Impact of Sarcopenia Index on Postoperative Pulmonary Complication in Elderly Patients Undergoing OPCAB: a Retrospective Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 605
- 试验地点
- 1
- 主要终点
- postoperative pulmonary complications : prolonged ventilation
研究概览
简要总结
Retrospective data collection. The aim of this study is to determine the effect of preoperative sarcopenia index on postoperative pulmonary complications in elderly patients undergoing off-pump coronary artery bypass graft surgery.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients who were 65 years of age or older at the time of surgery(off-pump coronary artery bypass graft surgery)
- •serum cystatin C and creatinine test results were valid within one week before surgery
排除标准
- •Patients with chronic renal failure (estimated glomerular filtration rate less than 60)
- •Patients with acute kidney injury
- •Patients with respiratory tract infection within 1 month before surgery
结局指标
主要结局
postoperative pulmonary complications : prolonged ventilation
时间窗: During the hospitalization for surgery. This includes the entire postoperative period up to discharge, even if over 30 days.
Indicate whether the patient had prolonged post-operative pulmonary ventilation \> 24.0 hours. The hours of postoperative ventilation time include OR exit until extubation, plus any additional hours following reintubation.
postoperative pulmonary complications : pneumonia
时间窗: During the hospitalization for surgery. This includes the entire postoperative period up to discharge, even if over 30 days.
CXR with at least one of the following: infiltrate, consolidation, cavitation;plus at least one of the following: fever \>38 °C with no other cause, white cell count \<4 or\>12\*109 litre-1, \>70 yr of age with altered mental status with no other cause;-plus at least two of the following: new purulent/ changed sputum, increased secretions/suctioning, new/worse cough/dyspnoea/tachypnoea, rales/ bronchial breath sounds, worsening gas exchange.
postoperative pulmonary complications : reintubation
时间窗: During the hospitalization for surgery. This includes the entire postoperative period up to discharge, even if over 30 days.
Indicate whether the patient was intubated for the first time after leaving the OR from the initial procedure, or re-intubated during the hospital stay after the initial extubation.
次要结局
- postoperative complications : Reoperation due to bleeding/tamponade(During the hospitalization for surgery. This includes the entire postoperative period up to discharge, even if over 30 days.)
- postoperative complications : Renal failure(During the hospitalization for surgery. This includes the entire postoperative period up to discharge, even if over 30 days.)
- postoperative complications : Delirium(During the hospitalization for surgery. This includes the entire postoperative period up to discharge, even if over 30 days.)
- postoperative complications : Mortality(After discharge from the hospital, but before the end of the 30th postoperative day.)
- postoperative complications : Permanent stroke(During the hospitalization for surgery. This includes the entire postoperative period up to discharge, even if over 30 days.)