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2014, Number 4

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Revista Cubana de Cirugía 2014; 53 (4)

Repercussion of major postoperative complications in patients undergoing thoracic surgery

Martos BFD, Echevarría VA, Echevarría SJC, Gutiérrez NA, Candales ALA, Pupo SYY

Language: Spanish
References: 21
Page: 366-377
PDF size: 241.14 Kb.


ABSTRACT

Introduction: complications in thoracic surgery (lung, mediastinium, esophagus) have been associated with an increase in morbidity and mortality rates. However, their influence on the progress of our patients is still unknown.
Objective: to determine the influence of major post-operative complications in short term outcome of patients undergoing thoracic-mediastinal-esophageal surgery.
Methods: a retrospective cohort study was conducted. Information was gathered from the intensive care unit and hospital database from March to October 2013, in order to study patients who underwent thoracic-mediastinal-esophageal surgery and the major post-operative complications in their length of stay at hospital. The type of complication and its influence over the progress of patients were specified.
Results: of 50 patients with a median of age of 58.50 years (IQR 48-65 years), pulmonary resection was performed in 30 patients (60 %), thoracic surgery without pulmonary resection (mediastinum and others) in 11 (22 %) and esophageal surgery in 9 (18 %) patients. Major post-operative complications occurred in 10 patients (20 %) for a total of 13, seven medical (53.85 %) and six surgical complications (46.15 %). The most common complications were the post-operative hemorrhage (40 %), the nosocomial pneumonia (20 %), and cardiac arrhythmias (20 %). Four patients died, mainly from medical complications. Major post-operative complications decreased the hospital discharge probabilities (HR= 0.376 [95 % CI: 0.173-0.815]; p= 0.013).
Conclusions: the frequency of major post-operative complications in thoracicmediastinal- esophageal surgery was relatively high in our series. Mortality was more common in patients with medical complications. Major post-operative complications significantly increased the length of stay at the critical care and at hospital.


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