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Medicina crítica (Colegio Mexicano de Medicina Crítica)
versión impresa ISSN 2448-8909
Resumen
VASQUEZ-REVILLA, Héctor Romeo; REVILLA-RODRIGUEZ, Eduardo y TERRAZAS-LUNA, Víctor. Early pulmonary complications in cardiac surgery patients. Med. crít. (Col. Mex. Med. Crít.) [online]. 2020, vol.34, n.5, pp.279-282. Epub 19-Sep-2022. ISSN 2448-8909. https://doi.org/10.35366/96458.
Introduction:
Early postoperative pulmonary complications (EPPC) are the main cause of complications unrelated to the surgical procedure in the cardiac surgery population.
Material and methods:
A retrospective, observational and descriptive study was conducted from January 1, 2006 to December 31, 2018 in patients undergoing cardiac surgery admitted to the post-surgical care unit.
Results:
323 patients were included, 107 (33.1%) presented EPPC, the most frequent being atelectasis (n = 60, 18.6%), pleural effusion (n = 39, 12%), pneumonia (n = 5, 1.5%) and ARDS (n = 3, 1%). Patients who presented EPPC had a higher EURO SCORE II (3.9 ± 4.7 vs. 2.7 ± 2.2, p = 0.001), longer cardiopulmonary bypass time (119.6 ± 40.2 vs. 75.5 ± 36.6, p = 0.001) and clamping time (84.9 ± 30.5 vs. 53.5 ± 29.7, p = 0.001). The ICU survival of patients with EPPC was lower (74.8 vs. 88.4%, p = 0.002, OR = 2.6). Hospital survival was also lower in patients with EPPC (72.8 vs. 84.2%, p = 0.015).
Conclusions:
The incidence of EPPC after cardiac surgery in our hospital was high. The implementation of preventive measures such as early removal of mechanical ventilation and cardiopulmonary rehabilitation is necessary.
Palabras llave : Pulmonary complications; cardiac surgery; post-surgical care unit.