Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/235936
Type: Artigo de periódico
Title: Risk Factors For Transient Dysfunction Of Gas Exchange After Cardiac Surgery.
Author: Rodrigues, Cristiane Delgado Alves
Moreira, Marcos Mello
Lima, Núbia Maria Freire Vieira
Figueirêdo, Luciana Castilho de
Falcão, Antônio Luis Eiras
Petrucci Junior, Orlando
Dragosavac, Desanka
Abstract: A retrospective cohort study was preformed aiming to verify the presence of transient dysfunction of gas exchange in the postoperative period of cardiac surgery and determine if this disorder is linked to cardiorespiratory events. We included 942 consecutive patients undergoing cardiac surgery and cardiac procedures who were referred to the Intensive Care Unit between June 2007 and November 2011. Fifteen patients had acute respiratory distress syndrome (2%), 199 (27.75%) had mild transient dysfunction of gas exchange, 402 (56.1%) had moderate transient dysfunction of gas exchange, and 39 (5.4%) had severe transient dysfunction of gas exchange. Hypertension and cardiogenic shock were associated with the emergence of moderate transient dysfunction of gas exchange postoperatively (P=0.02 and P=0.019, respectively) and were risk factors for this dysfunction (P=0.0023 and P=0.0017, respectively). Diabetes mellitus was also a risk factor for transient dysfunction of gas exchange (P=0.03). Pneumonia was present in 8.9% of cases and correlated with the presence of moderate transient dysfunction of gas exchange (P=0.001). Severe transient dysfunction of gas exchange was associated with patients who had renal replacement therapy (P=0.0005), hemotherapy (P=0.0001), enteral nutrition (P=0.0012), or cardiac arrhythmia (P=0.0451). Preoperative hypertension and cardiogenic shock were associated with the occurrence of postoperative transient dysfunction of gas exchange. The preoperative risk factors included hypertension, cardiogenic shock, and diabetes. Postoperatively, pneumonia, ventilator-associated pneumonia, renal replacement therapy, hemotherapy, and cardiac arrhythmia were associated with the appearance of some degree of transient dysfunction of gas exchange, which was a risk factor for reintubation, pneumonia, ventilator-associated pneumonia, and renal replacement therapy in the postoperative period of cardiac surgery and cardiac procedures.
Subject: Adult
Aged
Cardiac Surgical Procedures
Diabetes Complications
Epidemiologic Methods
Female
Humans
Hypertension
Intensive Care Units
Length Of Stay
Male
Middle Aged
Postoperative Complications
Pulmonary Gas Exchange
Respiratory Distress Syndrome, Adult
Respiratory Tract Diseases
Severity Of Illness Index
Shock, Cardiogenic
Time Factors
Citation: Revista Brasileira De Cirurgia Cardiovascular : Órgão Oficial Da Sociedade Brasileira De Cirurgia Cardiovascular. v. 30, n. 1, p. 24-32
Rights: fechado
Identifier DOI: 10.5935/1678-9741.20140103
Address: http://www.ncbi.nlm.nih.gov/pubmed/25859864
Date Issue: -1-Uns- -1
Appears in Collections:Unicamp - Artigos e Outros Documentos

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