Predictors of prolonged pleural effusion after Fontan operation
| Autor: | Betül Çınar, Sezen Ugan Atik, Selman Gökalp, Erman Çilsal, Murat Şahin, Hacer Kamalı, İsmihan Selen Onan, Serhat Bahadır Genç, Okan Yıldız, Sertaç Haydin, Kürşad Nuri Baydili, Yakup Ergül, Alper Güzeltaş |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Cardiology in the Young. :1-7 |
| ISSN: | 1467-1107 1047-9511 |
| DOI: | 10.1017/s1047951123000264 |
| Popis: | Prolonged pleural effusion (PPE) is a fairly common condition which has considerable impact on complicated and longer hospital stays in the process of adaptation to new physiology after Fontan surgery. Identifying the patient population which is prone to have pleural effusions is still seeking for an answer. The purpose of this study is to determine the variables that may predict PPE according to the data of 69 patients who underwent Fontan operation between June 2018 -December 2020 and survived to date. Prolonged pleural effusion was defined as the need for a chest tube for more than 7 days. Two patient groups (with prolonged effusion: PPE group and without prolonged effusion: Non-PPE) were compared in terms of pre, peri and postoperative variables. Moreover, the patients were subdivided into "high risk" and "low risk" groups ( high risk is defined by either of : PVR/SVR ratio> 0.3, mPAP>15 mmHg , VEDP >12 mmHg , TPG>10 mmHg, RPA or LPA Z-score Among numerous variables, statistical significance between two groups was achieved in preoperative mPAP; postoperative albumin, C reactive protein (CRP) levels, lenght of hospital stay, duration of chest tube drainage and amount of effusion per day]. As PPE increases the duration of hospital stay after Fontan operation, early recognition and treatment strategies with routinely used medical protocols remain to be the cornerstone for management of postoperative effusions. |
| Databáze: | OpenAIRE |
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