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Iranian Heart Journal، جلد ۲۴، شماره ۲، صفحات ۳۵-۴۴
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عنوان انگلیسی Risk Factors for Pulmonary Complications in Patients With Cardiac Surgery in a Tertiary Heart Center
چکیده انگلیسی مقاله Background: Postoperative pulmonary complications (PPCs) are among the leading causes of morbidity, mortality, and increased length of stay (LOS). Methods: In a prospective cohort study, all adult candidates for all types of open-heart surgeries were enrolled and followed from admission to discharge for PPCs. Results: The study population consisted of 918 consecutive adult patients, including 574 (62.5%) males, at a mean age of 56.20±13.95 (mean ± standard deviation) years who underwent open cardiac surgery. Among them, 537 patients (58.5%) suffered PPCs, comprising pleural effusion in 293/916 (32.0%), atelectasis in 222 (24.2%), pneumonia in 68 (7.4%), diaphragm paralysis in 67 (7.3%), pulmonary edema and/or acute respiratory distress syndrome in 64/915 (7.0%), pneumothorax (in the right or left hemithorax) in 28/916 (3.1%), hemothorax in 7/915 (0.8%), subcutaneous emphysema in 11/913 (1.2%), and empyema in 2/918 (0.2) The independent risk factors for PPCs were age (OR, 1.010; 95% CI, 1.001 to 1.020; P=0.0326), female sex (OR, 1.375; 95% CI, 1.044 to 1.811; P=0.0235), and renal dysfunction (OR, 1.553; 95% CI, 1.001 to 2.409; P=0.0497). Twenty-three patients died within 30 days of cardiac surgery, accounting for a hospital mortality rate of 2.5%. Conclusions: The cumulative incidence rate of PPCs was 58.5% in our center, with a mortality rate of 3.4%. The overall mortality rate among all the patients was 2.5%. The independent risk factors associated with PPCs were age, female sex, and renal failure. (Iranian Heart Journal 2023; 24(2): 35-44)
کلیدواژه‌های انگلیسی مقاله Pulmonary Function Tests,Postoperative pulmonary complication,risk factors,Cardiac Surgery
نویسندگان مقاله Hasan Allah Sadeghi |
Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

Mahmood Sheikh Fathollahi |
Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

Sarina Sadeghi |
Iran University of Medical Sciences, Tehran, IR Iran.

Mahsa Mirdamadi |
Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

Ali Safaei |
Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

Saeideh Mazloomzadeh |
Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

نشانی اینترنتی http://journal.iha.org.ir/article_169021_d4814786538ddc426edb053390bb78ba.pdf
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