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7. How Long After Coronary Artery Bypass Surgery Can Patients Have Elective Safer Non-Cardiac Surgery?

Author

Sung,Li-Chin, Chang,Chuen-Chau, Yeh,Chun-Chieh, Cherng,Yih-Giun, Chen,Ta-Liang, Liao,Chien-Chang, Sung,Li-Chin, Chang,Chuen-Chau, Yeh,Chun-Chieh, Cherng,Yih-Giun, Chen,Ta-Liang, and Liao,Chien-Chang

Abstract

Li-Chin Sung,1– 4 Chuen-Chau Chang,5– 7 Chun-Chieh Yeh,8,9 Yih-Giun Cherng,5,10 Ta-Liang Chen,5,7,11 Chien-Chang Liao5– 7,12,13 1Division of Cardiology, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; 2Division of Cardiology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan; 3Taipei Heart Institute, Taipei Medical University, Taipei, Taiwan; 4Department of General Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; 5Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; 6Department of Anesthesiology, Taipei Medical University Hospital, Taipei, Taiwan; 7Anesthesiology and Health Policy Research Center, Taipei Medical University Hospital, Taipei, Taiwan; 8Department of Surgery, China Medical University Hospital, Taichung, Taiwan; 9Department of Surgery, University of Illinois, Chicago, IL, USA; 10Department of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan; 11Department of Anesthesiology, Wang Fang Hospital, Taipei Medical University, Taipei, Taiwan; 12Research Center of Big Data and Meta‑Analysis, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan; 13School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, TaiwanCorrespondence: Chien-Chang Liao, Department of Anesthesiology, Taipei Medical University Hospital, 252 Wuxing Street, Taipei, 11031, Taiwan, Tel +886-2-2737-2181, ext. 8310, Fax +886-2-2736-7344, Email ccliao@tmu.edu.tw; jacky48863027@yahoo.com.twObjective: To evaluate the complications and mortality after noncardiac surgeries in patients who underwent previous coronary artery bypass grafting (CABG).Methods: We used insurance data and identified patients aged ≥ 20 years undergoing noncardiac surgeries between 2010 and 2017 in Taiwan. Based on propens

Published
2024

9. Complications and Mortality After Surgery in Patients with Chronic Kidney Disease: A Retrospective Cohort Study Based on a Multicenter Clinical Database.

Author

Liao, Chien-Chang, Liu, Chih-Chung, Lee, Yuan-Wen, Chang, Chuen-Chau, Yeh, Chun-Chieh, Chang, Tzu-Hao, Chen, Ta-Liang, and Lin, Chao-Shun

Subjects
DENTAL scaling, MULTIPLE regression analysis, LOGISTIC regression analysis, ELECTRONIC health records, CHRONIC kidney failure
Abstract

To evaluate the postoperative complications and mortality among patients with chronic kidney disease. Methods: Biochemical measurements, diagnosis codes for CKD and comorbid conditions for surgical patients aged ≥ 20 years were obtained from electronic medical records of three large hospitals in Taiwan in 2009– 2017. We conducted this retrospective cohort study by using propensity score-matching methods to balance the baseline characteristics between CKD and non-CKD groups. The multiple logistic regression analysis was used to estimate the odds ratios (ORs) and 95% confidence intervals (CIs) of risks of primary outcome (included postoperative mortality) and secondary outcome (included postoperative infectious complications and non-infectious complications) associated with CKD. Results: Among 31950 eligible surgical patients, the adjusted OR of in-hospital mortality in patients with CKD was 5.49 (95% CI 3.42– 8.81) compared with that in non-CKD controls. The adjusted ORs of postoperative septicemia, pneumonia and cellulitis in patients with CKD were 5.90 (95% CI 2.12– 16.5), 5.39 (95% CI 1.37– 21.16), and 4.42 (95% CI 1.57– 12.4), respectively, when compared with the non-CKD patients. CKD was also associated with postoperative stroke (OR 2.21, 95% CI 1.47– 3.31). Conclusion: Patients with CKD are at increased risk of postoperative stroke, infectious complications, and mortality. Our study implicated that it is crucial to improve the levels of hemoglobin and K+ in patients with CKD before surgery. Preventive strategies should be developed to improve clinical outcomes in these populations. [ABSTRACT FROM AUTHOR]

Published
2024
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10. Real-World Risk and Outcome of Liver Cirrhosis in Patients with Hyperlipidemia Treated with Red Yeast Rice: A Retrospective Cohort Study.

