Artículos de revistas
Prognostic Factors For Complications Following Pulmonary Resection: Pre-albumin Analysis, Time On Mechanical Ventilation, And Other Factors.
Registro en:
Jornal Brasileiro De Pneumologia : Publicaça̋o Oficial Da Sociedade Brasileira De Pneumologia E Tisilogia. v. 32, n. 6, p. 489-94
1806-3756
17435898
Autor
Bianchi, Renata Cristiane Gennari
de Souza, Juliana Nalin
Giaciani, Carolina de Almeida
Hoehr, Neucy Fenalti
Toro, Ivan Felizardo Contrera
Institución
Resumen
To determine whether pre-operative nutritional status and post-operative time on mechanical ventilation, as well as others factors, are correlated with post-operative complications (general or pulmonary) in patients undergoing elective thoracic surgery. A prospective study was conducted, involving 71 patients undergoing elective pulmonary resection. The data collected pre-operatively included gender, age, smoking status, pre-albumin level, lymphocyte count, and body mass index. The peri-operative data included type of surgery and surgical time, as well as post-operative time on mechanical ventilation. Post-operative complications were found to correlate with low pre-albumin concentration, type of resection, surgical time, and post-operative time on mechanical ventilation. Surgical time and post-operative time on mechanical ventilation were also implicated in the post-operative pulmonary complications observed in 22 (30.99%) of the patients studied. Our results suggest that pre-albumin concentration, type of surgery and surgical time, as well as post-operative time on mechanical ventilation, serve as predictive indices of post-operative complications in patients undergoing elective pulmonary resection. In the analysis of the post-operative pulmonary complications, statistically significant correlations were found between such complications and increases in surgical time or post-operative time on mechanical ventilation. 32 489-94