Postoperative Pulmonary Complications After Cardiac Surgery: The VENICE International Cohort Study

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064165%3A_____%2F22%3A10445831" target="_blank" >RIV/00064165:_____/22:10445831 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11110/22:10445831

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=9i2uCOx3Vm" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=9i2uCOx3Vm</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1053/j.jvca.2021.12.024" target="_blank" >10.1053/j.jvca.2021.12.024</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Postoperative Pulmonary Complications After Cardiac Surgery: The VENICE International Cohort Study

Popis výsledku v původním jazyce

Objective: Postoperative pulmonary complications (PPC) remain a main issue after cardiac surgery. The objective was to report the incidence and identify risk factors of PPC after cardiac surgery. Design: An international multicenter prospective study (42 international centers in 9 countries). Participants: A total of 707 adult patients who underwent cardiac surgery under cardiopulmonary bypass. Interventions: None Measurements and Main Results: During a study period of 2 weeks, the investigators included all patients in their respective centers and screened for PPCs. PPC was defined as the occurrence of at least 1 pulmonary complication among the following: atelectasis, pleural effusion, respiratory failure, respiratory infection, pneumothorax, bronchospasm, or aspiration pneumonitis. Among 676 analyzed patients, 373 patients presented with a PPC (55%). The presence of PPC was significantly associated with a longer intensive care length of stay and hospital length of stay. One hundred ninety (64%) patients were not intraoperatively ventilated during cardiopulmonary bypass. Ventilation settings were similar regarding tidal volume, respiratory rate, inspired oxygen. In the regression model, age, the Euroscore II, chronic obstructive pulmonary disease, preoxygenation modality, intraoperative positive end-expiratory pressure, the absence of pre- cardiopulmonary bypass ventilation, the absence of lung recruitment, and the neuromuscular blockade were associated with PPC occurrence. Conclusion: Both individual risk factors and ventilatory settings were shown to explain the high level of PPCs. These findings require further investigations to assess a bundle strategy for optimal ventilation strategy to decrease PPC incidence.

Název v anglickém jazyce

Postoperative Pulmonary Complications After Cardiac Surgery: The VENICE International Cohort Study

Popis výsledku anglicky

Objective: Postoperative pulmonary complications (PPC) remain a main issue after cardiac surgery. The objective was to report the incidence and identify risk factors of PPC after cardiac surgery. Design: An international multicenter prospective study (42 international centers in 9 countries). Participants: A total of 707 adult patients who underwent cardiac surgery under cardiopulmonary bypass. Interventions: None Measurements and Main Results: During a study period of 2 weeks, the investigators included all patients in their respective centers and screened for PPCs. PPC was defined as the occurrence of at least 1 pulmonary complication among the following: atelectasis, pleural effusion, respiratory failure, respiratory infection, pneumothorax, bronchospasm, or aspiration pneumonitis. Among 676 analyzed patients, 373 patients presented with a PPC (55%). The presence of PPC was significantly associated with a longer intensive care length of stay and hospital length of stay. One hundred ninety (64%) patients were not intraoperatively ventilated during cardiopulmonary bypass. Ventilation settings were similar regarding tidal volume, respiratory rate, inspired oxygen. In the regression model, age, the Euroscore II, chronic obstructive pulmonary disease, preoxygenation modality, intraoperative positive end-expiratory pressure, the absence of pre- cardiopulmonary bypass ventilation, the absence of lung recruitment, and the neuromuscular blockade were associated with PPC occurrence. Conclusion: Both individual risk factors and ventilatory settings were shown to explain the high level of PPCs. These findings require further investigations to assess a bundle strategy for optimal ventilation strategy to decrease PPC incidence.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30223 - Anaesthesiology

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2022

Kód důvěrnosti údajů

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

Název periodika

Journal of Cardiothoracic and Vascular Anesthesia

ISSN

1053-0770

e-ISSN

1532-8422

Svazek periodika

36

Číslo periodika v rámci svazku

8, Part A

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

8

Strana od-do

2344-2351

Kód UT WoS článku

000833405700016

EID výsledku v databázi Scopus

2-s2.0-85123718075