Cardiopulmonary exercise testing and cardiopulmonary morbidity in patients undergoing major head and neck surgery
| Autor: | R.C.M. Stephens, B.B Lalabekyan, E. Burdett, N. Tetlow, Nicholas Kalavrezos, James M. Otto, Daniel Martin, E. Bettini, R. Moonesinghe, D. Wyndham |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
business.industry Cardiopulmonary exercise testing Logistic Models Oxygen Consumption Postoperative Complications ROC Curve Otorhinolaryngology Full data Anesthesia Risk stratification Heart rate Exercise Test Head and neck surgery Humans Medicine Surgery In patient Morbidity Oral Surgery Peak vo2 business Cohort study |
| Zdroj: | British Journal of Oral and Maxillofacial Surgery. 59:297-302 |
| ISSN: | 0266-4356 |
| DOI: | 10.1016/j.bjoms.2020.08.032 |
| Popis: | Cardiopulmonary exercise testing (CPET) is used as a risk stratification tool for patients undergoing major surgery. In this study, we investigated the role of CPET in predicting day five cardiopulmonary morbidity in patients undergoing head and neck surgery. This observational cohort study included 230 adults. We recorded preoperative CPET variables and day five postoperative cardiopulmonary morbidity. Full data from 187 patients were analysed; 43 patients either had incomplete data sets or declined surgery/CPET. One hundred and nineteen patients (63.6%) developed cardiopulmonary morbidity at day five. Increased preoperative heart rate and duration of surgery were independently associated with day five cardiopulmonary morbidity. Those with such morbidity also had lower peak VO2 11.4 (IQR 8.4-18.0) vs 16.0 (IQR 14.0-19.7) ml.kg-1.min-1, P |
| Databáze: | OpenAIRE |
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