs 29.3, p = 0.001), lactato (2.25 vs 7.5, p &#8804; 0.0001), troponina I (77.8 vs 1,381.1, p = 0.01), relato de complicação intraoperatória (7.1% vs 50 %, p = 0.001) e infusão de inotrópicos e vasopressores (44.3% vs 100%, p = 0.015). Uma regressão logística binária mostrou que apenas o lactato (OR 2.476, IC95% [1.25-4.88]) e a troponina I (OR 1.00003, IC95% [1.000-1.001]) têm associação independente com mortalidade. Foi desenvolvido um modelo preditivo de mortalidade e a análise COR foi realizada com AUR 0.969 [0.920-1.017].  Conclusões:  existem diferentes fatores associados à mortalidade, no nosso caso, após análise de regressão logística, apenas o lactato e a troponina I estiveram independentemente associados. Nosso modelo preditivo é simples e pode ser uma ferramenta preditiva de mortalidade na abordagem inicial.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cirugía cardiaca]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="es"><![CDATA[pronóstico]]></kwd>
<kwd lng="es"><![CDATA[lactato]]></kwd>
<kwd lng="es"><![CDATA[troponina]]></kwd>
<kwd lng="es"><![CDATA[factores hemodinámicos]]></kwd>
<kwd lng="en"><![CDATA[cardiac surgery]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
<kwd lng="en"><![CDATA[prognosis]]></kwd>
<kwd lng="en"><![CDATA[lactate]]></kwd>
<kwd lng="en"><![CDATA[troponin]]></kwd>
<kwd lng="en"><![CDATA[hemodynamic factors]]></kwd>
<kwd lng="pt"><![CDATA[cirurgia cardíaca]]></kwd>
<kwd lng="pt"><![CDATA[mortalidade]]></kwd>
<kwd lng="pt"><![CDATA[prognóstico]]></kwd>
<kwd lng="pt"><![CDATA[lactato]]></kwd>
<kwd lng="pt"><![CDATA[troponina]]></kwd>
<kwd lng="pt"><![CDATA[fatores hemodinâmicos]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vaduganathan]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Mensah]]></surname>
<given-names><![CDATA[GA]]></given-names>
</name>
<name>
<surname><![CDATA[Turco]]></surname>
<given-names><![CDATA[JV]]></given-names>
</name>
<name>
<surname><![CDATA[Fuster]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Roth]]></surname>
<given-names><![CDATA[GA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The global burden of cardiovascular diseases and risk]]></article-title>
<source><![CDATA[J Am Coll Cardiol]]></source>
<year>2022</year>
<volume>80</volume>
<numero>25</numero>
<issue>25</issue>
<page-range>2361-71</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mertes]]></surname>
<given-names><![CDATA[PM]]></given-names>
</name>
<name>
<surname><![CDATA[Kindo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Amour]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Baufreton]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Camilleri]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Caus]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump]]></article-title>
<source><![CDATA[Anaesth Crit Care Pain Med]]></source>
<year>2022</year>
<volume>41</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>101059</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[KM]]></given-names>
</name>
<name>
<surname><![CDATA[Arghami]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Habib]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Daneshmand]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Parsons]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Elhalabi]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The society of thoracic surgeons adult cardiac surgery database: 2022 update on outcomes and research]]></article-title>
<source><![CDATA[Ann Thorac Surg]]></source>
<year>2023</year>
<volume>115</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>566-74</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodríguez-Hernández]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[García-Torres]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bucio Reta]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Baranda-Tovar]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Análisis de mortalidad y estancia hospitalaria en cirugía cardiaca en México 2015: datos del Instituto Nacional de Cardiología]]></article-title>
<source><![CDATA[Arch Cardiol Mex]]></source>
<year>2018</year>
<volume>88</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>397-402</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pittams]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
<name>
<surname><![CDATA[Iddawela]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Zaidi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Tyson]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Harky]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Scoring systems for risk stratification in patients undergoing cardiac surgery]]></article-title>
<source><![CDATA[J Cardiothorac Vasc Anesth]]></source>
<year>2022</year>
<volume>36</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>1148-56</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Prins]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[De Villiers Jonker]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Botes]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Smit]]></surname>
<given-names><![CDATA[FE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cardiac surgery risk-stratification models]]></article-title>
<source><![CDATA[Cardiovasc J Afr]]></source>
<year>2012</year>
<volume>23</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>160-4</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodríguez-Chávez]]></surname>
<given-names><![CDATA[LL]]></given-names>
</name>
<name>
<surname><![CDATA[Figueroa-Solano]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Muñoz-Consuegra]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
<name>
<surname><![CDATA[Ávila-Vanzzini]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Kuri-Alfaro]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[EuroSCORE subestima el riesgo de mortalidad en cirugía cardiaca valvular de población mexicana]]></article-title>
<source><![CDATA[Arch Cardiol Mex]]></source>
<year>2017</year>
<volume>87</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>18-25</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Teniente-Valente]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[González-Bravo]]></surname>
<given-names><![CDATA[FE]]></given-names>
</name>
<name>
<surname><![CDATA[Chagolla-Santillán]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Validación del modelo EuroSCORE en pacientes sometidos a cirugía cardiaca en el Hospital Regional de Alta Especialidad del Bajío]]></article-title>
<source><![CDATA[Rev Mex Cardiol]]></source>
<year>2018</year>
<volume>29</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>134-43</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Hong]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Ma]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Xiao]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Jiang]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intraoperative venous congestion rather than hypotension is associated with acute adverse kidney events after cardiac surgery: a retrospective cohort study]]></article-title>
