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

Kód výsledku v 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>

Nalezeny alternativní kódy

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

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30212 - Surgery

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2017

Kód důvěrnosti údajů

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

Název periodika

THERAPEUTICS AND CLINICAL RISK MANAGEMENT

ISSN

1178-203X

e-ISSN

—

Svazek periodika

13

Číslo periodika v rámci svazku

9/2017

Stát vydavatele periodika

NZ - Nový Zéland

Počet stran výsledku

9

Strana od-do

1223-1231

Kód UT WoS článku

000411138000001

EID výsledku v databázi Scopus

2-s2.0-85030085532