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http://hdl.handle.net/2445/173785
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DC Field | Value | Language |
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dc.contributor.author | Giménez Milà, Marc | - |
dc.contributor.author | Videla, Sebas | - |
dc.contributor.author | Pallarès, Natàlia | - |
dc.contributor.author | Sabaté Pes, Antoni | - |
dc.contributor.author | Parmar, Jasvir | - |
dc.contributor.author | Catarino, Pedro | - |
dc.contributor.author | Tosh, Will | - |
dc.contributor.author | Rafiq, Muhammad Uma | - |
dc.contributor.author | Nalpon, Jacinta | - |
dc.contributor.author | Valchanov, Kamen | - |
dc.date.accessioned | 2021-02-10T09:19:29Z | - |
dc.date.available | 2021-02-10T09:19:29Z | - |
dc.date.issued | 2020-11-13 | - |
dc.identifier.uri | http://hdl.handle.net/2445/173785 | - |
dc.description.abstract | There is paucity of data on the impact of surgical incision and analgesia on relevant outcomes. A retrospective STROBE-compliant cohort study was performed between July 2007 and August 2017 of patients undergoing lung transplantation. Gender, age, indication for lung transplantation, and the 3 types of surgical access (Thoracotomy (T), Sternotomy (S), and Clamshell (C)) were used, as well as 2 analgesic techniques: epidural and intravenous opioids. Outcome variables were: pain scores; postoperative hemorrhage in the first 24 hours, duration of mechanical ventilation, and length of stay at intensive care unit (ICU). Three hundred forty-one patients were identified. Thoracotomy was associated with higher pain scores than Sternotomy (OR 1.66, 95% CI: 1.01; 2.74, P: .045) and no differences were found between Clamshell and Sternotomy incision. The median blood loss was 800 mL [interquartile range (IQR): 500; 1238], thoracotomy patients had 500 mL [325; 818] (P < .001). Median durations of mechanical ventilation in Thoracotomy, Sternotomy, and Clamshell groups were 19 [11; 37] hours, 34 [IQR 16; 57.5] hours, and 27 [IQR 15; 50.5] hours respectively. Thoracotomy group were discharged earlier from ICU (P < .001). Thoracotomy access produces less postoperative hemorrhage, duration of mechanical ventilation, and lower length of stay in ICU, but higher pain scores and need for epidural analgesia. | - |
dc.format.extent | 6 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Wolters Kluwer Health Inc. | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1097/MD.0000000000022427 | - |
dc.relation.ispartof | Medicine, 2020 vol. 99, num. 46 | - |
dc.relation.uri | https://doi.org/10.1097/MD.0000000000022427 | - |
dc.rights | cc by-nc (c) Giménez Milà et al., 2020 | - |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/3.0/es/ | - |
dc.source | Articles publicats en revistes (Ciències Clíniques) | - |
dc.subject.classification | Trasplantament d'òrgans | - |
dc.subject.classification | Malalties del pulmó | - |
dc.subject.other | Transplantation of organs | - |
dc.subject.other | Pulmonary diseases | - |
dc.title | Impact of surgical technique and analgesia on clinical outcomes after lung transplantation A STROBE-compliant cohort study | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 708561 | - |
dc.date.updated | 2021-02-08T10:16:05Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 33181640 | - |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Patologia i Terapèutica Experimental) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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Gimenez-MilaM.pdf | 449.99 kB | Adobe PDF | View/Open |
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