Root causes and outcomes of postoperative pulmonary complications after abdominal surgery: A retrospective observational cohort study

Detalhes bibliográficos
Autor(a) principal: Fernandes, Antero
Data de Publicação: 2019
Outros Autores: Rodrigues, Jéssica, Lages, Patrícia, Lança, Sara, Mendes, Paula, Antunes, Luís, Santos, Carla Salomé, Castro, Clara, Costa, Rafael S., Lopes, Carlos Silva, Da Costa, Paulo Matos, Santos, Lúcio Lara
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/105078
Resumo: FCT project IPOscore (DSAIPA/DS/0042/2018).
id RCAP_861ef70b3e31a9f64db7b7ebe547eaa3
oai_identifier_str oai:run.unl.pt:10362/105078
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Root causes and outcomes of postoperative pulmonary complications after abdominal surgery: A retrospective observational cohort studyAbdominal surgeryAcute respiratory failureMechanical ventilationPolyvalent intensive care unitPostoperative pulmonary complicationsRisk scoreSurgeryOrthopedics and Sports MedicineAnesthesiology and Pain MedicineSDG 2 - Zero HungerSDG 3 - Good Health and Well-beingFCT project IPOscore (DSAIPA/DS/0042/2018).Background: Postoperative pulmonary complications (PPCs) contribute significantly to overall postoperative morbidity and mortality. In abdominal surgery, PPCs remain frequent. The study aimed to analyze the profile and outcomes of PPCs in patients submitted to abdominal surgery and admitted in a Portuguese polyvalent intensive care unit. Methods: From January to December 2017 in the polyvalent intensive care unit of Hospital Garcia de Orta, Almada, Portugal, we conducted a retrospective, observational study of inpatients submitted to urgent or elective abdominal surgery who had severe PPCs. We evaluated the perioperative risk factors and associated mortality. Logistic regression was performed to find which perioperative risk factors were most important in the occurrence of PPCs. Results: Sixty patients (75% male) with a median age of 64.5 [47-81] years who were submitted to urgent or elective abdominal surgery were included in the analysis. Thirty-six patients (60%) developed PPCs within 48 h and twenty-four developed PPCs after 48 h. Pneumonia was the most frequent PPC in this sample. In this cohort, 48 patients developed acute respiratory failure and needed mechanical ventilation. In the emergency setting, peritonitis had the highest rate of PPCs. Electively operated patients who developed PPCs were mostly carriers of digestive malignancies. Thirty-day mortality was 21.7%. The risk of PPCs development in the first 48 h was related to the need for neuromuscular blocking drugs several times during surgery and preoperative abnormal arterial blood gases. Median abdominal surgical incision, long surgery duration, and high body mass index were associated with PPCs that occurred more than 48 h after surgery. The American Society of Anesthesiologists physical status score 4 and COPD/Asthma determined less mechanical ventilation needs since they were preoperatively optimized. Malnutrition (low albumin) before surgery was associated with 30-day mortality. Conclusion: PPCs after abdominal surgery are still a major problem since they have profound effects on outcomes. Our results suggest that programs before surgery, involve preoperative lifestyle changes, such as nutritional supplementation, exercise, stress reduction, and smoking cessation, were an effective strategy in mitigating postoperative complications by decreasing mortality.LAQV@REQUIMTEDQ - Departamento de QuímicaRUNFernandes, AnteroRodrigues, JéssicaLages, PatríciaLança, SaraMendes, PaulaAntunes, LuísSantos, Carla SaloméCastro, ClaraCosta, Rafael S.Lopes, Carlos SilvaDa Costa, Paulo MatosSantos, Lúcio Lara2020-10-02T22:24:40Z2019-12-032019-12-03T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/105078eng1754-9493PURE: 19005294https://doi.org/10.1186/s13037-019-0221-5info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:50:31Zoai:run.unl.pt:10362/105078Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:40:24.571505Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Root causes and outcomes of postoperative pulmonary complications after abdominal surgery: A retrospective observational cohort study
title Root causes and outcomes of postoperative pulmonary complications after abdominal surgery: A retrospective observational cohort study
spellingShingle Root causes and outcomes of postoperative pulmonary complications after abdominal surgery: A retrospective observational cohort study
Fernandes, Antero
Abdominal surgery
Acute respiratory failure
Mechanical ventilation
Polyvalent intensive care unit
Postoperative pulmonary complications
Risk score
Surgery
Orthopedics and Sports Medicine
Anesthesiology and Pain Medicine
SDG 2 - Zero Hunger
SDG 3 - Good Health and Well-being
title_short Root causes and outcomes of postoperative pulmonary complications after abdominal surgery: A retrospective observational cohort study
title_full Root causes and outcomes of postoperative pulmonary complications after abdominal surgery: A retrospective observational cohort study
title_fullStr Root causes and outcomes of postoperative pulmonary complications after abdominal surgery: A retrospective observational cohort study
title_full_unstemmed Root causes and outcomes of postoperative pulmonary complications after abdominal surgery: A retrospective observational cohort study
title_sort Root causes and outcomes of postoperative pulmonary complications after abdominal surgery: A retrospective observational cohort study
author Fernandes, Antero
author_facet Fernandes, Antero
Rodrigues, Jéssica
Lages, Patrícia
Lança, Sara
Mendes, Paula
Antunes, Luís
Santos, Carla Salomé
Castro, Clara
Costa, Rafael S.
Lopes, Carlos Silva
Da Costa, Paulo Matos
Santos, Lúcio Lara
author_role author
author2 Rodrigues, Jéssica
Lages, Patrícia
Lança, Sara
Mendes, Paula
Antunes, Luís
Santos, Carla Salomé
Castro, Clara
Costa, Rafael S.
Lopes, Carlos Silva
Da Costa, Paulo Matos
Santos, Lúcio Lara
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv LAQV@REQUIMTE
DQ - Departamento de Química
RUN
dc.contributor.author.fl_str_mv Fernandes, Antero
Rodrigues, Jéssica
Lages, Patrícia
Lança, Sara
Mendes, Paula
Antunes, Luís
Santos, Carla Salomé
Castro, Clara
Costa, Rafael S.
Lopes, Carlos Silva
Da Costa, Paulo Matos
Santos, Lúcio Lara
dc.subject.por.fl_str_mv Abdominal surgery
Acute respiratory failure
Mechanical ventilation
Polyvalent intensive care unit
Postoperative pulmonary complications
Risk score
Surgery
Orthopedics and Sports Medicine
Anesthesiology and Pain Medicine
SDG 2 - Zero Hunger
SDG 3 - Good Health and Well-being
topic Abdominal surgery
Acute respiratory failure
Mechanical ventilation
Polyvalent intensive care unit
Postoperative pulmonary complications
Risk score
Surgery
Orthopedics and Sports Medicine
Anesthesiology and Pain Medicine
SDG 2 - Zero Hunger
SDG 3 - Good Health and Well-being
description FCT project IPOscore (DSAIPA/DS/0042/2018).
publishDate 2019
dc.date.none.fl_str_mv 2019-12-03
2019-12-03T00:00:00Z
2020-10-02T22:24:40Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/105078
url http://hdl.handle.net/10362/105078
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1754-9493
PURE: 19005294
https://doi.org/10.1186/s13037-019-0221-5
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799138019336257536

Registros relacionados