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 and ZS ULKE. Development of a prediction model for postoperative pneumonia A multicentre prospective observational study. European Journal of Anaesthesiology. Philadelphia: Lippincott Williams & Wilkins, 2019, vol. 36, No 2, p. 93-104. ISSN 0265-0215. Available from: https://dx.doi.org/10.1097/EJA.0000000000000921.
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Basic information
Original name Development of a prediction model for postoperative pneumonia A multicentre prospective observational study
Authors 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 and ZS ULKE.
Edition European Journal of Anaesthesiology, Philadelphia, Lippincott Williams & Wilkins, 2019, 0265-0215.
Other information
Original language English
Type of outcome Article in a journal
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 4.500
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1097/EJA.0000000000000921
UT WoS 000462763800003
Tags International impact, Reviewed
Changed by Changed by: Mgr. Pavlína Kosíková, učo 4742. Changed: 11/2/2022 22:41.
Abstract
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.
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