Baseline cerebral oximetry values in cardiac and vascular surgery patients: a prospective observational study

Απλή σελίδα τεκμηρίου
dc.contributor.authorBaikoussis, N. G.en
dc.contributor.authorKaranikolas, M.en
dc.contributor.authorSiminelakis, S.en
dc.contributor.authorMatsagas, M.en
dc.contributor.authorPapadopoulos, G.en
dc.date.accessioned2015-11-24T19:33:33Z
dc.date.available2015-11-24T19:33:33Z
dc.identifier.issn1749-8090-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/23546
dc.rightsDefault Licence-
dc.subjectAgeden
dc.subjectBrain/*metabolismen
dc.subjectCardiac Surgical Procedures/*adverse effectsen
dc.subjectCerebrovascular Circulationen
dc.subjectCognition Disorders/etiology/physiopathologyen
dc.subjectEndarterectomy, Carotid/*adverse effectsen
dc.subjectHumansen
dc.subjectMiddle Ageden
dc.subject*Oximetryen
dc.subjectRisk Factorsen
dc.subjectSpectrum Analysis/instrumentation/methodsen
dc.subjectStroke/etiology/physiopathologyen
dc.titleBaseline cerebral oximetry values in cardiac and vascular surgery patients: a prospective observational studyen
heal.abstractAIM: This study was conducted to evaluate baseline INVOS values and identify factors influencing preoperative baseline INVOS values in carotid endarterectomy and cardiac surgery patients. METHODS: This is a prospective observational study on 157 patients (100 cardiac surgery patients, 57 carotid endarterectomy patients). Data were collected on factors potentially related to baseline INVOS values. Data were analyzed with student's t-test, Chi-square, Pearson's correlation or Linear Regression as appropriate. RESULTS: 100 cardiac surgery patients and 57 carotid surgery patients enrolled. Compared to cardiac surgery, carotid endarterectomy patients were older (71.05 +/- 8.69 vs. 65.72 +/- 11.04, P < 0.001), with higher baseline INVOS (P < 0.007) and greater stroke frequency (P < 0.002). Diabetes and high cholesterol were more common in cardiac surgery patients. Right side INVOS values were strongly correlated with left-side values in carotid (r = 0.772, P < 0.0001) and cardiac surgery patients (r = 0.697, P < 0.0001). Diabetes and high cholesterol were associated with significantly (P < 0.001) lower INVOS and smoking was associated with higher INVOS values in carotid, but not in cardiac surgery patients. Age, sex, CVA history, Hypertension, CAD, Asthma, carotid stenosis side and surgery side were not related to INVOS. Multivariate analysis showed that diabetes is strongly associated with lower baseline INVOS values bilaterally (P < 0.001) and explained 36.4% of observed baseline INVOS variability in carotid (but not cardiac) surgery. CONCLUSION: Compared to cardiac surgery, carotid endarterectomy patients are older, with higher baseline INVOS values and greater stroke frequency. Diabetes and high cholesterol are associated with lower baseline INVOS values in carotid surgery. Right and left side INVOS values are strongly correlated in both patient groups.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1186/1749-8090-5-41-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/20497559-
heal.identifier.secondaryhttp://www.cardiothoracicsurgery.org/content/pdf/1749-8090-5-41.pdf-
heal.journalNameJ Cardiothorac Surgen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2010-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

Αρχεία

Πρωτότυπος φάκελος/πακέτο

Προβολή: 1 - 1 of 1
Μικρογραφία εικόνας
Ονομα:
Baikoussis-2010-Baseline cerebral ox.pdf
Μέγεθος:
845.22 KB
Μορφότυπο:
Adobe Portable Document Format
Κατεβάστε

Φάκελος/Πακέτο αδειών

Προβολή: 1 - 1 of 1
Μικρογραφία εικόνας
Ονομα:
license.txt
Μέγεθος:
1.74 KB
Μορφότυπο:
Item-specific license agreed upon to submission
Περιγραφή:
Κατεβάστε

Συλλογές

Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