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All Journal Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Majalah Kedokteran Andalas Solo Journal of Anesthesi, Pain and Critical Care JKKI : Jurnal Kedokteran dan Kesehatan Indonesia
. Supomo
Department Of Thoracic And Cardiovascular Surgery, Dr. Sardjito General Hospital, Faculty Of Medicine, Public Health And Nursing, Universitas Gadjah Mada
Chemical Engineering, Chemistry & Bioengineering Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Journal : Majalah Kedokteran Andalas

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Prognostic factors influencing prolonged ventilation after open mitral valve surgery Supomo Supomo
Majalah Kedokteran Andalas Vol 43, No 1 (2020): Published in January 2020
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (243.266 KB) | DOI: 10.25077/mka.v43.i1.p1-7.2020

Abstract

Objective: To determine prognostic factors influencing prolonged ventilation after surgery in our hospital. Method: Seventy-five patients fulfilled inclusion criteria were included in this retrospective cross-sectional study. Prognostic factors analyzed were age, chronic pulmonary disease, heart failure (NYHA class function), left ventricular (LV) dysfunction (based on ejection fraction), recent myocardial infarction, pulmonary hypertension (PH), duration of cardiopulmonary bypass (CPB), ischemic time and aorta clamp time, which were analyzed in relation to prolonged ventilation after open mitral valve surgery. Results: Subjects were 75 patients aged between 19 and 62 years old (mean 39.76, SD 11.44) whom underwent open mitral valve repair or replacement surgery. Twenty-three patients (30.67%) had prolonged ventilation (≥24 hours) after surgery. Bivariate analysis showed there were no significant correlation between age, heart failure, PH and LV dysfunction. There are different with statistically significance between groups (p<0.05). Conclusions: In this study, almost one-third of patients had prolonged ventilation after surgery. Factors influencing this morbidity were the duration of ischemic time, aorta clamp time and CPB. Age, heart failure, LV dysfunction and PH were not statistically related to the prolonged ventilation event.
Co-Authors Aditya Agam Nugraha Budi Yuli Setianto Cindy Elfira Boom Cornelia Ancilla Felix Hangandi Galih Asa Andrianto Herpringga Lara Sakti Juni Kurniawaty Muhdar Abubakar Djayanti Sari Kelik Wagiyanto Marsetyawan Soesatyo Marsetyawan Soesatyo Muhammad Sayuti Paulus Sudiharto Paulus Sudiharto Teguh Aryandono Wahyu Priyatno Yunita Widyastuti