Cirugía en el paciente cirrótico: características clínicas y complicaciones en una cohorte de pacientes chilenos
| Autor: | Abraham I.J. Gajardo, Jaime Castillo, Caterina Chesta, Hans Lembach, Alexandre Saure, Katherine González, Jaime Poniachik, Juan Carlos Díaz, Rafael Poniachik, Alejandro Freundlich, César Navea, Jaime Rappoport, Daniela B. Vera |
|---|---|
| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2019 |
| Předmět: |
Liver Cirrhosis
Alcoholic liver disease medicine.medical_specialty Cirrhosis business.industry Medical record General Medicine medicine.disease Intensive care unit Surgery law.invention 03 medical and health sciences Liver disease 0302 clinical medicine Interquartile range law Risk Factors Ascites medicine 030212 general & internal medicine medicine.symptom business Intraoperative Complications Abdominal surgery |
| Zdroj: | Revista médica de Chile v.147 n.9 2019 SciELO Chile CONICYT Chile instacron:CONICYT |
| Popis: | Background: Cirrhotic patients have an increased surgical risk due to potential intra and postoperative complications. Aim: To describe the clinical characteristics and surgical complications of cirrhotic patients undergoing surgery in a Chilean university hospital. Patients and Methods: Review of medical records of 102 cirrhotic patients aged 60 ± 11 years (52% males) who underwent elective or urgency surgery at an university hospital between 2010 and 2016. General, pre-surgical, and post-surgical complications were recorded. Results: The main etiologies of cirrhosis were non-alcoholic steatohepatitis (31%), and alcoholic cirrhosis (28%). Child-Pugh scores were A, B and C in 50, 28 and 22% of cases respectively. Median MELD (Model for End-stage Liver Disease) score was 11 (interquartile range: 10-15). The surgical procedure was elective in 71% of cases, with predominance of abdominal surgery (86%). The American Society of Anesthesiologists (ASA) score was three or more in 52% of patients. The frequency of any adverse outcome was 62%. The frequency increased along with the severity of cirrhosis and when surgery was urgent. The most common complications were acute renal failure (24%), increased ascites (23%) and encephalopathy (22%). Admission to intensive care unit occurred on 26% of patients, with six hospital deaths. Conclusions: In these patients, surgical complications were common, although with low mortality. |
| Databáze: | OpenAIRE |
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