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Effects of ipratropium bromide on the occurrence of postoperative respiratory complications in craniectomy patients with COPD: A nationwide multicenter retrospective study
- Source :
- Medicine
- Publication Year :
- 2020
-
Abstract
- Introduction: Postoperative pulmonary complications (PPCs) are common and associated with increased morbidity, mortality, and medical cost. They are gaining increasing concerns among patients receiving neurological surgery. Chronic obstructive pulmonary disease (COPD) affect a large section of whole population and is also one of the risk factors of PPCs in the perioperative setting. Ipratropium bromide is the inhalation solution for the treatment of COPD. Studies showed the perioperative nebulization of ipratropium bromide could increase the lung function and decrease the incidence of postoperative pneumonia in COPD patients underwent thoracic surgery. The purpose of this study is to investigate the effect of perioperative nebulization of ipratropium bromide on PPCs in COPD patients underwent neurosurgical surgery. Methods and analysis: This study is a multicenter retrospective study in China. Patients who meet the inclusion/exclusion criteria are selected from 7 neurosurgical centers in China. According to whether ipratropium bromide is used in perioperative period, the patients are divided into exposure group and control group. The primary outcome is the incidence of postoperative pneumonia. Secondary outcomes are unplanned intubation, postoperative mechanical ventilation ≥ 48 hours, respiratory failure, atelectasis, death, and length of stay. Ethics and dissemination: This study was approved by the ethics committee (EC) of the School of Public Health, Fudan University, Shanghai, China. Waived by the ethics committee, no written consent form was obtained since we used the registry data. The study results will be communicated via publication. Trial Registration Number: ChiCTR1900022552.
- Subjects :
- Adult
Male
medicine.medical_specialty
China
Population
ipratropium bromide
Ipratropium bromide
03 medical and health sciences
Pulmonary Disease, Chronic Obstructive
0302 clinical medicine
Postoperative Complications
Study Protocol Clinical Trial
medicine
Humans
030212 general & internal medicine
education
Propensity Score
Aged
Retrospective Studies
Aged, 80 and over
COPD
education.field_of_study
Analysis of Variance
Chi-Square Distribution
business.industry
Ipratropium
Retrospective cohort study
General Medicine
Perioperative
Middle Aged
medicine.disease
respiratory tract diseases
Bronchodilator Agents
Dyspnea
Respiratory failure
Cardiothoracic surgery
030220 oncology & carcinogenesis
Emergency medicine
elective neurosurgical craniotomy
Female
postoperative pulmonary complications
business
Craniotomy
medicine.drug
Research Article
Subjects
Details
- ISSN :
- 15365964
- Volume :
- 99
- Issue :
- 26
- Database :
- OpenAIRE
- Journal :
- Medicine
- Accession number :
- edsair.doi.dedup.....1c5d844d5ee1c200bd24ea6213da1bc3