Jamieson et al. J Cardiothorac Surg (2021) 16:323
https://doi.org/10.1186/s13019-021-01632-6
RESEARCH ARTICLE
PROSE: Prospective Randomized Trial
of the On-X Mechanical Prosthesis and the St
Jude Medical Mechanical Prosthesis Evaluation
Part 1(Patient Dynamics): Preoperative demographics and preoperative and operative
risk factors
W. R. Eric Jamieson
1*
, John L. Ely
2
, Johan Brink
3
, Timothy Pennel
3
, Paul Bannon
4
, Jashvant Patel
5
,
Rajiv Kumar Gupta
6
, Prasanna Simha Mohan Rao
7
, Damyanti Agrawal
8
, Lars Wiklund
9
, A. Pieter Kappetein
10
,
Rune Haaverstad
11
, Thomas Geisner
11
, Torsten Doenst
12
, Christian Schlensak
13
, Salgunan Nair
14
,
Craig Brown
15
, Matthias Siepe
16
, Ralph J. Damiano
17
, Yves Langlois
18
, K. M. Cherian
19
, Hormoz Azar
20
,
John C. Chen
21
, Joseph E. Bavaria
22
, Lynn M. Fedoruk
23
, Nabil A. Munfakh
17
, V. Sridhar
24
, Peter M. Scholz
25
,
Thomas A. Pfeffer
26
and Jian Ye
1
Abstract
Objectives: The PROSE trial purpose is to investigate whether the incidence of thromboembolic—related complica-
tions is reduced with a current generation mechanical prosthesis (On-X Life Technologies/CryoLife Inc.—On-X) com-
pared with a previous generation mechanical prosthesis (St Jude Medical—SJM). The primary purpose of the initial
report is to document the preoperative demographics, and the preoperative and operative risk factors by individual
prosthesis and by Western and Developing populations.
Methods: The PROSE study was conducted in 28 worldwide centres and incorporated 855 subjects randomized
between 2003 and 2016. The study enrollment was discontinued on August 31, 2016. The preoperative demographics
incorporated age, gender, functional class, etiology, prosthetic degeneration, primary rhythm, primary valve lesion,
weight, height, BSA and BMI. The preoperative and operative evaluation incorporated 24 risk factors.
Results: The total patient population (855) incorporated On-X population (462) and the St Jude Medical popula-
tion (393). There was no significant difference of any of the preoperative demographics between the On-X and SJM
groups. The preoperative and operative risk factors evaluation showed there was no significant difference between
the On-X and St Jude Medical populations. The preoperative and operative risk factors by valve position (aortic and
mitral) also documented no differentiation. The dominant preoperative demographics of the Western world popula-
tion were older age, male gender, sinus rhythm, aortic stenosis, congenital aortic lesion, and mitral regurgitation.
The dominant demographics of the Developing world population were rheumatic etiology, atrial fibrillation, aortic
regurgitation, mixed aortic lesions, mitral stenosis and mixed mitral lesions. The Developing world group had only one
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Open Access
*Correspondence: wreric.jamieson@gmail.com
1
Vancouver Coastal Health Research Institute, University of British
Columbia, Vancouver, Canada
Full list of author information is available at the end of the article