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Accumulative occlusion time correlates with postoperative pulmonary complications in patients undergoing pelvic and sacrum tumor resection assisted by abdominal aortic balloon occlusion: a retrospective cohort study
- Source :
- BMC Musculoskeletal Disorders, Vol 21, Iss 1, Pp 1-9 (2020), BMC Musculoskeletal Disorders
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- Background Postoperative pulmonary complications (PPCs) seems to be high in patients undergoing pelvic and sacrum tumor resection assisted by abdominal aortic balloon occlusion. We hypothesized that the accumulative occlusion time (AOT) of the abdominal aortic balloon may be predictive of PPCs. The objective of the study was to identify the influence of AOT on PPCs. Methods Retrospectively analyzed perioperative factors of 584 patients who underwent pelvic and sacrum tumor resection assisted by abdominal aortic balloon occlusion in our hospital from January 1, 2016 to December 31, 2018. PPCs including suspected pulmonary infection, atelectasis, pulmonary edema, pleural effusion, respiratory failure were clinically diagnosed. Perioperative parameters among patients with and without PPCs were compared. A receiver operating characteristic (ROC) analysis was conducted to evaluate the discriminative power of AOT with regard to PPCs. A multivariate logistic-regression model was finally established to identify independent risk factors for PPCs. Results The incidence of PPCs was 15.6% (91 patients). The median AOT in PPCs group was significantly higher than that in non-PPCs group (P P P = 0.046; odds ratio (OR) = 2.074), age (P < 0.001; OR = 1.032), ASA grade III (P = 0.015; OR = 3.264), and estimated blood loss (P = 0.022; OR = 1.235) were independent risk factors of PPCs by multivariate logistic regression analysis. Conclusion The incidence of PPCs in patients undergoing the pelvic and sacrum tumor surgery assisted by abdominal aortic balloon occlusion was 15.6%. AOT ≥ 119 min was an independent predictor for PPCs. Surgeons should strive to minimize the AOT within 2 h.
- Subjects :
- Adult
Male
Sacrum
Ischemia-reperfusion lung injury
medicine.medical_specialty
Time Factors
lcsh:Diseases of the musculoskeletal system
Pleural effusion
Atelectasis
030204 cardiovascular system & hematology
Balloon
Pelvis
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Abdominal aortic balloon
Rheumatology
Risk Factors
Occlusion
medicine
Humans
Orthopedics and Sports Medicine
Aorta, Abdominal
Retrospective Studies
Spinal Neoplasms
Postoperative pulmonary complications
business.industry
Incidence
030208 emergency & critical care medicine
Retrospective cohort study
Perioperative
Balloon Occlusion
Length of Stay
Middle Aged
Respiration Disorders
medicine.disease
Surgery
Logistic Models
ROC Curve
Respiratory failure
Beijing
Pelvic and sacrum tumor resection
Multivariate Analysis
Female
lcsh:RC925-935
business
Research Article
Subjects
Details
- ISSN :
- 14712474
- Volume :
- 21
- Database :
- OpenAIRE
- Journal :
- BMC Musculoskeletal Disorders
- Accession number :
- edsair.doi.dedup.....a832c9dc83ea788488b92dbf7da3b14b