The Association of Intraoperative driving pressure with postoperative pulmonary complications in open versus closed abdominal surgery patients - a posthoc propensity score-weighted cohort analysis of the LAS VEGAS study.
Abdomen
/ surgery
Adult
Aged
Anesthesia, General
Cohort Studies
Female
Humans
Laparoscopy
Lung Diseases
/ epidemiology
Male
Middle Aged
Positive-Pressure Respiration
Postoperative Complications
/ epidemiology
Propensity Score
Respiration, Artificial
/ statistics & numerical data
Retrospective Studies
Driving pressure
Laparoscopic surgery
Laparoscopy
PEEP
Perioperative ventilation
Pneumoperitoneum
Protective ventilation
Respiratory mechanics
Journal
BMC anesthesiology
ISSN: 1471-2253
Titre abrégé: BMC Anesthesiol
Pays: England
ID NLM: 100968535
Informations de publication
Date de publication:
19 03 2021
19 03 2021
Historique:
received:
12
11
2020
accepted:
25
01
2021
entrez:
20
3
2021
pubmed:
21
3
2021
medline:
29
12
2021
Statut:
epublish
Résumé
It is uncertain whether the association of the intraoperative driving pressure (ΔP) with postoperative pulmonary complications (PPCs) depends on the surgical approach during abdominal surgery. Our primary objective was to determine and compare the association of time-weighted average ΔP (ΔP Posthoc retrospective propensity score-weighted cohort analysis of patients undergoing open or closed abdominal surgery in the 'Local ASsessment of Ventilatory management during General Anaesthesia for Surgery' (LAS VEGAS) study, that included patients in 146 hospitals across 29 countries. The primary endpoint was a composite of PPCs. The secondary endpoint was a composite of intraoperative adverse events. The analysis included 1128 and 906 patients undergoing open or closed abdominal surgery, respectively. The PPC rate was 5%. ΔP was lower in open abdominal surgery patients, but ΔP ΔP is associated with PPC and intraoperative adverse events in abdominal surgery, both in open and closed abdominal surgery. LAS VEGAS was registered at clinicaltrials.gov (trial identifier NCT01601223 ).
Sections du résumé
BACKGROUND
It is uncertain whether the association of the intraoperative driving pressure (ΔP) with postoperative pulmonary complications (PPCs) depends on the surgical approach during abdominal surgery. Our primary objective was to determine and compare the association of time-weighted average ΔP (ΔP
METHODS
Posthoc retrospective propensity score-weighted cohort analysis of patients undergoing open or closed abdominal surgery in the 'Local ASsessment of Ventilatory management during General Anaesthesia for Surgery' (LAS VEGAS) study, that included patients in 146 hospitals across 29 countries. The primary endpoint was a composite of PPCs. The secondary endpoint was a composite of intraoperative adverse events.
RESULTS
The analysis included 1128 and 906 patients undergoing open or closed abdominal surgery, respectively. The PPC rate was 5%. ΔP was lower in open abdominal surgery patients, but ΔP
CONCLUSIONS
ΔP is associated with PPC and intraoperative adverse events in abdominal surgery, both in open and closed abdominal surgery.
TRIAL REGISTRATION
LAS VEGAS was registered at clinicaltrials.gov (trial identifier NCT01601223 ).
Identifiants
pubmed: 33740885
doi: 10.1186/s12871-021-01268-y
pii: 10.1186/s12871-021-01268-y
pmc: PMC7977277
doi:
Banques de données
ClinicalTrials.gov
['NCT01601223']
Types de publication
Journal Article
Multicenter Study
Observational Study
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
84Subventions
Organisme : NHLBI NIH HHS
ID : UH3 HL140177
Pays : United States
Investigateurs
Wolfgang Kroell
(W)
Helfried Metzler
(H)
Gerd Struber
(G)
Thomas Wegscheider
(T)
Hans Gombotz
(H)
Michael Hiesmayr
(M)
Werner Schmid
(W)
Bernhard Urbanek
(B)
David Kahn
(D)
Mona Momeni
(M)
Audrey Pospiech
(A)
Fernande Lois
(F)
Patrice Forget
(P)
Irina Grosu
(I)
Jan Poelaert
(J)
Veerle van Mossevelde
(V)
Marie-Claire van Malderen
(MC)
Dimitri Dylst
(D)
Jeroen van Melkebeek
(J)
Maud Beran
(M)
Stefan de Hert
(S)
Luc De Baerdemaeker
(L)
Bjorn Heyse
(B)
Jurgen Van Limmen
(J)
Piet Wyffels
(P)
Tom Jacobs
(T)
Nathalie Roels
(N)
Ann De Bruyne
(A)
Stijn van de Velde
(S)
Brigitte Leva
(B)
Sandrine Damster
(S)
Benoit Plichon
(B)
Marina Juros-Zovko
(M)
Dejana Djonoviċ-Omanoviċ
(D)
Selma Pernar
(S)
Josip Zunic
(J)
Petar Miskovic
(P)
Antonio Zilic
(A)
Slavica Kvolik
(S)
Dubravka Ivic
(D)
Darija Azenic-Venzera
(D)
Sonja Skiljic
(S)
Hrvoje Vinkovic
(H)
Ivana Oputric
(I)
Kazimir Juricic
(K)
Vedran Frkovic
(V)
Jasminka Kopic
(J)
Ivan Mirkovic
(I)
Nenad Karanovic
(N)
Mladen Carev
(M)
Natasa Dropulic
(N)
Jadranka Pavicic Saric
(JP)
Gorjana Erceg
(G)
Matea Bogdanovic Dvorscak
(MB)
Branka Mazul-Sunko
(B)
Anna Marija Pavicic
(AM)
Tanja Goranovic
(T)
Branka Maldini
(B)
Tomislav Radocaj
(T)
Zeljka Gavranovic
(Z)
Inga Mladic-Batinica
(I)
Mirna Sehovic
(M)
Petr Stourac
(P)
Hana Harazim
(H)
Olga Smekalova
(O)
Martina Kosinova
(M)
Tomas Kolacek
(T)
Kamil Hudacek
(K)
Michal Drab
(M)
Jan Brujevic
(J)
Katerina Vitkova
(K)
Katerina Jirmanova
(K)
Ivana Volfova
(I)
Paula Dzurnakova
(P)
Katarina Liskova
(K)
Radovan Dudas
(R)
Radek Filipsky
(R)
Samir El Kafrawy
(S)
Hisham Hosny Abdelwahab
(HH)
Tarek Metwally
(T)
Ahmed Abdel-Razek
(A)
Ahmed Mostafa El-Shaarawy
(AM)
Wael Fathy Hasan
(WF)
Ahmed Gouda Ahmed
(AG)
Hany Yassin
(H)
Mohamed Magdy
(M)
Mahdy Abdelhady
(M)
Mohamed Mahran
(M)
Eiko Herodes
(E)
Peeter Kivik
(P)
Juri Oganjan
(J)
Annika Aun
(A)
Alar Sormus
(A)
Kaili Sarapuu
(K)
Merilin Mall
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Juri Karjagin
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(E)
Antoine Petit
(A)
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Emmanuel Marret
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(S)
Albert Prades
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(J)
Simone Merzky
(S)
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(A)
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(M)
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