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[Frequency and type of pleuropulmonary complications and their predictors during the first thirty days after cardiopulmonary bypass surgery in children]. / Frecuencia, tipo y predictores de complicaciones pleuropulmonares en los primeros treinta días del postoperatorio de pacientes pediátricos intervenidos de cirugía cardiovascular sin apoyo de circulación extracorpórea.
Hernández-López, Jessica Jacqueline; Solano-Gutiérrez, Alejandro; Rosas-Aragón, Flor Teresita; Antúnez-Soto, Airam Gabriela; Flores-Lujano, Janet; Nuñez-Enríquez, Juan Carlos.
Afiliação
  • Hernández-López JJ; Unidad Médica de Alta Especialidad, Hospital de Pediatría Dr. Silvestre Frenk Freund, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.
  • Solano-Gutiérrez A; Unidad Médica de Alta Especialidad, Servicio de Cirugía Cardiovascular, Hospital de Pediatría Dr. Silvestre Frenk Freund, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.
  • Rosas-Aragón FT; Facultad de Medicina, Universidad de Sonora, Hermosillo, Sonora, México.
  • Antúnez-Soto AG; Facultad de Medicina, Universidad de Sonora, Hermosillo, Sonora, México.
  • Flores-Lujano J; Unidad de Investigación en Epidemiología Clínica, Hospital de Pediatría Dr. Silvestre Frenk Freund, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.
  • Nuñez-Enríquez JC; Unidad de Investigación en Epidemiología Clínica, Hospital de Pediatría Dr. Silvestre Frenk Freund, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México. Electronic address: jcarlos_nu@hotmail.com.
Arch Cardiol Mex ; 88(4): 261-267, 2018.
Article em Es | MEDLINE | ID: mdl-28676203
OBJECTIVE: To determine the frequency and type of pleuropulmonary complications and their predictors in the first thirty postoperative days of patients undergoing surgery without cardiopulmonary bypass. METHODS: A retrospective cohort study was carried out between January 2013 and December 2014. It included all patients with congenital heart disease who underwent cardiac surgery using a sternal or thoracic approach, without cardiopulmonary bypass with a registered admission to a Neonatal or Paediatric Intensive Care. The frequency of events of pleuropulmonary complications and logistic regression analysis was performed, and the adjusted odds ratio (OR) and confidence intervals at 95% (95% CI) were calculated. RESULTS: A total of 139 patients were included. The frequency of pleuropulmonary complications was 42.4% (N=59), and the most frequent types were atelectasis (28 events), ventilator-associated pneumonia (24 events), pneumothorax (20 events), with more than one complication per patient occasionally being found. Significant risk factors were cyanogenic congenital heart disease (OR=3.58, 95% CI: 1.10-7.50, P=.001), thoracotomy approach (OR=1.46, 95% CI: 1.18-1.12, P=.008), and an emergency surgical event (OR=3.46, 95% CI: 1.51-7.95, P=.002). CONCLUSIONS: The main pleuropulmonary complication was atelectasis, which is consistent with that reported in the international literature. Patients with any of the predictors identified in the present study should be closely monitored in order to prevent, detect and/or treat pleuropulmonary complications in a timely manner after cardiac surgery.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doenças Pleurais / Complicações Pós-Operatórias / Procedimentos Cirúrgicos Cardíacos / Pneumopatias Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Child / Child, preschool / Female / Humans / Infant / Male / Newborn Idioma: Es Revista: Arch Cardiol Mex Assunto da revista: CARDIOLOGIA Ano de publicação: 2018 Tipo de documento: Article País de publicação: México

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doenças Pleurais / Complicações Pós-Operatórias / Procedimentos Cirúrgicos Cardíacos / Pneumopatias Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Child / Child, preschool / Female / Humans / Infant / Male / Newborn Idioma: Es Revista: Arch Cardiol Mex Assunto da revista: CARDIOLOGIA Ano de publicação: 2018 Tipo de documento: Article País de publicação: México