Приказ основних података о документу
Risk factors for intraoperative variations in blood pressure and cardiac dysrhythmia during thyroid surgery
Faktori rizika za pojavu intraoperativnih varijacija vrednosti krvnog pritiska i srčanih disritmija tokom tireoidne hirurgije
dc.creator | Stojanović, Marina | |
dc.creator | Kalezić, Nevena | |
dc.creator | Miličić, Biljana | |
dc.creator | Tosković, Anka R. | |
dc.creator | Stevanović, Ksenija | |
dc.creator | Antonijević, Vesna | |
dc.creator | Lakićević, Mirko | |
dc.creator | Bagi, Bojan | |
dc.creator | Živaljević, Vladan | |
dc.date.accessioned | 2020-07-02T13:18:13Z | |
dc.date.available | 2020-07-02T13:18:13Z | |
dc.date.issued | 2018 | |
dc.identifier.issn | 0370-8179 | |
dc.identifier.uri | https://smile.stomf.bg.ac.rs/handle/123456789/2328 | |
dc.description.abstract | Introduction/Objective Intraoperative variations in blood pressure and/or cardiac dysrhythmias (IOVBP/CD) represent one of the most common causes of morbidity and mortality in surgical patients. The aim of the study was to determine the incidence and risk factors for IOVBP/CD in thyroid surgery patients with comorbidities. Methods The study included 1,252 euthyroid patients with ASA 2 and ASA 3 status (American Society of Anesthesiologists - physical status classification) who underwent thyroid surgery. The following risk factors were examined: sex, age, body mass index (BMI), ASA status, admission diagnoses, type of operation, duration of surgery, time under general anesthesia, difficult intubation of trachea, and coexisting diseases - hypertension, cardiomyopathy, cardiac arrhythmias, angina pectoris, diabetes mellitus, kidney disease. The following intraoperative events were recorded: hypertension, severe hypertension, hypotension, and cardiac arrhythmias. We used Pearson χ2 square test, univariate, and multivariate logistic regression for statistical analysis. Results The majority of patients were female (86.3%). In 903 (72.1%) patients IOVBP/CD were detected. The most common problem was intraoperative hypertension (61.4%). Eight risk factors for IOVBP/CD were registered by univariate analysis: advanced age, ASA 3 status, BMI > 25 kg/m2, duration of surgery, time under general anesthesia, hypertension, and cardiomyopathy as a coexisting disease. The multivariate regression model identified three independent predictors for IOVBP/CD: age, hypertension, and cardiomyopathy. Conclusion IOVBP/CD are common in thyroid surgery. The most common is intraoperative hypertension. Older age, hypertension, and cardiomyopathy as a coexisting disease are independent risk factors for IOVBP/CD. | en |
dc.description.abstract | Uvod/Cilj Intraoperativne varijacije krvnog pritiska i/ ili srčane disritmije (IVKP/SD) jedan su od najčešćih uzročnika morbiditeta i mortaliteta hirurških bolesnika. Cilj studije je bio da ispita učestalost i faktore rizika za pojavu IVKP/SD u tireoidnoj hirurgiji kod bolesnika sa komorbiditetima. Metode Ispitivanje je obuhvatilo 1252 eutireoidna bolesnika ASA 2 i ASA 3 statusa podvrgnutih tireoidnoj hirurgiji. Ispitivan je uticaj sledećih faktora rizika: pol, starost, indeks telesne mase (ITM), ASA status, prijemna dijagnoza, tip operacije, trajanje operacije, trajanje anestezije, otežana intubacija traheje, kao i komorbiditeti: hipertenzija, kardiomiopatija, srčane aritmije, angina pektoris, dijabetes melitus, bolesti bubrega. Registrovani su intraoperativno: hipertenzija, hipertenzivna kriza, hipotenzija i srčane aritmije. Korišćen je Pirsonov χ2-test, univarijantna i multivarijantna regresiona analiza za statističku obradu podataka. Rezultati Većinu bolesnika su činile žene (86,3%). IVKP/ SD su registrovani kod 903 (72,1%) bolesnika. Najčešći poremećaj je bila intraoperativna hipertenzija - 61,4%. Univarijantnom analizom je registrovano sedam faktora rizika za pojavu IVKP/SD: godine života, ASA 3 status, ITM > 25 kg/m2, trajanje hirurgije, trajanje anestezije, hipertenzija i kardiomiopatija kao komorbiditet. Multivarijantnom regresionom analizom izdvojila su se tri nezavisna prediktora pojave IVKP/SD: godine starosti, hipertenzija i kardiomiopatija. Zaključak IVKP/SD su česte u tireoidnoj hirurgiji. Najčešća je intraoperativna hipertenzija. Starije životno doba, hipertenzija i kardiomiopatija kao koegzistirajuće bolesti su nezavisni faktori rizika za pojavu IVKP/SD. | sr |
dc.publisher | Srpsko lekarsko društvo, Beograd | |
dc.relation | info:eu-repo/grantAgreement/MESTD/Basic Research (BR or ON)/175042/RS// | |
dc.rights | openAccess | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0/ | |
dc.source | Srpski arhiv za celokupno lekarstvo | |
dc.subject | thyroidectomy | en |
dc.subject | hypotension | en |
dc.subject | hypertension | en |
dc.subject | arrhythmias | en |
dc.subject | cardiac | en |
dc.subject | tireoidektomija | sr |
dc.subject | hipotenzija | sr |
dc.subject | hipertenzija | sr |
dc.subject | srčane aritmije | sr |
dc.title | Risk factors for intraoperative variations in blood pressure and cardiac dysrhythmia during thyroid surgery | en |
dc.title | Faktori rizika za pojavu intraoperativnih varijacija vrednosti krvnog pritiska i srčanih disritmija tokom tireoidne hirurgije | sr |
dc.type | article | |
dc.rights.license | BY-NC | |
dcterms.abstract | Стевановић, Ксенија; Тосковић, Aнка Р.; Живаљевић, Владан; Стојановић, Марина; Баги, Бојан; Лакићевић, Мирко; Aнтонијевић, Весна; Миличић, Биљана; Калезић, Невена; Фактори ризика за појаву интраоперативних варијација вредности крвног притиска и срчаних дисритмија током тиреоидне хирургије; Фактори ризика за појаву интраоперативних варијација вредности крвног притиска и срчаних дисритмија током тиреоидне хирургије; | |
dc.citation.volume | 146 | |
dc.citation.issue | 3-4 | |
dc.citation.spage | 163 | |
dc.citation.epage | 168 | |
dc.citation.other | 146(3-4): 163-168 | |
dc.citation.rank | M23 | |
dc.identifier.wos | 000436254500007 | |
dc.identifier.doi | 10.2298/SARH170522156S | |
dc.identifier.scopus | 2-s2.0-85048150835 | |
dc.identifier.fulltext | https://smile.stomf.bg.ac.rs/bitstream/id/875/2323.pdf | |
dc.type.version | publishedVersion |