prikaz prve stranice dokumenta Epidemiology, Practice of Ventilation and Outcome for Patients at Increased risk of Postoperative Pulmonary Complications: Las Vegas - an Observational Study in 29 Countries
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Scientific paper - Original scientific paper
Epidemiology, Practice of Ventilation and Outcome for Patients at Increased risk of Postoperative Pulmonary Complications: Las Vegas - an Observational Study in 29 Countries
European Journal of Anaesthesiology, 34 (2017); 492-507. https://doi.org/10.1097/EJA.0000000000000646
Pernar, Selma; Žunić, Josip; Mišković, Petar; Žilić, Antonio; Kvolik, Slavica; Ivić, Dubravka; Venžera Azenić, Darija; Škiljić, Sonja; Vinković, Hrvoje; Oputrić, Ivana; Juričić, Kazimir; Frković, Vedran; Kopić, Jasminka; Mirković, Ivan; Karanović, Nenad; Carev, Mladen; Dropulić, Nataša; Pavičić-Šarić, Jadranka; Erceg, Gorjana; Bogdanović Dvorščak, Matea; Mazul-Sunko, Branka; Pavičić, Ana Marija; Goranović, Tanja; Maldini, Branka; Radočaj, Tomislav; Gavranović, Željka; Mladić Batinica, Inga More authors...

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Pernar, S., Žunić, J., Mišković, P., Žilić, A., Kvolik, S., Ivić, D. ... Mladić Batinica, I. (2017). Epidemiology, Practice of Ventilation and Outcome for Patients at Increased risk of Postoperative Pulmonary Complications: Las Vegas - an Observational Study in 29 Countries. European Journal of Anaesthesiology, 34., 492-507. doi: 10.1097/EJA.0000000000000646

Pernar, Selma, et al. "Epidemiology, Practice of Ventilation and Outcome for Patients at Increased risk of Postoperative Pulmonary Complications: Las Vegas - an Observational Study in 29 Countries." European Journal of Anaesthesiology, vol. 34, 2017, pp. 492-507. https://doi.org/10.1097/EJA.0000000000000646

Pernar, Selma, Josip Žunić, Petar Mišković, Antonio Žilić, Slavica Kvolik, Dubravka Ivić, Darija Venžera Azenić, et al. "Epidemiology, Practice of Ventilation and Outcome for Patients at Increased risk of Postoperative Pulmonary Complications: Las Vegas - an Observational Study in 29 Countries." European Journal of Anaesthesiology 34 (2017): 492-507. https://doi.org/10.1097/EJA.0000000000000646

Pernar, S., et al. (2017) 'Epidemiology, Practice of Ventilation and Outcome for Patients at Increased risk of Postoperative Pulmonary Complications: Las Vegas - an Observational Study in 29 Countries', European Journal of Anaesthesiology, 34, pp. 492-507. doi: 10.1097/EJA.0000000000000646

Pernar S, Žunić J, Mišković P, Žilić A, Kvolik S, Ivić D, and sur.. Epidemiology, Practice of Ventilation and Outcome for Patients at Increased risk of Postoperative Pulmonary Complications: Las Vegas - an Observational Study in 29 Countries. European Journal of Anaesthesiology [Internet]. 2017 [cited 2024 November 16];34:492-507. doi: 10.1097/EJA.0000000000000646

S. Pernar, et al., "Epidemiology, Practice of Ventilation and Outcome for Patients at Increased risk of Postoperative Pulmonary Complications: Las Vegas - an Observational Study in 29 Countries", European Journal of Anaesthesiology, vol. 34, pp. 492-507, 2017. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:121668. [Accessed: 16 November 2024]

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Metadata
Title (english)Epidemiology, Practice of Ventilation and Outcome for Patients at Increased risk of Postoperative Pulmonary Complications: Las Vegas - an Observational Study in 29 Countries
AuthorSelma Pernar
AuthorJosip Žunić
AuthorPetar Mišković
AuthorAntonio Žilić
AuthorSlavica Kvolik
AuthorDubravka Ivić
AuthorDarija Venžera Azenić
AuthorSonja Škiljić
AuthorHrvoje Vinković
AuthorIvana Oputrić
AuthorKazimir Juričić
AuthorVedran Frković
AuthorJasminka Kopić
AuthorIvan Mirković
AuthorNenad Karanović
AuthorMladen Carev
AuthorNataša Dropulić
AuthorJadranka Pavičić-Šarić
AuthorGorjana Erceg
AuthorMatea Bogdanović Dvorščak
AuthorBranka Mazul-Sunko
AuthorAna Marija Pavičić
AuthorTanja Goranović
AuthorBranka Maldini
AuthorTomislav Radočaj
AuthorŽeljka Gavranović
AuthorInga Mladić Batinica
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
BACKGROUND Limited information exists about the epidemiology and outcome of surgical patients at increased risk of postoperative pulmonary complications (PPCs), and how intraoperative ventilation was managed in these patients. OBJECTIVES To determine the incidence of surgical patients at increased risk of PPCs, and to compare the intraoperative ventilation management and postoperative outcomes with patients at low risk of PPCs. DESIGN This was a prospective international 1-week observational study using the ‘Assess Respiratory Risk in Surgical Patients in Catalonia risk score’ (ARISCAT score) for PPC for risk stratification. PATIENTS AND SETTING Adult patients requiring intraoperative ventilation during general anaesthesia for surgery in 146 hospitals across 29 countries. MAIN OUTCOME MEASURES The primary outcome was the incidence of patients at increased risk of PPCs based on the ARISCAT score. Secondary outcomes included intraoperative ventilatory management and clinical outcomes. RESULTS A total of 9864 patients fulfilled the inclusion criteria. The incidence of patients at increased risk was 28.4%. The most frequently chosen tidal volume (VT) size was 500 ml, or 7 to 9 ml kg1 predicted body weight, slightly lower in patients at increased risk of PPCs. Levels of positive end-expiratory pressure (PEEP) were slightly higher in patients at increased risk of PPCs, with 14.3% receiving more than 5 cmH2O PEEP compared with 7.6% in patients at low risk of PPCs (P < 0.001). Patients with a predicted preoperative increased risk of PPCs developed PPCs more frequently: 19 versus 7%, relative risk (RR) 3.16 (95% confidence interval 2.76 to 3.61), P < 0.001) and had longer hospital stays. The only ventilatory factor associated with the occurrence of PPCs was the peak pressure. CONCLUSION The incidence of patients with a predicted increased risk of PPCs is high. A large proportion of patients receive high VT and low PEEP levels. PPCs occur frequently in patients at increased risk, with worse clinical outcome.
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleEuropean Journal of Anaesthesiology
Numberingvol. 34, pp. 492-507
p-ISSN0265-0215
e-ISSN1365-2346
DOIhttps://doi.org/10.1097/EJA.0000000000000646
URN:NBNurn:nbn:hr:220:121668
Publication2017
Document URLhttps://journals.lww.com/ejanaesthesiology/fulltext/2017/08000/epidemiology,_practice_of_ventilation_and_outcome.3.aspx
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2024-01-03 09:23:38