| Autor: |
Abraham Ij, Gajardo, Rafael, Poniachik, Alejandro, Freundlich, Daniela B, Vera, Caterina, Chesta, Jaime, Rappoport, Juan Carlos, Díaz, Alexandre, Saure, Jaime, Castillo, Hans, Lembach, Katherine, González, César, Navea, Jaime, Poniachik |
| Rok vydání: |
2018 |
| Předmět: |
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| Zdroj: |
Revista medica de Chile. 147(9) |
| ISSN: |
0717-6163 |
| Popis: |
Cirrhotic patients have an increased surgical risk due to potential intra and postoperative complications.To describe the clinical characteristics and surgical complications of cirrhotic patients undergoing surgery in a Chilean university hospital.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.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.In these patients, surgical complications were common, although with low mortality. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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