Приказ основних података о документу

dc.creatorSabljak, Vera
dc.creatorŽivaljević, Vladan
dc.creatorMiličić, Biljana
dc.creatorPaunović, Ivan
dc.creatorTosković, Anka R.
dc.creatorStevanović, Ksenija
dc.creatorTaušanović, Katarina
dc.creatorMarković, Dejan Z.
dc.creatorStojanović, Marina
dc.creatorLakićević, Mirko
dc.creatorJovanović, Milan D.
dc.creatorDiklić, Aleksandar
dc.creatorKalezić, Nevena
dc.date.accessioned2020-07-02T13:11:20Z
dc.date.available2020-07-02T13:11:20Z
dc.date.issued2017
dc.identifier.issn1011-7571
dc.identifier.urihttps://smile.stomf.bg.ac.rs/handle/123456789/2220
dc.description.abstractObjective: To investigate the incidence and identify risk factors for the occurrence of intraoperative hypertension (IOH) during surgery for primary hyperparathyroidism (pHPT). Subjects and Methods: The study included 269 patients surgically treated between January 2008 and January 2012 for pHPT. IOH was defined as an increase in systolic blood pressure >= 20% compared to baseline values which lasted for 15min. The investigated influence were demographic characteristics, surgical risk score related to physical status (based on the American Society of Anesthesiologists [ASA] classification), comorbidities, type and duration of surgery, and duration of anesthesia on IOH occurrence. The investigated factors were obtained from the patients' medical history, anesthesia charts, and the daily practice database. Logistic regression analysis was done to determine the predictors of IOH. Results: Of the 269 patients, 153 (56.9%) had IOH. Based on the univariate analysis, age, body mass index, ASA status, duration of anesthesia, and preoperative hypertension were risk factors for the occurrence of IOH. Multivariate analysis showed that independent predictors of IOH were a history of hypertension (OR = 2.080, 95% CI: 1.102-3.925, p = 0.024) and age (OR = 0.569, 95% CI: 0.360-0.901, p = 0.016). Conclusion: In this study, a high percentage (56%) of the patients developed IOH during surgery for pHPT, which indicates that special attention should be paid to these patients, especially to the high-risk groups: older patients and those with a history of hypertension. Further, this study showed that advanced age and hypertension as a coexisting disease prior to parathyroid surgery were independent risk factors for the occurrence of IOH.en
dc.publisherKarger, Basel
dc.rightsopenAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.sourceMedical Principles & Practice
dc.subjectPrimary hyperparathyroidismen
dc.subjectHypertensionen
dc.subjectAnesthesiaen
dc.subjectSurgeryen
dc.titleRisk Factors for Intraoperative Hypertension during Surgery for Primary Hyperparathyroidismen
dc.typearticle
dc.rights.licenseBY-NC
dcterms.abstractМиличић, Биљана; Лакићевић, Мирко; Сабљак, Вера; Стојановић, Марина; Пауновић, Иван; Марковић, Дејан З.; Стевановић, Ксенија; Живаљевић, Владан; Калезић, Невена; Јовановић, Милан Д.; Тосковић, Aнка Р.; Диклић, Aлександар; Таушановић, Катарина;
dc.citation.volume26
dc.citation.issue4
dc.citation.spage381
dc.citation.epage386
dc.citation.other26(4): 381-386
dc.citation.rankM22
dc.identifier.wos000409102200013
dc.identifier.doi10.1159/000475597
dc.identifier.pmid28399538
dc.identifier.scopus2-s2.0-85028650457
dc.identifier.fulltexthttps://smile.stomf.bg.ac.rs/bitstream/id/797/2215.pdf
dc.type.versionpublishedVersion


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