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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 Više autora...

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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, str. 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, str. 492-507. doi: 10.1097/EJA.0000000000000646

Pernar S, Žunić J, Mišković P, Žilić A, Kvolik S, Ivić D, i 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. [pristupljeno 27.10.2024.];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, str. 492-507, 2017. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:220:121668. [Citirano: 27.10.2024.]

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Naslov (engleski)Epidemiology, Practice of Ventilation and Outcome for Patients at Increased risk of Postoperative Pulmonary Complications: Las Vegas - an Observational Study in 29 Countries
AutorSelma Pernar
AutorJosip Žunić
AutorPetar Mišković
AutorAntonio Žilić
AutorSlavica Kvolik
AutorDubravka Ivić
AutorDarija Venžera Azenić
AutorSonja Škiljić
AutorHrvoje Vinković
AutorIvana Oputrić
AutorKazimir Juričić
AutorVedran Frković
AutorJasminka Kopić
AutorIvan Mirković
AutorNenad Karanović
AutorMladen Carev
AutorNataša Dropulić
AutorJadranka Pavičić-Šarić
AutorGorjana Erceg
AutorMatea Bogdanović Dvorščak
AutorBranka Mazul-Sunko
AutorAna Marija Pavičić
AutorTanja Goranović
AutorBranka Maldini
AutorTomislav Radočaj
AutorŽeljka Gavranović
AutorInga Mladić Batinica
Autorova ustanova(Klinički bolnički centar Sestre milosrdnice)
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Sažetak (engleski)
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.
Jezikengleski
Vrsta publikacijeZnanstveni rad - Izvorni znanstveni rad
Status objaveObjavljen
Vrsta recenzijeRecenziran
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaEuropean Journal of Anaesthesiology
Brojčani podacivol. 34, str. 492-507
p-ISSN0265-0215
e-ISSN1365-2346
DOIhttps://doi.org/10.1097/EJA.0000000000000646
URN:NBNurn:nbn:hr:220:121668
Datum objave publikacije2017
URL dokumentahttps://journals.lww.com/ejanaesthesiology/fulltext/2017/08000/epidemiology,_practice_of_ventilation_and_outcome.3.aspx
Vrsta resursaTekst
Prava pristupaOtvoreni pristup
Uvjeti korištenjaIkona licence Imenovanje-Nekomercijalno-Bez prerada 4.0 međunarodna (CC BY-NC-ND 4.0)
Datum i vrijeme pohrane2024-01-03 09:23:38