Risk of respiratory failure after repair of thoracoabdominal aortic aneurysms

Multiple complications occur after repair of a thoracoabdominal aortic aneurysm, the most common of which is respiratory failure. One hundred consecutive thoracoabdominal aneurysm repairs were studied retrospectively using univariate, bivariate, and multiple logarithmic regression analyses to identi...

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Veröffentlicht in:	The American journal of surgery 1994-08, Vol.168 (2), p.152-155
Hauptverfasser:	Money, Samuel R., Rice, Karen, Crockett, Donald, Becker, Mark, Abdoh, Ahmed, Wisselink, Willem, Kazmier, Francis, Hollier, Larry
Format:	Artikel
Sprache:	eng
Schlagworte:	Age Factors Aged Aneurysms Aorta Aortic Aneurysm, Abdominal - complications Aortic Aneurysm, Abdominal - surgery Aortic Aneurysm, Thoracic - complications Aortic Aneurysm, Thoracic - surgery Aortic aneurysms Biological and medical sciences Bivariate analysis Blood Transfusion Blood transfusions Chronic obstructive pulmonary disease Complications Creatinine Emphysema Forced Expiratory Volume Humans Independent variables Intraoperative Care Intubation, Intratracheal Lung diseases Mean Medical sciences Mortality Obstructive lung disease Pneumonia Postoperative Postoperative Complications - diagnosis Postoperative Complications - etiology Postoperative Complications - mortality Postoperative Complications - physiopathology Preoperative Care Regression Analysis Respiratory failure Respiratory Insufficiency - diagnosis Respiratory Insufficiency - etiology Respiratory Insufficiency - mortality Respiratory Insufficiency - physiopathology Retrospective Studies Risk Factors Statistical analysis Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Survival Rate Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels Vital Capacity
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Zusammenfassung:	Multiple complications occur after repair of a thoracoabdominal aortic aneurysm, the most common of which is respiratory failure. One hundred consecutive thoracoabdominal aneurysm repairs were studied retrospectively using univariate, bivariate, and multiple logarithmic regression analyses to identify factors associated with respiratory failure. The mean of days of intubation was 5.8 ± 0.8 (mean ± SEM), with a median of 2 days. Patients who developed respiratory failure (21%) had a 42% mortality compared with a 6% mortality in patients who did not develop respiratory failure ( P
ISSN:	0002-9610 1879-1883
DOI:	10.1016/S0002-9610(94)80057-X