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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00006485naa a2200577 4500
001oai:DiVA.org:uu-465903
003SwePub
008220124s2022 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4659032 URI
0247 a https://doi.org/10.1186/s12871-021-01560-x2 DOI
040 a (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Hol, Liselotteu Locat AMC, Dept Anesthesiol, Amsterdam UMC, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands.;Locat AMC, Dept Intens Care, Amsterdam UMC, Amsterdam, Netherlands.4 aut
2451 0a Geo-economic variations in epidemiology, ventilation management and outcome of patients receiving intraoperative ventilation during general anesthesia- posthoc analysis of an observational study in 29 countries
264 c 2022-01-07
264 1b Springer Nature,c 2022
338 a electronic2 rdacarrier
520 a Background: The aim of this analysis is to determine geo-economic variations in epidemiology, ventilator settings and outcome in patients receiving general anesthesia for surgery. Methods: Posthoc analysis of a worldwide study in 29 countries. Lower and upper middle-income countries (LMIC and UMIC), and high-income countries (HIC) were compared. The coprimary endpoint was the risk for and incidence of postoperative pulmonary complications (PPC); secondary endpoints were intraoperative ventilator settings, intraoperative complications, hospital stay and mortality. Results: Of 9864 patients, 4% originated from LMIC, 11% from UMIC and 85% from HIC. The ARISCAT score was 17.5 [15.0-26.0] in LMIC, 16.0 [3.0-27.0] in UMIC and 15.0 [3.0-26.0] in HIC (P=.003). The incidence of PPC was 9.0% in LMIC, 3.2% in UMIC and 2.5% in HIC (P <.001). Median tidal volume in ml kg(-1) predicted bodyweight (PBW) was 8.6 [7.7-9.7] in LMIC, 8.4 [7.6-9.5] in UMIC and 8.1 [7.2-9.1] in HIC (P<.001). Median positive end-expiratory pressure in cmH(2)O was 3.3 [2.0-5.0]) in LMIC, 4.0 [3.0-5.0] in UMIC and 5.0 [3.0-5.0] in HIC (P<.001). Median driving pressure in cmH(2)O was 14.0 [11.5-18.0] in LMIC, 13.5 [11.0-16.0] in UMIC and 12.0 [10.0-15.0] in HIC (P<.001). Median fraction of inspired oxygen in % was 75 [50-80] in LMIC, 50 [50-63] in UMIC and 53 [45-70] in HIC (P<.001). lntraoperative complications occurred in 25.9% in LMIC, in 18.7% in UMIC and in 37.1% in HIC (P<.001). Hospital mortality was 0.0% in LMIC, 1.3% in UMIC and 0.6% in HIC (P= .009). Conclusion: The risk for and incidence of PPC is higher in LMIC than in UMIC and HIC. Ventilation management could be improved in LMIC and UMIC.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Anestesi och intensivvård0 (SwePub)302012 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Anesthesiology and Intensive Care0 (SwePub)302012 hsv//eng
653 a Geo-economic variation
653 a Intraoperative ventilation
653 a ARISCAT score
653 a Postoperative pulmonary complications
653 a ventilation
653 a Ventilator management
7001 a Nijbroek, Sunny G. L. H.u Locat AMC, Dept Anesthesiol, Amsterdam UMC, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands.;Locat AMC, Dept Intens Care, Amsterdam UMC, Amsterdam, Netherlands.4 aut
7001 a Neto, Ary Serpau Locat AMC, Dept Intens Care, Amsterdam UMC, Amsterdam, Netherlands.;Monash Univ, Australian & New Zealand Intens Care Res Ctr ANZ, Dept Crit Care Med, Melbourne, Vic, Australia.4 aut
7001 a Hemmes, Sabrine N. T.u Locat AMC, Dept Anesthesiol, Amsterdam UMC, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands.4 aut
7001 a Hedenstierna, Göran,d 1941-u Uppsala universitet,Klinisk fysiologi4 aut0 (Swepub:uu)goranhed
7001 a Hiesmayr, Michaelu Med Univ Vienna, Div Cardiac Thorac Vasc Anesthesia & Intens Care, Vienna, Austria.4 aut
7001 a Hollmann, Markus W.u Locat AMC, Dept Anesthesiol, Amsterdam UMC, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands.4 aut
7001 a Mills, Gary H.u Sheffield Teaching Hosp, Operating Serv, Crit Care & Anaesthesia, Sheffield, S Yorkshire, England.;Univ Sheffield, Sheffield, S Yorkshire, England.4 aut
7001 a Melo, Marcos F. Vidalu Massachusetts Gen Hosp, Dept Anesthesia Crit Care & Pain Med, Boston, MA 02114 USA.4 aut
7001 a Putensen, Christianu Univ Hosp Bonn, Dept Anesthesiol & Intens Care Med, Bonn, Germany.4 aut
7001 a Schmid, Werneru Med Univ Vienna, Div Cardiac Thorac Vasc Anesthesia & Intens Care, Vienna, Austria.4 aut
7001 a Severgnini, Paolou Univ Insubria, Dept Biotechnol & Life, ASST Sette Laghi Osped Circolo & Fondazio Macchi, Varese, Italy.4 aut
7001 a Wrigge, Hermannu Bermannstrost Hosp Halle, Dept Anaesthesiol Intens Care Med & Emergency Med, Pain Therapy, Halle, Germany.4 aut
7001 a de Abreu, Marcelo Gamau Tech Univ Dresden, Univ Hosp Carl Gustav Carus, Dept Anesthesiol & Intens Care Med, Pulm Engn Grp, Dresden, Germany.;Cleveland Clin, Dept Intens Care & Resuscitat, Cleveland, OH 44106 USA.;Cleveland Clin, Dept Outcomes Res, Cleveland, OH 44106 USA.4 aut
7001 a Pelosi, Paolou Univ Genoa, Dept Surg Sci & Integrated Diagnost, Genoa, Italy.;San Martino Policlin Hosp, IRCCS Oncol & Neurosci, Anesthesia & Crit Care, Genoa, Italy.4 aut
7001 a Schultz, Marcus J.u Locat AMC, Dept Intens Care, Amsterdam UMC, Amsterdam, Netherlands.;Mahidol Univ, Mahidol Oxford Trop Med Res Unit MORU, Bangkok, Thailand.;Univ Oxford, Nuffield Dept Med, Oxford, England.4 aut
7102 a Locat AMC, Dept Anesthesiol, Amsterdam UMC, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands.;Locat AMC, Dept Intens Care, Amsterdam UMC, Amsterdam, Netherlands.b Locat AMC, Dept Intens Care, Amsterdam UMC, Amsterdam, Netherlands.;Monash Univ, Australian & New Zealand Intens Care Res Ctr ANZ, Dept Crit Care Med, Melbourne, Vic, Australia.4 org
7730 t BMC Anesthesiologyd : Springer Natureg 22:1q 22:1x 1471-2253x 1471-2253
8564 u https://doi.org/10.1186/s12871-021-01560-xy Fulltext
8564 u https://uu.diva-portal.org/smash/get/diva2:1631280/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 u https://bmcanesthesiol.biomedcentral.com/track/pdf/10.1186/s12871-021-01560-x
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-465903
8564 8u https://doi.org/10.1186/s12871-021-01560-x

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