Risk score for postoperative complications in thoracic surgery / 대한마취과학회지
Korean Journal of Anesthesiology
; : 527-532, 2012.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-36169
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND:
Risk scoring system for thoracic surgery patients have not been widely used, as of recently. We tried to forge a risk scoring system that predicts the risk of postoperative complications in patients undergoing major thoracic surgery. We used a prolonged ICU stay as a representative of postoperative complications and tested various possible risk factors for its relation.METHODS:
Data from all patients who underwent major lung and esophageal cancer surgeries, between 2005 and 2007 in our hospital, were collected retrospectively (n = 858). Multiple logistic regression analysis was performed with various possible risk factors to build the risk scoring system for prolonged ICU stay (> 3 days).RESULTS:
A total of 9% of patients exhibited more than 3 days of ICU stay. Age, operation name, preoperative lung injury, no epidural analgesia, and predicted post operative forced expiratory volume in 1 second (ppoFEV1) were the risk factors for prolonged ICU stay, by multivariable analysis (P < 0.05). Risk score, p was derived from the formula logit(p/[1-p]) = -5.39 + 0.06 x age + 1.12 x operation name(2) + 1.52 x operation name(3) + 1.32 x operation name(4) + 1.56 x operation name(5) + 1.30 x preoperative lung injury + 0.72 x no epidural analgesia - 0.02 x ppoFEV1 [Age in years, operation name(2) pneumonectomy, operation name(3) esophageal cancer operation, operation name(4) completion pneumonectomy, operation name(5) extended operation, preoperative lung injury(+), epidural analgesia(-), ppoFEV1 in %].CONCLUSIONS:
Age, operation name, preoperative lung injury, epidural analgesia, and ppoFEV1 can predict postoperative morbidity in thoracic surgery patients.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pneumonectomia
/
Complicações Pós-Operatórias
/
Cirurgia Torácica
/
Neoplasias Esofágicas
/
Analgesia Epidural
/
Modelos Logísticos
/
Volume Expiratório Forçado
/
Estudos Retrospectivos
/
Fatores de Risco
/
Lesão Pulmonar
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2012
Tipo de documento:
Artigo