Novel application of respiratory muscle index obtained from chest computed tomography to predict postoperative respiratory failure after major non-cardiothoracic surgery.
APACHE
Female
Humans
Male
Middle Aged
Postoperative Complications
/ diagnostic imaging
Predictive Value of Tests
Radiography, Thoracic
Respiration, Artificial
/ adverse effects
Respiratory Insufficiency
/ diagnostic imaging
Respiratory Muscles
/ diagnostic imaging
Retrospective Studies
Sarcopenia
/ complications
Surgical Procedures, Operative
/ adverse effects
Tomography, X-Ray Computed
Postoperative respiratory failure
Respiratory muscle
Sarcopenia
Journal
American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
received:
23
02
2021
revised:
19
04
2021
accepted:
20
04
2021
pubmed:
5
5
2021
medline:
22
12
2021
entrez:
4
5
2021
Statut:
ppublish
Résumé
Postoperative respiratory failure (PRF) is a serious complication associated with significant morbidity and mortality. We propose a new method to predict PRF by utilizing computed tomography (CT) of the chest to assess degree of respiratory muscle wasting prior to surgery. Patients who received a chest CT and required invasive mechanical ventilation (MV) after major non-cardiothoracic surgery were included. Exclusion criteria included cardiothoracic surgery. Respiratory muscle index (RMI) was calculated at the T6 vertebra measured on Slice-O-Matic® software. Thirty three patients met inclusion with a mean (±SD) age, BMI, and APACHE II score of 62.2 years (±12.1), 28.1 kg/m Presence of respiratory muscle wasting prior to surgery was found to be associated with postoperative respiratory failure.
Sections du résumé
BACKGROUND
BACKGROUND
Postoperative respiratory failure (PRF) is a serious complication associated with significant morbidity and mortality. We propose a new method to predict PRF by utilizing computed tomography (CT) of the chest to assess degree of respiratory muscle wasting prior to surgery.
METHODS
METHODS
Patients who received a chest CT and required invasive mechanical ventilation (MV) after major non-cardiothoracic surgery were included. Exclusion criteria included cardiothoracic surgery. Respiratory muscle index (RMI) was calculated at the T6 vertebra measured on Slice-O-Matic® software.
RESULTS
RESULTS
Thirty three patients met inclusion with a mean (±SD) age, BMI, and APACHE II score of 62.2 years (±12.1), 28.1 kg/m
CONCLUSION
CONCLUSIONS
Presence of respiratory muscle wasting prior to surgery was found to be associated with postoperative respiratory failure.
Identifiants
pubmed: 33941359
pii: S0002-9610(21)00251-8
doi: 10.1016/j.amjsurg.2021.04.022
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1029-1033Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.