The usefulness of perioperative lactate blood levels in patients undergoing heart valve surgery

被引：8

作者：

Duchnowski, Piotr ^{[1
]}

Hryniewiecki, Tomasz ^{[1
]}

Kusmierczyk, Mariusz ^{[1
]}

Szymanski, Piotr ^{[1
]}

机构：

[1] Inst Cardiol, Dept Acquired Cardiac Defects, 42 Alpejska St, PL-04628 Warsaw, Poland

来源：

KARDIOCHIRURGIA I TORAKOCHIRURGIA POLSKA-POLISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY | 2019年 / 16卷 / 03期

关键词：

lactate; risk stratification; valve surgery; postoperative strategy; PREOPERATIVE ANEMIA; MORTALITY; MARKER; PREDICTOR; MORBIDITY; HYPOXIA;

D O I：

10.5114/kitp.2019.88599

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Aim: The aim of the study was to assess the usefulness of lactate blood levels in the perioperative period in patients undergoing heart valve surgery. Material and methods: A prospective study was conducted on a group of consecutive patients with significant valvular heart disease who underwent elective valve surgery. The primary endpoint was total mortality in a 30-day follow-up. Univariate analysis, followed by multivariate regression analysis, was performed. Results: The study included 801 patients. The primary end point occurred in 36 patients. At multivariate analysis lactate blood level measured one day after surgery and pH measured one day after surgery remained independent predictors of the primary end-point. Conclusions: Elevated postoperative lactate blood level was associated with a higher risk of postoperative death.

引用

页码：114 / 117

页数：4

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