[Severity Factors of Pulmonary Aspergilloma in the Surgical Intensive Care Unit of Joseph Ravoahangy Andrianavalona Hospital, Antananarivo, Madagascar].

Autor:	Razafimanjato NNM; USFR de chirurgie thoracique, Hôpital universitaire Joseph Ravoahangy Andrianavalona (HUJRA), Faculté de médecine d'Antananarivo, Madagascar., Rakotoson JM; USFR d'anesthésie-réanimation chirurgicale, Hôpital universitaire Joseph Ravoahangy Andrianavalona (HJRA). Faculté de médecine d'Antananarivo, Madagascar., Ravoatrarilandy M; USFR de chirurgie thoracique, Hôpital universitaire Joseph Ravoahangy Andrianavalona (HUJRA), Faculté de médecine d'Antananarivo, Madagascar., Andrianasolo RL; USFR de maladie infectieuse et tropicale, Hôpital universitaire Joseph Raseta Befelatanana (HJRB). Faculté de médecine d'Antananarivo, Madagascar., Rajaonera AT; USFR d'anesthésie-réanimation chirurgicale, Hôpital universitaire Joseph Ravoahangy Andrianavalona (HJRA). Faculté de médecine d'Antananarivo, Madagascar., Raveloson NE; USFR de réanimation médicale, Hôpital universitaire Joseph Raseta De Befelatanana (HJRB). Faculté de médecine d'Antananarivo, Madagascar., Rakotovao HJL; USFR de chirurgie thoracique, Hôpital universitaire Joseph Ravoahangy Andrianavalona (HUJRA), Faculté de médecine d'Antananarivo, Madagascar.
Jazyk:	francouzština
Zdroj:	Medecine tropicale et sante internationale [Med Trop Sante Int] 2021 Feb 18; Vol. 1 (1). Date of Electronic Publication: 2021 Feb 18 (Print Publication: 2021).
DOI:	10.48327/E9QE-PV02
Abstrakt:	Objective: This retrospective study was designed to study the clinical profile, post-operative outcome with analysis of severity factors of pulmonary aspergilloma operated in our institute. Patients and Methodology: During a 5-year period (June 2009 to June 2014), 34 patients underwent surgery for pulmonary aspergilloma and were admitted in the surgical intensive care unit of the CHU/JRA Antananarivo. Results: The group consist of 23 male patients and 11 female patients with a mean age of 42 ± 9.9 years. In 29.4% of cases, it was a complex aspergilloma. The procedures performed were segmental resection (n = 3), lobectomy (n = 21), bi-lobectomy (n = 2), pneumonectomy (n = 7) and cavernostomy (n = 1). Median hospital stay was 4.5 ± 3 days. The postoperative lethality rate was 14.7% caused by respiratory failure, infection and underlying diseases. Main complications included bleeding, respiratory failures, and pulmonary infection. Conclusion: Factors associated to increased postoperative complications included: the ASA score, decreased preoperative lung function, urgent procedures, smoking, postoperative mechanical ventilation, bleeding, hyperleukocytosis and surgery duration. Competing Interests: Les auteurs ne déclarent aucun conflit d'intérêts. (Copyright © 2021 SFMTSI.)
Databáze:	MEDLINE
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