Author

Chang, Chuen-Chau, Yeh, Chun-Chieh, Tiong, Cheng, Sun, Mao-Feng, Lin, Jaung-Geng, Cherng, Yih-Giun, Chen, Ta-Liang, and Liao, Chien-Chang

Subjects
CIRRHOSIS of the liver, PROPORTIONAL hazards models, MONASCUS purpureus, FATTY liver, PROPENSITY score matching
Abstract

Sustained hyperlipidemia contributes to fatty liver and liver cirrhosis. Red yeast rice (RYR) effectively improved the lipid profile; however, the effects of RYR on the risk of incident liver cirrhosis remain to be elucidated. We aimed to evaluate the beneficial effects of RYR use on the risk and outcome of liver cirrhosis. Patients and methods: We identified 156,587 adults who had newly diagnosed hyperlipidemia in 2010– 2016 from health insurance data in this retrospective cohort study. Using propensity score matching, we selected 34,367 patients who used RYR and 34,367 patients who used lovastatin. Events of incident liver cirrhosis that occurred in the two cohorts during the follow-up period of 2010– 2019 were identified. We calculated adjusted hazard ratios (HRs) and 95% confidence intervals (Cis) for liver cirrhosis risk associated with RYR use in the multiple Cox proportional hazard model. Results: Compared with patients who used lovastatin, patients who used RYR had a decreased risk of liver cirrhosis (HR 0.60, 95% CI 0.57– 0.63), and this association was significant in various subgroups. A biological gradient relationship between the frequency of RYR use and decreased liver cirrhosis was observed (p for trend < 0.0001). Reduced postcirrhosis jaundice (HR 0.56, 95% CI 0.43– 0.72), ascites (HR 0.37, 95% CI 0.28– 0.50), hepatic coma (HR 0.36, 95% CI 0.26– 0.50), and mortality (HR 0.48, 95% CI 0.38– 0.61) were also associated with RYR use. Conclusion: We demonstrated the beneficial effects of RYR use on the risk and outcome of liver cirrhosis; however, the lack of compliance data should be considered. However, our study did not infer causality or claim the superiority of RYR over lovastatin. [ABSTRACT FROM AUTHOR]

Published
2024
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25. Risk of Obesity Among Children Aged 2–6 Years Who Had Prolonged Screen Time in Taiwan: A Nationwide Cross-Sectional Study

Author

Chang,Rui-Yu, Chen,Ta-Liang, Yeh,Chun-Chieh, Chen,Ching-Hsiang, Wang,Qiao-Wen, Toung,Thomas, Liao,Chien-Chang, Chang,Rui-Yu, Chen,Ta-Liang, Yeh,Chun-Chieh, Chen,Ching-Hsiang, Wang,Qiao-Wen, Toung,Thomas, and Liao,Chien-Chang

Abstract

Rui-Yu Chang,1 Ta-Liang Chen,2– 4,&ast; Chun-Chieh Yeh,5,6 Ching-Hsiang Chen,7 Qiao-Wen Wang,8 Thomas Toung,9 Chien-Chang Liao3,4,10– 13,&ast; 1Department of Sport Promotion, National Taiwan Sport University, Taoyuan, Taiwan; 2Department of Anesthesiology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan; 3Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; 4Anesthesiology and Health Policy Research Center, Taipei Medical University Hospital, Taipei, Taiwan; 5Department of Surgery, China Medical University Hospital, Taichung, Taiwan; 6Department of Surgery, University of Illinois, Chicago, IL, USA; 7Physical Education Office, China Medical University, Taichung, Taiwan; 8Doctoral Program of Educational Leadership and Technology Management, Tamkang University, Taipei, Taiwan; 9Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins Hospital, Baltimore, MD, USA; 10Department of Anesthesiology, Taipei Medical University Hospital, Taipei, Taiwan; 11Research Center of Big Data and Meta-Analysis, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan; 12School of Health Care Administration, Taipei Medical University, Taipei, Taiwan; 13School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan&ast;These authors contributed equally to this workCorrespondence: Chien-Chang Liao, Department of Anesthesiology, Taipei Medical University Hospital, 252 Wuxing Street, Taipei, 110, Taiwan, Email jacky48863027@yahoo.com.twObjective: To evaluate the risk of obesity in preschool children with prolonged screen time in Taiwan.Methods: Using a nationwide survey with random sampling, we collected information on 8378 preschool children aged 2– 6 years among 206 preschools in Taiwan from 2016 to 2019. Socioeconomic data, body mass index, and lifestyle of the preschool children and their caregivers were compared among the groups of presch

Published
2023

40. Additional file 1 of Adverse outcomes after non-hepatic surgeries in patients with alcoholic liver diseases: a propensity-score matched study

Author

Wu, Hsin-Yun, Chang, Chuen-Chau, Yeh, Chun-Chieh, Chen, Ming-Yao, Cherng, Yih-Giun, Chen, Ta-Liang, and Liao, Chien-Chang

Abstract

Additional file 1. Table S1. Codes of liver-related surgical procedure. Table S2. Liver-related characteristics of surgical patients with and without preoperative alcoholic liver disease. Table S3. Risks of postoperative mortality for surgical patients with the severity of alcoholic liver disease. Table S4. Risks of postoperative adverse events for surgical patients with the severity of alcoholic liver disease

Published
2022
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