Case-controlled study of critical care or surgical ward care after elective open colorectal surgery.
作者： M. Swart , J. B. Carlisle
DOI: 10.1002/BJS.7789
关键词:
摘要: Background: Evidence for the benefit of critical care after surgery is limited. This study assessed value immediate admission to unit (CCU) open colorectal surgery. Methods: Patients aged over 45 years were screened with a cardiopulmonary exercise test determine their anaerobic threshold. Less fit patients defined by an threshold below 11 ml oxygen per kg min assigned either or surgical ward care. Those above The outcome measure was number cardiac events. Results: Of 153 who underwent testing, 55 had at least (ward care) and 98 less than min, whom 39 allocated 51 Median length CCU stay 31 (range 5–46) h. More events occurred in (7 39) those (0 51): absolute difference 18 (95 cent confidence interval 10 26) (P = 0·002). There no higher. Conclusion: Patients managed fewer events. Copyright © 2011 British Journal Surgery Society Ltd. Published John Wiley & Sons,
sci-hub.se 参考文章(14)
Ben Bridgewater, None, Mortality data in adult cardiac surgery for named surgeons: retrospective examination of prospectively collected data on coronary artery surgery and aortic valve replacement BMJ. ,vol. 330, pp. 506- 510 ,(2005) , 10.1136/BMJ.330.7490.506
Anselm K. Gitt, Karlman Wasserman, Caroline Kilkowski, Thomas Kleemann, Andreas Kilkowski, Matthias Bangert, Steffen Schneider, Armin Schwarz, Jochen Senges, Exercise Anaerobic Threshold and Ventilatory Efficiency Identify Heart Failure Patients for High Risk of Early Death Circulation. ,vol. 106, pp. 3079- 3084 ,(2002) , 10.1161/01.CIR.0000041428.99427.06
Raul Older, Robert Smith, Beter Courtney, Rodney Hone, Preoperative Evaluation of Cardiac Failure and Ischemia in Elderly Patients by Cardiopulmonary Exercise Testing Chest. ,vol. 104, pp. 701- 704 ,(1993) , 10.1378/CHEST.104.3.701
J. Carlisle, M. Swart, Mid-term survival after abdominal aortic aneurysm surgery predicted by cardiopulmonary exercise testing. British Journal of Surgery. ,vol. 94, pp. 966- 969 ,(2007) , 10.1002/BJS.5734
Chris P. Snowden, James M. Prentis, Helen L. Anderson, Digby R. Roberts, Derek Randles, Morag Renton, Derek M. Manas, Submaximal cardiopulmonary exercise testing predicts complications and hospital length of stay in patients undergoing major elective surgery. Annals of Surgery. ,vol. 251, pp. 535- 541 ,(2010) , 10.1097/SLA.0B013E3181CF811D
Paul Older, Adrian Hall, Raymond Hader, Cardiopulmonary exercise testing as a screening test for perioperative management of major surgery in the elderly. Chest. ,vol. 116, pp. 355- 362 ,(1999) , 10.1378/CHEST.116.2.355
G. P. Copeland, D. Jones, M. Walters, POSSUM: A scoring system for surgical audit British Journal of Surgery. ,vol. 78, pp. 355- 360 ,(2005) , 10.1002/BJS.1800780327
R.J.T. Wilson, S Davies, D Yates, J Redman, M Stone, Impaired functional capacity is associated with all-cause mortality after major elective intra-abdominal surgery BJA: British Journal of Anaesthesia. ,vol. 105, pp. 297- 303 ,(2010) , 10.1093/BJA/AEQ128
WILLIAM A. KNAUS, ELIZABETH A. DRAPER, DOUGLAS P. WAGNER, JACK E. ZIMMERMAN, APACHE II: a severity of disease classification system. Critical Care Medicine. ,vol. 13, pp. 818- 829 ,(1985) , 10.1097/00003246-198510000-00009
E. J. A. Morris, E. F. Taylor, J. D. Thomas, P. Quirke, P. J. Finan, M. P. Coleman, B. Rachet, D. Forman, Thirty-day postoperative mortality after colorectal cancer surgery in England. Gut. ,vol. 60, pp. 806- 813 ,(2011) , 10.1136/GUT.2010.232181