Utility of base deficit, lactic acid, microalbuminuria, and C-reactive protein in the early detection of complications in the immediate postoperative evolution.
Clin Biochem
; 37(5): 404-7, 2004 May.
Article
en En
| MEDLINE
| ID: mdl-15087257
ABSTRACT
OBJECTIVE:
To determine the utility of biochemical parameters such as lactic acid (LA), C-reactive protein (CRP), microalbuminuria (MAU), and base deficit (BD) as early markers of complications in the immediate postoperative evolution of elective open gastrointestinal surgeries. DESIGN ANDMETHODS:
Sixty-two patients subject to elective open gastrointestinal surgery were evaluated during a period of 22 months.RESULTS:
From the initial 62 patients, 2 were excluded, 29 (48.3%) evolved without complications, and 31 (51.6%) with complications. It was observed that the most significant areas under the ROC curve corresponded to BD in the preoperative period, LA on the first day, and CRP from the second to the seventh day after surgery. MAU was not a discriminating parameter since it did not reach a significant area under the curve (AUC) at any time.CONCLUSIONS:
The biochemical markers that best relate to the presence of complications are BD in the preoperative period, LA on the first day, and CRP from the second to the seventh day after surgery.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Procedimientos Quirúrgicos del Sistema Digestivo
/
Síndrome de Respuesta Inflamatoria Sistémica
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
America do sul
/
Argentina
Idioma:
En
Revista:
Clin Biochem
Año:
2004
Tipo del documento:
Article
País de afiliación:
Argentina