Value of right ventricular ejection fraction in the preoperative risk evaluation for pulmonary resection / 中国肺癌杂志
Chinese Journal of Lung Cancer
;
(12): 131-132, 2002.
Artículo
en Chino
| WPRIM
| ID: wpr-351974
ABSTRACT
<p><b>BACKGROUND</b>To evaluate the preoperative right ventricular ejection fraction (RVEF) as a predictor of postoperative complications after lung resection.</p><p><b>METHODS</b>RVEF was consecutively assessed in 254 patients before pulmonary resection by echocardiography. According to preoperative right ventricular function, the patients were divided into group Ia (n=82, RVEF≥45%), group Ib (n=92,RVEF < 45%), group Ic (n=42, RVEF < 40%),and group Id (n=38, RVEF≤35%). Postoperative RVEF was detected again in 122 patients 3 weeks later after lung resection.</p><p><b>RESULTS</b>Preoperative RVEF of patients with postoperative complications was significantly higher than that of patitents without postoperative complications (P < 0.001). Among group Ia, Ib, Ic, and Id, there were significant differences in postoperative morbidities (P < 0.005). Patients with a preoperative RVEF less than 40% had a higher incidence of complications than those with RVEF over 40% (P < 0.005). Of the 122 patients, postoperative RVEF was remarkably lower than preoperative RVEF (P < 0.01).</p><p><b>CONCLUSIONS</b>The preoperative RVEF may be a predictor of postoperative complications for lung resection. RVEF higher than 40% is considered as a safe range for pneumonectomy.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Tipo de estudio:
Estudio de etiología
/
Estudio pronóstico
Idioma:
Chino
Revista:
Chinese Journal of Lung Cancer
Año:
2002
Tipo del documento:
Artículo
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