J 2019

Development of a prediction model for postoperative pneumonia A multicentre prospective observational study

RUSSOTTO, V; S SABATE; J CANET; O LANGERON; Abreu MG DE et al.

Základní údaje

Originální název

Development of a prediction model for postoperative pneumonia A multicentre prospective observational study

Autoři

RUSSOTTO, V; S SABATE; J CANET; O LANGERON; Abreu MG DE; L GALLART; FJ BELDA; P PELOSI; A HOEFT; V MAZO; B LEVA; J BURIMI; T HALEFI; A HOXHA; K PILIKA; I SELMANI; V DAOUT; C GAUTHIER; D KAHN; M MOMENI; C WATREMEZ; S STRAUS; D DJONOVIC-MANOVIC; M JUROS-ZOVKO; H KOMEN-USLJEBRKA; V ORLIC; I STUCK; L BALAKOVA; Martina KOSINOVÁ; Ivo KŘIKAVA; Roman ŠTOUDEK; Petr ŠTOURAČ; K ZADRAZILOVA; S JANVEKAR; J KARJAGIN; K ROIVASSEPP; A SORMUS; P CUVILLON; C IBANEZ-ESTEVE; M RAUX; A NICOLAS-ROBIN; A WINTER; M BRUNIER; K ENGELHARD; RL FELDMANN; R LINDEMANN; S MAUFF; A SEBASTIANI; C ZAMPERONI; A HOEFT; F KESSLER; M WITTMANN; T BLUTH; A GULDNER; T KISS; K BRAZ; C RUSZKAI; M MICAGLIO; C ORI; M PAROTTO; P PERSONA; C GIUSEPPE; P CARNESECCHI; D LAZZERONI; I LORENZI; G CASTELLANI; D SANCES; G SPANO; S TREDICI; D VEZZOLI; I BRUNETTI; Noto A DI; A GRATAROLA; A MOLIN; L MONTAGNANI; G PELLERANO; P PELOSI; M FUSARI; L CAMICI; L GUZZETTI; F MARANGONI; P SEVERGNINI; Mauro P DI; F RAPIDO; C TOMMASINO; I NEMME; J NEMME; J BLIEKA; J BORODICIENE; B BUDRYTE; A KARBONSKIENE; I KIUDULAITE; E MILIESKAITE; R RASIMAVICIUTE; U SIREVICIENE; R STASAITYTE; E USAS; G ZARSKIENE; E KONTRIMAVICIUTE; J SIPYLAITE; G TOMKUTE; P BARDEA; M KLOP; M KOCH; D BOZILOW; R GOCH; J BONIFACIO; S MARQUES; TTD RALHA; D ALVES; I CARVALHO; JSD PARENTE; S TOME; C CARMONA; M COSTA; M LINA; S SIERRA; A BALCAN; I CINDEA; VI GHERGHINA; C GRASA; R COPOTOIU; SM COPOTOIU; J KOVACS; J SZEDERJESI; A THEIL; D FILIPESCU; A GRYTSAN; T KAPKAN; S ROSTOVTSEV; A YUSHKOVA; R CALDERON; E CACHO; C MARGINET; P MONEDERO; MJ YEPES; JME MINANA; MG GIL; GR PORTOLES; A LISI; G PEREZ; N POCH; MRA QUINTEROS; CF BOSCH; JT LLOBERA; P SIERRA; M MATUTE; AA DOMINGUEZ; MJ ARGUIS; I BELDA; E CARRERO; J MORENO; I ROVIRA; M UBRE; R CASTILLO; S HERRERO; MTB LUJAN; J CARBONELL; G GENCHEVA; A GUTIERREZ; J LLORENS; S MACHADO; F LLOBELL; Martin DP; FJ GARCIA-MIGUEL; AP GARCIA; R COMPANY; AA IDRISSI; JD CANAVERAS; JAN MARTINEZ; EP MARTINEZ; ES GARCIA; JV BELLA; II ALDANA; JM CAMPOS; XP VAAMONDE; M TORRA; R ARROYO; JC CABRERA; JC CORDOBES; L GALLART; A ROJO; FJ SANTIVERI; M GONZALEZ; A JIMENEZ; Y JIMENEZ; A MARTI; E MORET; MR NUNEZ; J VELASCO; A CALDERON; M GONZALEZ; O GONZALEZ; AH ANCHUELO; E LOPEZ; E SANCHEZ; BA ZANGO; FJG CORRAL; Mena EM; AP ROCA; RFRA SOTO; B QUINTANA; JMR LLEVOT; MMW CAMUS; AP BLANCO; AL RUIZ; JR FEIJOO; EC GARIJO; JB CUENCA; MJB BINIMELIS; I GRIGOROV; JL AGUILAR; MDN CLANCHET; EG VINAS; SM MUNIZ; VM MORA; FM BAUZA; SN AGUADO; MO VIDAL; MLP GOZALO; MS MARIN; MCS LOPEZ; P MAINO; YE YEVSTRATOV; S KUCUKGONCU; NM SENTURK a ZS ULKE

Vydání

European Journal of Anaesthesiology, Philadelphia, Lippincott Williams & Wilkins, 2019, 0265-0215

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 4.500

Označené pro přenos do RIV

Ne

Organizační jednotka

Lékařská fakulta

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 11. 2. 2022 22:41, Mgr. Pavlína Kosíková

Anotace

V originále

BACKGROUND Postoperative pneumonia is associated with increased morbidity, mortality and costs. Prediction models of pneumonia that are currently available are based on retrospectively collected data and administrative coding systems. OBJECTIVE To identify independent variables associated with the occurrence of postoperative pneumonia. DESIGN A prospective observational study of a multicentre cohort (Prospective Evaluation of a RIsk Score for postoperative pulmonary COmPlications in Europe database). SETTING Sixty-three hospitals in Europe. PATIENTS Patients undergoing surgery under general and/or regional anaesthesia during a 7-day recruitment period. MAIN OUTCOME MEASURE The primary outcome was postoperative pneumonia. Definition: the need for treatment with antibiotics for a respiratory infection and at least one of the following criteria: new or changed sputum; new or changed lung opacities on a clinically indicated chest radiograph; temperature more than 38.3 degrees C; leucocyte count more than 12 000 mu l(-1). RESULTS Postoperative pneumonia occurred in 120 out of 5094 patients (2.4%). Eighty-two of the 120 (68.3%) patients with pneumonia required ICU admission, compared with 399 of the 4974 (8.0%) without pneumonia (P < 0.001). We identified five variables independently associated with postoperative pneumonia: functional status [odds ratio (OR) 2.28, 95% confidence interval (CI) 1.58 to 3.12], pre-operative SpO(2) values while breathing room air (OR 0.83, 95% CI 0.78 to 0.84), intra-operative colloid administration (OR 2.97, 95% CI 1.94 to 3.99), intra-operative blood transfusion (OR 2.19, 95% CI 1.41 to 4.71) and surgical site (open upper abdominal surgery OR 3.98, 95% CI 2.19 to 7.59). The model had good discrimination (c-statistic 0.89) and calibration (Hosmer-Lemeshow P = 0.572). CONCLUSION We identified five variables independently associated with postoperative pneumonia. The model performed well and after external validation may be used for risk stratification and management of patients at risk of postoperative pneumonia.