Báo cáo khoa học: "Changes in central venous saturation after major surgery, and association with outcome"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Changes in central venous saturation after major surgery, and association with outcome. | Available online http content 9 6 R694 Research Changes in central venous saturation after major surgery and association with outcome Rupert Pearse Deborah Dawson Jayne Fawcett Andrew Rhodes R Michael Grounds and E David Bennett Open Access Adult Intensive Care Unit 1st floor St James Wing St George s Hospital Blackshaw Road London SW17 0QT UK Corresponding author Rupert Pearse Received 8 Sep 2005 Accepted 30 Sep 2005 Published 8 Nov 2005 Critical Care 2005 9 R694-R699 DOI 86 cc3888 This article is online at http content 9 6 R694 2005 Pearse et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Despite recent interest in measurement of central venous oxygen saturation ScvO2 there are no published data describing the pattern of ScvO2 changes after major general surgery or any relationship with outcome. Methods ScvO2 and other biochemical physiological and demographic data were prospectively measured for 8 hours after major surgery. Complications and deaths occurring within 28 days of enrolment were included in the data analysis. Independent predictors of complications were identified with the use of logistic regression analysis. Optimum cutoffs for ScvO2 were identified by receiver operator characteristic analysis. Results Data from 118 patients was analysed 123 morbidity episodes occurred in 64 these patients. There were 12 deaths . The mean SD age was years. Twenty patients 17 underwent emergency surgery and 77 patients 66 were male. The mean SD P-POSSUM Portsmouth Physiologic and Operative Severity Score for the enUmeration of Mortality and morbidity score was with a predicted mortality of . After .

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