Cardiopulmonary exercise testing and cardiopulmonary morbidity in patients undergoing major head and neck surgery.

Cardiopulmonary exercise testing maxillofacial surgery postoperative morbidity risk stratification

Journal

The British journal of oral & maxillofacial surgery
ISSN: 1532-1940
Titre abrégé: Br J Oral Maxillofac Surg
Pays: Scotland
ID NLM: 8405235

Informations de publication

Date de publication:
04 2021
Historique:
received: 02 03 2020
accepted: 10 08 2020
pubmed: 17 2 2021
medline: 24 4 2021
entrez: 16 2 2021
Statut: ppublish

Résumé

Cardiopulmonary exercise testing (CPET) is used as a risk stratification tool for patients undergoing major surgery. In this study, we investigated the role of CPET in predicting day five cardiopulmonary morbidity in patients undergoing head and neck surgery. This observational cohort study included 230 adults. We recorded preoperative CPET variables and day five postoperative cardiopulmonary morbidity. Full data from 187 patients were analysed; 43 patients either had incomplete data sets or declined surgery/CPET. One hundred and nineteen patients (63.6%) developed cardiopulmonary morbidity at day five. Increased preoperative heart rate and duration of surgery were independently associated with day five cardiopulmonary morbidity. Those with such morbidity also had lower peak V̇O

Identifiants

pubmed: 33589309
pii: S0266-4356(20)30422-8
doi: 10.1016/j.bjoms.2020.08.032
pii:
doi:

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

297-302

Informations de copyright

Copyright © 2020 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

Auteurs

B B Lalabekyan (BB)

King's College Hospital NHS Foundation Trust. Electronic address: b.lalabekyan@nhs.net.

N Tetlow (N)

University College London Division of Surgery and Interventional Science, Division of Surgery and Interventional Science.

R Moonesinghe (R)

University College London Hospital Foundation Trust.

D Martin (D)

Royal Free NHS Foundation Trust.

E Burdett (E)

University College London Hospitals NHS Foundation Trust, Department of Anaesthesia and Preoperative Medicine.

J Otto (J)

University Hospital Southampton NHS Foundation Trust.

D Wyndham (D)

University College London Hospitals NHS Foundation Trust, Department of Anaesthesia and Preoperative Medicine.

E Bettini (E)

University College London Hospitals NHS Foundation Trust, Department of Anaesthesia and Preoperative Medicine.

N Kalavrezos (N)

University College London Hospitals NHS Foundation Trust.

R C M Stephens (RCM)

University College London Hospitals NHS Foundation Trust, Department of Anaesthesia and Preoperative Medicine.

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Classifications MeSH