Predictors of postoperative complication and prolonged intensive care unit stay after complete pericardiectomy in tuberculous constrictive pericarditis

Autor: Guocan Yu, Jinpeng Huang, Likui Fang, Bo Ye, Wuchen Zhao
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Critical Care
medicine.medical_treatment
Intensive care unit stay
lcsh:Surgery
Complete pericardiectomy
030204 cardiovascular system & hematology
law.invention
lcsh:RD78.3-87.3
03 medical and health sciences
0302 clinical medicine
Postoperative Complications
law
Risk Factors
Tuberculous constrictive pericarditis
Medicine
Humans
Risk factor
Pericardiectomy
Retrospective Studies
business.industry
Proportional hazards model
Central venous pressure
Pericarditis
Constrictive
Postoperative complication
General Medicine
Pericarditis
Tuberculous
lcsh:RD1-811
Length of Stay
Intensive care unit
Surgery
Cardiac surgery
Intensive Care Units
Logistic Models
030228 respiratory system
Cardiothoracic surgery
lcsh:Anesthesiology
Cardiology and Cardiovascular Medicine
business
Research Article
Zdroj: Journal of Cardiothoracic Surgery, Vol 15, Iss 1, Pp 1-8 (2020)
Journal of Cardiothoracic Surgery
ISSN: 1749-8090
DOI: 10.1186/s13019-020-01198-9
Popis: Background The risk factors of postoperative outcomes after pericardiectomy in tuberculous constrictive pericarditis have still been unclear. This study aimed to investigate the predictors of postoperative complication and prolonged intensive care unit (ICU) stay in the patients with tuberculous constrictive pericarditis undergoing pericardiectomy. Methods A total of 88 patients with tuberculous constrictive pericarditis undergoing pericardiectomy were retrospectively enrolled. Logistic regression and Cox regression analysis were performed to identify the predictors of postoperative complication and prolonged ICU stay, respectively. Results All patients underwent complete pericardiectomy and 35 (39.8%) had postoperative complication with no mortality within 30 days after surgery and no in-hospital deaths. Postoperative complication prolonged postoperative ICU stay (P P P P = 0.004, OR 4.051, 95%CI 1.558–10.533) and preoperative central venous pressure (CVP) (P = 0.031, OR 1.151, 95%CI 1.013–1.309) were independent risk factors of postoperative complication. Postoperative complication (P Conclusion Complete pericardiectomy was associated with high risk of postoperative complication in tuberculous constrictive pericarditis. Poor preoperative NYHA functional class and high preoperative CVP were shown to predict postoperative complication which was the predictor of prolonged ICU stay.
Databáze: OpenAIRE
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