Role of heart-rate variability in preoperative assessment of physiological reserves in patients undergoing major abdominal surgery

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17610%2F17%3AA1801RXR" target="_blank" >RIV/61988987:17610/17:A1801RXR - isvavai.cz</a>

Alternative codes found

RIV/61989592:15110/17:73585505 RIV/00843989:_____/17:E0106579

Result on the web

<a href="http://dx.doi.org/10.2147/TCRM.S143809" target="_blank" >http://dx.doi.org/10.2147/TCRM.S143809</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.2147/TCRM.S143809" target="_blank" >10.2147/TCRM.S143809</a>

Result language

angličtina

Original language name

Role of heart-rate variability in preoperative assessment of physiological reserves in patients undergoing major abdominal surgery

Original language description

The final analysis included 53 patients. No significant difference was observed between the two groups regarding type of surgery, use of minimally invasive techniques or epidural catheter, duration of surgery and anesthesia, or the amount of fluid administered intraoperatively. The NCAR group had significantly greater intraoperative blood loss than the CAR group (541.7 +/- 541.9 mL vs 269.6 +/- 174.3 mL, p&lt;0.05). In the NCAR group, vasoactive drugs were used during anesthesia more frequently (n=21 vs n=4; p&lt;0.001), and more patients had at least one postoperative complication compared to the CAR group (n=19 vs n=4; p&lt;0.01). Furthermore, the NCAR group had more serious complications (Clavien-Dindo &gt;= Grade III n=6 vs n=0; p&lt;0.05) and a greater number of complications than the CAR group (n=57 vs n=5; p&lt;0.001). Significant differences were found for two specific subgroups of complications: hypotension requiring vasoactive drugs (NCAR: n=10 vs CAR: n=0; p&lt;0.01) and ileus (NCAR: n=11 vs CAR: n=2; p&lt;0.05). Moreover, significant differences were found in the ICU-LOS (NCAR: 5.7 +/- 3.5 days vs CAR: 2.6 +/- 0.7 days; p&lt;0.0001) and H-LOS (NCAR: 12.2 +/- 5.6 days vs CAR: 7.2 +/- 1.7 days; p&lt;0.0001).Conclusion: Preoperative HRV assessment during orthostatic load is objective and useful for identifying patients with low autonomic physiological reserves and high risk of poor postoperative course.

Czech name

—

Czech description

—

Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30212 - Surgery

Project

—

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

THERAPEUTICS AND CLINICAL RISK MANAGEMENT

ISSN

1178-203X

e-ISSN

—

Volume of the periodical

13

Issue of the periodical within the volume

9/2017

Country of publishing house

NZ - NEW ZEALAND

Number of pages

9

Pages from-to

1223-1231

UT code for WoS article

000411138000001

EID of the result in the Scopus database

2-s2.0-85030085532