Scopus
YÖKSİS Eşleşti
Epidemiology, practice of ventilation and outcome for patients at increased risk of postoperative pulmonary complications: LAS VEGAS - An observational study in 29 countries
European Journal of Anaesthesiology · Ağustos 2017
YÖKSİS Kayıtları
Epidemiology, practice of ventilation and outcome for patients at increased risk of postoperative pulmonary complications
European Journal of Anaesthesiology · 2017 SCI-Expanded
PROFESÖR OĞUZHAN ARUN →
Makale Bilgileri
DergiEuropean Journal of Anaesthesiology
Yayın TarihiAğustos 2017
Cilt / Sayfa34 · 492-507
Scopus ID2-s2.0-85021846260
Özet
Background: Limited information exists about the epidemiology and outcome of surgical patients at increased risk of postoperative pulmonary complications (PPCs), and how intraoperative ventilation was managed in these patients. Objectives: To determine the incidence of surgical patients at increased risk of PPCs, and to compare the intraoperative ventilation management and postoperative outcomes with patients at low risk of PPCs. Design: This was a prospective international 1-week observational study using the 'Assess Respiratory Risk in Surgical Patients in Catalonia risk score' (ARISCAT score) for PPC for risk stratification. Patients and Setting: Adult patients requiring intraoperative ventilation during general anaesthesia for surgery in 146 hospitals across 29 countries. Main Outcome Measures: The primary outcome was the incidence of patients at increased risk of PPCs based on the ARISCAT score. Secondary outcomes included intraoperative ventilatory management and clinical outcomes. Results: A total of 9864 patients fulfilled the inclusion criteria. The incidence of patients at increased risk was 28.4%. The most frequently chosen tidal volume (VT) size was 500 ml, or 7 to 9 ml kg-1 predicted body weight, slightly lower in patients at increased risk of PPCs. Levels of positive end-expiratory pressure (PEEP) were slightly higher in patients at increased risk of PPCs, with 14.3% receiving more than 5 cmH 2 O PEEP compared with 7.6% in patients at low risk of PPCs (P < 0.001). Patients with a predicted preoperative increased risk of PPCs developed PPCs more frequently: 19 versus 7%, relative risk (RR) 3.16 (95% confidence interval 2.76 to 3.61), P < 0.001) and had longer hospital stays. The only ventilatory factor associated with the occurrence of PPCs was the peak pressure. Conclusion: The incidence of patients with a predicted increased risk of PPCs is high. A large proportion of patients receive high VT and low PEEP levels. PPCs occur frequently in patients at increased risk, with worse clinical outcome.
Yazarlar (100)
1
Marcus J. Schultz
2
Sabrine N. Hemmes
3
Ary Serpa Neto
4
Jan M. Binnekade
5
Jaume Canet
6
Goran Hedenstierna
7
Samir Jaber
8
Michael Hiesmayr
9
Markus W. Hollmann
10
Gary H. Mills
11
Marcos F. Vidal Melo
12
Rupert M. Pearse
13
Christian Putensen
14
Werner Schmid
15
Paolo Severgnini
16
Hermann Wrigge
17
Marcelo Gama de Abreu
18
Paolo Pelosi
19
Wolfgang Kroell
20
Helfried Metzler
21
Gerd Struber
22
Thomas Wegscheider
23
Hans Gombotz
24
Bernhard Urbanek
25
Brigitte Leva
26
Sandrine Damster
27
Benoit Plichon
28
David Kahn
29
Mona Momeni
30
Audrey Pospiech
31
Fernande Lois
32
Patrice Forget
33
Irina Grosu
34
Jan Poelaert
35
Veerle van Mossevelde
36
Marie Claire van Malderen
37
Dimitri Dylst
38
Jeroen van Melkebeek
39
Maud Beran
40
Stefan De Hert
41
Luc De Baerdemaeker
42
Bjorn Heyse
43
Jurgen Van Limmen
44
Piet Wyffels
45
Tom Jacobs
46
Nathalie Roels
47
Ann De Bruyne
48
Stijn van de Velde
49
Marina Juros-Zovko
50
Dejana Djonovic-Omanovic
51
Selma Pernar
52
Josip Zunic
53
Petar Miskovic
54
Antonio Zilic
55
Slavica Kvolik
56
Dubravka Ivic
57
Darija Azenic-Venzera
58
Sonja Skiljic
59
Hrvoje Vinkovic
60
Ivana Oputric
61
Kazimir Juricic
62
Vedran Frkovic
63
Jasminka Kopic
64
Ivan Mirkovic
65
Nenad Karanovic
66
Mladen Carev
67
Natasa Dropulic
68
J. Pavicic-Ṧaric
69
Gorjana Erceg
70
M. Bogdanovic Dvoršcak
71
Branka Mazul-Sunko
72
Anna Marija Pavicic
73
Tanja Goranovic
74
Branka Maldini
75
Tomislav Radocaj
76
Zeljka Gavranovic
77
Inga Mladic-Batinica
78
Mirna Sehovic
79
Petr Stourac
80
Hana Harazim
81
Olga Smekalova
82
Martina Kosinova
83
Tomas Kolacek
84
Kamil Hudacek
85
Michal Drab
86
Jan Brujevic
87
Katerina Vitkova
88
Katerina Jirmanova
89
Ivana Volfova
90
Paula Dzurnakova
91
Katarina Liskova
92
Radovan Dudas
93
Radek Filipsky
94
Samir el Kafrawy
95
H. Hosny Abdelwahab
96
Tarek Metwally
97
Ahmed Abdel-Razek
98
Ahmed Mostafa El-Shaarawy
99
W. Fathy Hasan
100
A. Gouda Ahmed
Kurumlar
Akademiska Sjukhuset
Uppsala Sweden
Hôpital Saint Eloi
Montpellier France
Hospital Israelita Albert Einstein
Sao Paulo Brazil
Hospital Universitari Germans Trias i Pujol
Badalona Spain
IRCCS San Martino Polyclinic Hospital
Genoa Italy
Massachusetts General Hospital
Boston United States
Medizinische Universität Wien
Vienna Austria
Queen Mary University of London
London United Kingdom
Sheffield Teaching Hospitals NHS Foundation Trust
Sheffield United Kingdom
Università degli Studi dell'Insubria
Varese Italy
Universität Leipzig
Leipzig Germany
Universitätsklinikum Bonn
Bonn Germany
Universitätsklinikum Carl Gustav Carus Dresden
Dresden Germany
Universiteit van Amsterdam
Amsterdam Netherlands
Metrikler
200
Atıf
100
Yazar