Risk Factors for Postoperative Encephalopathies in Cardiac Surgery
| Autor: | A. N. Shepelyuk, T. V. Klypa, Yu. V. Nikiforov |
|---|---|
| Jazyk: | English<br />Russian |
| Rok vydání: | 2012 |
| Předmět: | |
| Zdroj: | Общая реаниматология, Vol 8, Iss 5 (2012) |
| Druh dokumentu: | article |
| ISSN: | 1813-9779 2411-7110 |
| DOI: | 10.15360/1813-9779-2012-5-47 |
| Popis: | Objective: to reveal risk factors for postoperative neurological complications (PONC) during surgery under extracorporeal circulation (EC). Subjects and methods. Five hundred and forty-eight patients were operated on under EC. Multimodality monitoring was performed in all the patients. Pre-, intra-, and postoperative data were analyzed. Results. Two patient groups were identified. These were 1) 59 patients with PONC and 2) 489 patients without PONC. The patients with PONC were older than those without PONC (61.95±1.15 and 59±0.4 years) and had a smaller body surface area (1.87±0.02 and 1.97±0.01 m2); in the PONC group, there were more women (37.3±6.4 and 22.1±1.9%). In Group 1, comorbidity was a significantly more common indication for surgery (33.9±6.22 and 9.2±1.29%). In this group, cerebral oxygenation (CO) was significantly lower (64±1.41 and 69.9±0.38%). In the preoperative period, there were group differences in hemoglobin (Hb), total protein, creatinine, and urea (135±2.03; 142±0.71 g/l, 73±0.93; 74.9±0.3 mmol/l, 104.7±3.3; 96.3±1.06 mmol/l, 7.5±0.4; 6.5±0.1 mmol/l, respectively). The PONC group more frequently exhibited more than 50% internal carotid artery (ICA) stenosis (28.8±5.95; 15.3± 1.63%; р |
| Databáze: | Directory of Open Access Journals |
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