Incidence of and risk factors for cardiovascular complications after thoracic surgery for noncancerous lesions

Objective The purpose of this study was to determine the incidence of and risk factors for cardiovascular complications after thoracic surgery for noncancerous lesions. Design Retrospective cohort study. Setting A tertiary medical center. Participants All consecutive patients undergoing either thora...

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Main Authors: Pipanmekaporn T., Punjasawadwong Y., Charuluxananan S., Lapisatepun W., Bunburaphong P., Patumanond J., Saeteng S., Chandee T.
Format: Article
Language:English
Published: W.B. Saunders 2014
Online Access:http://www.scopus.com/inward/record.url?eid=2-s2.0-84903979277&partnerID=40&md5=51afe7f1b1d6148b63e91eae0957edb3
http://cmuir.cmu.ac.th/handle/6653943832/37607
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spelling th-cmuir.6653943832-376072014-12-09T05:50:39Z Incidence of and risk factors for cardiovascular complications after thoracic surgery for noncancerous lesions Pipanmekaporn T. Punjasawadwong Y. Charuluxananan S. Lapisatepun W. Bunburaphong P. Patumanond J. Saeteng S. Chandee T. Objective The purpose of this study was to determine the incidence of and risk factors for cardiovascular complications after thoracic surgery for noncancerous lesions. Design Retrospective cohort study. Setting A tertiary medical center. Participants All consecutive patients undergoing either thoracotomy or thoracoscopy for noncancerous lesions between 2005 and 2011 were included. Measurements and Main results The primary outcomes were the incidence and types of cardiovascular complications such as cardiac arrhythmias, cardiac arrest, heart failure, and myocardial ischemia during hospitalization. A total of 719 patients were recruited, 60% of whom had infections. The incidence of cardiovascular complications after thoracic surgery was 6.7% (48 of 719), of which cardiac arrhythmia was the most common (25 of 48, 52%). The multivariate risk regression analysis showed that age>55 years (risk ratio [RR] = 4.0; 95% confidence interval [CI] = 2.1-7.5; p<0.01), diabetes mellitus (RR = 3.0; 95% CI = 1.7-5.3; p<0.01), coronary artery disease (RR = 4.8; 95% CI = 2.3-10.2; p<0.01), duration of surgery>180 minutes (RR = 2.6; 95% CI = 1.3-5.1; p<0.01), intraoperative hypotension (RR = 2.6; 95% CI = 1.6-4.3; p<0.01), and positive fluid balance>2,000 mL (RR = 2.5; 95% CI = 1.4-4.5; p<0.01) were independent risk factors for cardiovascular complications. Conclusions Knowledge of risk factors could help surgical teams to identify high risk patients and adjust modifiable risk factors including optimization of medical conditions, correction of intraoperative hypotension, and appropriate blood and fluid administration in order to reduce perioperative morbidity and mortality. © 2014 Elsevier Inc. 2014-12-09T05:50:39Z 2014-12-09T05:50:39Z 2014 Article 10530770 10.1053/j.jvca.2014.02.002 JCVAE http://www.scopus.com/inward/record.url?eid=2-s2.0-84903979277&partnerID=40&md5=51afe7f1b1d6148b63e91eae0957edb3 http://cmuir.cmu.ac.th/handle/6653943832/37607 English W.B. Saunders
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
language English
description Objective The purpose of this study was to determine the incidence of and risk factors for cardiovascular complications after thoracic surgery for noncancerous lesions. Design Retrospective cohort study. Setting A tertiary medical center. Participants All consecutive patients undergoing either thoracotomy or thoracoscopy for noncancerous lesions between 2005 and 2011 were included. Measurements and Main results The primary outcomes were the incidence and types of cardiovascular complications such as cardiac arrhythmias, cardiac arrest, heart failure, and myocardial ischemia during hospitalization. A total of 719 patients were recruited, 60% of whom had infections. The incidence of cardiovascular complications after thoracic surgery was 6.7% (48 of 719), of which cardiac arrhythmia was the most common (25 of 48, 52%). The multivariate risk regression analysis showed that age>55 years (risk ratio [RR] = 4.0; 95% confidence interval [CI] = 2.1-7.5; p<0.01), diabetes mellitus (RR = 3.0; 95% CI = 1.7-5.3; p<0.01), coronary artery disease (RR = 4.8; 95% CI = 2.3-10.2; p<0.01), duration of surgery>180 minutes (RR = 2.6; 95% CI = 1.3-5.1; p<0.01), intraoperative hypotension (RR = 2.6; 95% CI = 1.6-4.3; p<0.01), and positive fluid balance>2,000 mL (RR = 2.5; 95% CI = 1.4-4.5; p<0.01) were independent risk factors for cardiovascular complications. Conclusions Knowledge of risk factors could help surgical teams to identify high risk patients and adjust modifiable risk factors including optimization of medical conditions, correction of intraoperative hypotension, and appropriate blood and fluid administration in order to reduce perioperative morbidity and mortality. © 2014 Elsevier Inc.
format Article
author Pipanmekaporn T.
Punjasawadwong Y.
Charuluxananan S.
Lapisatepun W.
Bunburaphong P.
Patumanond J.
Saeteng S.
Chandee T.
spellingShingle Pipanmekaporn T.
Punjasawadwong Y.
Charuluxananan S.
Lapisatepun W.
Bunburaphong P.
Patumanond J.
Saeteng S.
Chandee T.
Incidence of and risk factors for cardiovascular complications after thoracic surgery for noncancerous lesions
author_facet Pipanmekaporn T.
Punjasawadwong Y.
Charuluxananan S.
Lapisatepun W.
Bunburaphong P.
Patumanond J.
Saeteng S.
Chandee T.
author_sort Pipanmekaporn T.
title Incidence of and risk factors for cardiovascular complications after thoracic surgery for noncancerous lesions
title_short Incidence of and risk factors for cardiovascular complications after thoracic surgery for noncancerous lesions
title_full Incidence of and risk factors for cardiovascular complications after thoracic surgery for noncancerous lesions
title_fullStr Incidence of and risk factors for cardiovascular complications after thoracic surgery for noncancerous lesions
title_full_unstemmed Incidence of and risk factors for cardiovascular complications after thoracic surgery for noncancerous lesions
title_sort incidence of and risk factors for cardiovascular complications after thoracic surgery for noncancerous lesions
publisher W.B. Saunders
publishDate 2014
url http://www.scopus.com/inward/record.url?eid=2-s2.0-84903979277&partnerID=40&md5=51afe7f1b1d6148b63e91eae0957edb3
http://cmuir.cmu.ac.th/handle/6653943832/37607
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