May Renal Resistive Index Be an Early Predictive Tool of Postoperative Complications in Major Surgery? Preliminary Results
المؤلفون المشاركون
Raimondi, Ferdinando
Meco, Massimo
Zito, Paola Cosma
Giustiniano, Enrico
Morenghi, Emanuela
Cirri, Silvia
Gollo, Yari
Difrancesco, Orazio
Cosseta, Daniele
Ruggieri, Nadia
المصدر
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-05-19
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Background.
Patients who undergo high-risk surgery represent a large amount of post-operative ICU-admissions.
These patients are at high risk of experiencing postoperative complications.
Renal Resistive Index was found to be related with renal dysfunction, hypertension, and posttraumatic hemorrhagic shock, probably due to vasoconstriction.
We explored whether Renal Resistive Index (RRI), measured after awakening from general anesthesia, could have any relationship with postoperative complications.
Methods.
In our observational, stratified dual-center trial, we enrolled patients who underwent general anesthesia for high-risk major surgery.
After awakening in recovery room (or during awakening period in subjects submitted to cardiac surgery) we measured RRI by echo-color-Doppler method.
Primary endpoint was the association of altered RRI (>0.70) and outcome during the first postoperative week.
Results.
205 patients were enrolled: 60 (29.3%) showed RRI > 0.70.
The total rate of adverse event was 27 (18.6%) in RRI ≤ 0.7 group and 19 (31.7%) in RRI > 0.7 group (P=0.042).
Significant correlation between RRI > 0.70 and complications resulted in pneumonia (P=0.016), septic shock (P=0.003), and acute renal failure (P=0.001) subgroups.
Patients with RRI > 0.7 showed longer ICU stay (P=0.001) and lasting of mechanical ventilation (P=0.004).
These results were confirmed in cardiothoracic surgery subgroup.
RRI > 0.7 duplicates triplicates the risk of complications, both in general (OR 2.03 93 95% CI 1.02–4.02, P=0.044) and in cardiothoracic (OR 2.62 95% CI 1.11–6.16, P=0.027) population.
Furthermore, we found RRI > 0.70 was associated with a triplicate risk of postoperative septic shock (OR 3.04, CI 95% 1.5–7.01; P=0.002).
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Giustiniano, Enrico& Meco, Massimo& Morenghi, Emanuela& Ruggieri, Nadia& Cosseta, Daniele& Cirri, Silvia…[et al.]. 2014. May Renal Resistive Index Be an Early Predictive Tool of Postoperative Complications in Major Surgery? Preliminary Results. BioMed Research International،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-508018
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Giustiniano, Enrico…[et al.]. May Renal Resistive Index Be an Early Predictive Tool of Postoperative Complications in Major Surgery? Preliminary Results. BioMed Research International No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-508018
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Giustiniano, Enrico& Meco, Massimo& Morenghi, Emanuela& Ruggieri, Nadia& Cosseta, Daniele& Cirri, Silvia…[et al.]. May Renal Resistive Index Be an Early Predictive Tool of Postoperative Complications in Major Surgery? Preliminary Results. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-508018
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-508018
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر