Registry of Patients Undergoing Cardiovascular Surgery at the Hospital Universitario Mayor-Méderi

Coronary artery disease is the leading cause of death worldwide, representing a significant public health challenge. According to the American Health Statistics Centre, it is estimated that heart disease accounts for 615,651 annual deaths in the United States. Reports from the American Heart Association and the Centres for Disease Control and Prevention indicate that one in six deaths is attributed to cardiovascular causes, with a higher prevalence among individuals over the age of 40 who present comorbidities such as hypertension, diabetes, or other chronic conditions.
In Latin American countries, there is a high prevalence of mortality from cardiovascular diseases, accounting for nearly one million deaths annually, with a greater incidence observed in men than in women. In Colombia, excluding deaths caused by SARS-CoV-2, acute ischaemic heart disease has been identified as the leading cause of death among individuals over 50 years of age, surpassing fatalities due to violence or cancer [4].
As a result, initial pharmacological management plays a critical role, although it is not the sole intervention. Specific patient and population needs require tailored approaches to ensure effective care and outcomes.

To implement an institutional registry that includes the clinical characteristics, care practices, and clinical outcomes (in-hospital mortality, hospital length of stay, and ICU length of stay) of patients undergoing cardiac surgery at the Hospital Universitario Mayor-Méderi from January 1, 2016, onwards.

The Hospital Universitario Mayor-Méderi performs cardiac surgery procedures requiring extracorporeal circulation as well as high-complexity percutaneous interventions, such as transcatheter aortic valve implantation (TAVI), percutaneous mitral insufficiency repair with MitraClip, and left atrial appendage closure. The hospital is equipped with 9 beds dedicated to coronary care and 8 beds for intensive cardiovascular care.
Patients treated at the hospital have specific characteristics that are currently underrepresented in the scientific literature, including a high disease burden, a predominantly geriatric population, and unique geographical factors, such as the high altitude at which procedures are performed. This registry is envisioned as an opportunity to explore real-world data, generating research ideas and serving as a foundation for strategies to improve care delivery.