<source><![CDATA[Br J Anaesth]]></source>
<year>2022</year>
<volume>128</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>785-95</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rong]]></surname>
<given-names><![CDATA[LQ]]></given-names>
</name>
<name>
<surname><![CDATA[Rahouma]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Neuburger]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
<name>
<surname><![CDATA[Arguelles]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Emerson]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Mauer]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Use of pulmonary artery pulsatility index in cardiac surgery]]></article-title>
<source><![CDATA[J Cardiothorac Vasc Anesth]]></source>
<year>2020</year>
<volume>34</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1220-5</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Devereaux]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
<name>
<surname><![CDATA[Lamy]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Chan]]></surname>
<given-names><![CDATA[MTV]]></given-names>
</name>
<name>
<surname><![CDATA[Allard]]></surname>
<given-names><![CDATA[RV]]></given-names>
</name>
<name>
<surname><![CDATA[Lomivorotov]]></surname>
<given-names><![CDATA[VV]]></given-names>
</name>
<name>
<surname><![CDATA[Landoni]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[High-sensitivity troponin I after cardiac surgery and 30-day mortality]]></article-title>
<source><![CDATA[N Engl J Med]]></source>
<year>2022</year>
<volume>386</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>827-36</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zante]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Reichenspurner]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Kubik]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kluge]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Schefold]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Pfortmueller]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Base excess is superior to lactate-levels in prediction of ICU mortality after cardiac surgery]]></article-title>
<source><![CDATA[PLoS One]]></source>
<year>2018</year>
<volume>13</volume>
<numero>10</numero>
<issue>10</issue>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Govender]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Tosh]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Burt]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Falter]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluation of increase in intraoperative lactate level as a predictor of outcome in adults after cardiac surgery]]></article-title>
<source><![CDATA[J Cardiothorac Vasc Anesth]]></source>
<year>2020</year>
<volume>34</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>877-84</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Brandi]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[Botelho]]></surname>
<given-names><![CDATA[PH]]></given-names>
</name>
<name>
<surname><![CDATA[Brandi Jde]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Risk factors for mortality of patients undergoing coronary artery bypass graft surgery]]></article-title>
<source><![CDATA[Rev Bras Cir Cardiovasc]]></source>
<year>2014</year>
<volume>29</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>513-20</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vahanian]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Beyersdorf]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Praz]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Milojevic]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Baldus]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Bauersachs]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[2021 ESC/EACTS guidelines for the management of valvular heart disease]]></article-title>
<source><![CDATA[Eur Heart J]]></source>
<year>2022</year>
<volume>43</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>561-632</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Tamayo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Álvarez]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Castrodeza]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Lajo]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Flórez]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Presión venosa central, tiempo de recalentamiento y líquidos totales son factores postoperatorios de morbimortalidad en cirugía cardiaca]]></article-title>
<source><![CDATA[Rev Esp Anestesiol Reanim]]></source>
<year>2008</year>
<volume>55</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>605-9</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Clough]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The effect of comorbid illness on mortality outcomes in cardiac surgery]]></article-title>
<source><![CDATA[Arch Surg]]></source>
<year>2002</year>
<volume>137</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>428</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gaudino]]></surname>
<given-names><![CDATA[MFL]]></given-names>
</name>
<name>
<surname><![CDATA[Spadaccio]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Taggart]]></surname>
<given-names><![CDATA[DP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[State-of-the-art coronary artery bypass grafting]]></article-title>
<source><![CDATA[Interv Cardiol Clin]]></source>
<year>2019</year>
<volume>8</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>173-98</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Doenst]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Berretta]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Bonaros]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Savini]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Pitsis]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Wilbring]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aortic cross-clamp time correlates with mortality in the mini-mitral international registry]]></article-title>
<source><![CDATA[Eur J Cardiothorac Surg]]></source>
<year>2023</year>
<volume>63</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fincke]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Hochman]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Lowe]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Menon]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Slater]]></surname>
<given-names><![CDATA[JN]]></given-names>
</name>
<name>
<surname><![CDATA[Webb]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cardiac power is the strongest hemodynamic correlate of mortality in cardiogenic shock: A report from the SHOCK trial registry]]></article-title>
<source><![CDATA[J Am Coll Cardiol [Internet]]]></source>
<year>2004</year>
<volume>44</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>340-8</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
