Matches in SemOpenAlex for { <https://semopenalex.org/work/W2509796821> ?p ?o ?g. }
Showing items 1 to 71 of
71
with 100 items per page.
- W2509796821 endingPage "456" @default.
- W2509796821 startingPage "456" @default.
- W2509796821 abstract "Background & Objectives: Analysis of American College of Surgeons National Surgical Quality Improvement Project (ACS-NSQIP) database has demonstrated that development of postoperative complications of pneumonia, AMI, and AKI are all associated with reintubation (OR 10 to 15) [1]. However, overall incidence of reintuabtion postoperatively and pre-operative patient and surgical risk factors for all surgeries is unclear. Postoperative pulmonary complications including reintubation within 48 hours can increase the cost of an admission from 2 to 12 fold, and it has been recommended that better risk stratification methods are developed [2]. Materials & Methods: Institutional Review Board approval was obtained. We collected data on all postoperative reintuabtion recorded in ACS-NSQIP 2007-2013 inclusive. We assessed for associations between demographics, patient, and surgical factors and reintubation using univariate and multivariate analysis (OR, 95% confidence interval). Results: Reintubation occurred in 31,131 patients (1.1%). Patients undergoing reintubation were significantly more likely to be; older (55.9 vs 66.6 years), be ASA Grade 3 vs ASA 2 (OR 4.72, CI 4.54-4.90) and be ASA 4 vs ASA 2 (OR 15.34, CI 14.71-16.0). Multivariate analysis demonstrated association between reintubation and total dependence for ADLs (3.36, CI 3.2- 3.52), pre-operative SIRS (3.47 (3.34- 3.6)), sepsis (3.95 (3.79-4.11)) or septic shock (4.76 (4.52- 5.020)). Compared to general surgery (63% of all reintuabtions) patients orthopedic, cardiac and urological surgery patients were less likely (OR= orthopedic 0.25 (0.24-0.27), cardiac 0.33 (0.31- 0.36), urological 0.33 (0.3-0.35)) whilst thoracic surgery patients were more likely to undergo reintubation (1.37 (1.28-1.46)). Conclusion: Postoperative reintubation demonstrates overall associations with age, thoracic surgery, but particularly with SIRS, sepsis and septic shock, even when case mix adjusted. References: 1. Wakeam, E., et al., Risk and patterns of secondary complications in surgical inpatients. JAMA Surg, 2015. 150(1): p. 65-73. 2. Sabate, S., V. Mazo, and J. Canet, Predicting postoperative pulmonary complications: implications for outcomes and costs. Curr Opin Anaesthesiol, 2014. 27(2): p. 201-9. Disclosure of Interest: E. Brovman: None declared, A. Beverly: None declared, R. Urman Research grant/funding from:. Mallinckrodt Inc; 2. Cara Pharmaceuticals; 3. Covidien/Medtronic; 4. Premier Research" @default.
- W2509796821 created "2016-09-16" @default.
- W2509796821 creator A5008621899 @default.
- W2509796821 creator A5065605884 @default.
- W2509796821 creator A5070859758 @default.
- W2509796821 date "2016-09-01" @default.
- W2509796821 modified "2023-09-25" @default.
- W2509796821 title "Abstract PR354" @default.
- W2509796821 doi "https://doi.org/10.1213/01.ane.0000492749.25431.e4" @default.
- W2509796821 hasPublicationYear "2016" @default.
- W2509796821 type Work @default.
- W2509796821 sameAs 2509796821 @default.
- W2509796821 citedByCount "0" @default.
- W2509796821 crossrefType "journal-article" @default.
- W2509796821 hasAuthorship W2509796821A5008621899 @default.
- W2509796821 hasAuthorship W2509796821A5065605884 @default.
- W2509796821 hasAuthorship W2509796821A5070859758 @default.
- W2509796821 hasConcept C120665830 @default.
- W2509796821 hasConcept C121332964 @default.
- W2509796821 hasConcept C126322002 @default.
- W2509796821 hasConcept C141071460 @default.
- W2509796821 hasConcept C144024400 @default.
- W2509796821 hasConcept C144301174 @default.
- W2509796821 hasConcept C149923435 @default.
- W2509796821 hasConcept C2777628635 @default.
- W2509796821 hasConcept C2777914695 @default.
- W2509796821 hasConcept C2778384902 @default.
- W2509796821 hasConcept C2778789114 @default.
- W2509796821 hasConcept C2780084366 @default.
- W2509796821 hasConcept C38180746 @default.
- W2509796821 hasConcept C44249647 @default.
- W2509796821 hasConcept C61511704 @default.
- W2509796821 hasConcept C68312169 @default.
- W2509796821 hasConcept C71924100 @default.
- W2509796821 hasConceptScore W2509796821C120665830 @default.
- W2509796821 hasConceptScore W2509796821C121332964 @default.
- W2509796821 hasConceptScore W2509796821C126322002 @default.
- W2509796821 hasConceptScore W2509796821C141071460 @default.
- W2509796821 hasConceptScore W2509796821C144024400 @default.
- W2509796821 hasConceptScore W2509796821C144301174 @default.
- W2509796821 hasConceptScore W2509796821C149923435 @default.
- W2509796821 hasConceptScore W2509796821C2777628635 @default.
- W2509796821 hasConceptScore W2509796821C2777914695 @default.
- W2509796821 hasConceptScore W2509796821C2778384902 @default.
- W2509796821 hasConceptScore W2509796821C2778789114 @default.
- W2509796821 hasConceptScore W2509796821C2780084366 @default.
- W2509796821 hasConceptScore W2509796821C38180746 @default.
- W2509796821 hasConceptScore W2509796821C44249647 @default.
- W2509796821 hasConceptScore W2509796821C61511704 @default.
- W2509796821 hasConceptScore W2509796821C68312169 @default.
- W2509796821 hasConceptScore W2509796821C71924100 @default.
- W2509796821 hasLocation W25097968211 @default.
- W2509796821 hasOpenAccess W2509796821 @default.
- W2509796821 hasPrimaryLocation W25097968211 @default.
- W2509796821 hasRelatedWork W139614779 @default.
- W2509796821 hasRelatedWork W1853252233 @default.
- W2509796821 hasRelatedWork W1992803580 @default.
- W2509796821 hasRelatedWork W2089103641 @default.
- W2509796821 hasRelatedWork W2183670545 @default.
- W2509796821 hasRelatedWork W2317142598 @default.
- W2509796821 hasRelatedWork W2755626276 @default.
- W2509796821 hasRelatedWork W2998412934 @default.
- W2509796821 hasRelatedWork W3031257804 @default.
- W2509796821 hasRelatedWork W4221096492 @default.
- W2509796821 hasVolume "123" @default.
- W2509796821 isParatext "false" @default.
- W2509796821 isRetracted "false" @default.
- W2509796821 magId "2509796821" @default.
- W2509796821 workType "article" @default.