scholarly journals Risk factors for and outcomes of prolonged mechanical ventilation in patients received DeBakey type I aortic dissection repairment

2021 ◽  
Vol 13 (2) ◽  
pp. 735-742
Author(s):  
Min Ge ◽  
Zhigang Wang ◽  
Tao Chen ◽  
Yongqing Cheng ◽  
Jiaxin Ye ◽  
...  
2008 ◽  
Vol 72 (11) ◽  
pp. 1751-1757 ◽  
Author(s):  
Naoyuki Kimura ◽  
Masashi Tanaka ◽  
Koji Kawahito ◽  
Masamitsu Sanui ◽  
Atsushi Yamaguchi ◽  
...  

2018 ◽  
Vol 50 ◽  
pp. 29-33
Author(s):  
Takeshi Hatachi ◽  
Yoshiko Kawamura ◽  
Shogo Fujimoto ◽  
Kazumi Matsuura ◽  
Yu Inata ◽  
...  

2019 ◽  
Vol 57 (1) ◽  
pp. 46-53
Author(s):  
Yasemin Karaca-Altintas ◽  
Daniela Laux ◽  
Marielle Gouton ◽  
Myriam Bensemlali ◽  
Régine Roussin ◽  
...  

AbstractOBJECTIVESAbsent pulmonary valve syndrome is a rare congenital heart disease with severe airway compression due to dilatation of the pulmonary arteries (PAs). We investigated risk factors for death and prolonged mechanical ventilation (>7 days) and a threshold PA size for these outcomes.METHODSThis retrospective 2-centre cohort study included 68 patients with complete repair between January 1996 and December 2015.RESULTSMedian age at repair was 3.9 months (1.3–8.7 months), and median weight was 5 kg (4–7 kg). The mortality rate before hospital discharge was 12%, and the mortality rate at last follow-up was 19%. In multivariable analysis, risk factors for death were higher Nakata index [hazard ratio (HR) 1.001, 95% confidence interval (CI) 1.001–1.002; P < 0.001] and lower SpO2 (HR 1.06, 95% CI 1.02–1.09; P = 0.002). The accuracy of the Nakata index to predict death was excellent (area under the curve at 6 months: 0.92; P = 0.010). A Nakata index above 1500 mm2/m2 predicted mortality at 6 months with a sensitivity of 98% and a specificity of 82%. Twenty-five patients (37%) had prolonged mechanical ventilation. The only multivariable risk factor for prolonged ventilation was lower weight at repair (odds ratio 2.9, 95% CI 1.3–6.7; P = 0.008). Neither PA plasty nor the LeCompte manoeuvre had a protective effect on mortality or prolonged ventilation. A Nakata index above 1500 mm2/m2 remained a risk factor for mortality (P = 0.022) in patients who had a PA plasty or the LeCompte manoeuvre.CONCLUSIONSIn patients with absent pulmonary valve syndrome, the Nakata index predicts mortality with a cut-off of 1500 mm2/m2. Lower weight at repair is the only multivariable risk factor for prolonged ventilation. Neither PA plasty nor the LeCompte manoeuvre had a protective effect on these outcomes.


2019 ◽  
Vol 65 (2) ◽  
pp. 210-216
Author(s):  
Darío Villalba ◽  
Gregorio Gil Rossetti ◽  
Mariana Scrigna ◽  
Jessica Collins ◽  
Ana Rocco ◽  
...  

2019 ◽  
Vol 40 (4) ◽  
pp. 367-371 ◽  
Author(s):  
Sulaiman Alrddadi ◽  
Mohamed Morsy ◽  
Jehad Albakri ◽  
Moneer Mohammed ◽  
Ghassan Alnajjar ◽  
...  

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