Factores postoperatorios predictores de morbimortalidad en cirugía cardiaca
- Tamayo Gómez, Eduardo
- Rodríguez, R.
- Álvarez González, Francisco Javier
- Castrodeza Sanz, Javier
- Soria, S.
- Cobreces, M.J.
- Flórez, S.
- Alonso Ardid, Oscar
ISSN: 1139-8264
Year of publication: 2007
Volume: 10
Issue: 2
Pages: 83-86
Type: Article
More publications in: Revista española de investigaciones quirúrgicas
Abstract
BACKGROUND. Analysing the influence of immediate (first-day) postoperative factors as possible indicators of postoperative evolution among patients having undergone heart surgery. METHODS. A retrospective study of 236 patients consecutively undergoing heart surgery. A study was carried out of both pre- and intraoperative demographic and clinical characteristics. Among postoperative factors, study was made of the times for re-warming and removal of tubes, first-day pulmonary capillary wedge pressure (PCWP), the quantity of colloid fluids and total fluids administered during the first day of the postoperative period, complications (cardiac, pulmonary, renal, infectious, etc.) and postoperative mortality. RESULTS. The authors found a higher and statistically significant incidence of postoperative complications related with the PCWP at more than 18 mm Hg., a rewarming time in excess of six hours, and the administering of over one litre of colloid liquids and five litres of total liquids, during the first day of the postoperative period. CONCLUSIONS. PCWP, the re-warming time and fluids administered during the first day are determiners of postoperative evolution.