Preoperative predictive factors for intensive care unit admission after pulmonary resection

Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia
Liana PinheiroSonia Maria Faresin

Abstract

To determine whether the use of a set of preoperative variables can predict the need for postoperative ICU admission. This was a prospective observational cohort study of 120 patients undergoing elective pulmonary resection between July of 2009 and April of 2012. Prediction of ICU admission was based on the presence of one or more of the following preoperative characteristics: predicted pneumonectomy; severe/very severe COPD; severe restrictive lung disease; FEV1 or DLCO predicted to be < 40% postoperatively; SpO2 on room air at rest < 90%; need for cardiac monitoring as a precautionary measure; or American Society of Anesthesiologists physical status ≥ 3. The gold standard for mandatory admission to the ICU was based on the presence of one or more of the following postoperative characteristics: maintenance of mechanical ventilation or reintubation; acute respiratory failure or need for noninvasive ventilation; hemodynamic instability or shock; intraoperative or immediate postoperative complications (clinical or surgical); or a recommendation by the anesthesiologist or surgeon to continue treatment in the ICU. Among the 120 patients evaluated, 24 (20.0%) were predicted to require ICU admission, and ICU admission was considered ...Continue Reading

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Citations

Aug 28, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Harrison F KayClinton J Devin
May 30, 2019·Journal of Clinical Medicine·Seung Hyun KimJeongmin Kim
Oct 28, 2020·Perioperative Medicine·Federico PiccioniUNKNOWN AIPO, Associazione Italiana Pneumologi Ospedalieri; SIAARTI, Società Italiana di Anestesia Analgesia Rianimazione Terapia In

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Statistical Package for the Social Sciences

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