Respiratory pressures and expiratory peak flow rate of patients undergoing coronary artery bypass graft surgery
dc.contributor.author | Gimenes, Camila [UNESP] | |
dc.contributor.author | Godoy, Irma de [UNESP] | |
dc.contributor.author | Padovani, Carlos Roberto [UNESP] | |
dc.contributor.author | Gimenes, Rodrigo [UNESP] | |
dc.contributor.author | Okoshi, Marina Politi [UNESP] | |
dc.contributor.author | Okoshi, Katashi [UNESP] | |
dc.contributor.institution | Universidade Estadual Paulista (Unesp) | |
dc.date.accessioned | 2014-05-20T13:48:08Z | |
dc.date.available | 2014-05-20T13:48:08Z | |
dc.date.issued | 2012-09-01 | |
dc.description.abstract | Background: To evaluate clinical and laboratorial parameters that predict decreased respiratory function in patients subjected to coronary artery bypass graft surgery (CABG).Material/Methods: This was a prospective study evaluating 61 patients subjected to CABG with cardiopulmonary bypass, median sternotomy, and under mechanical ventilation for up to 24 h. One day before surgery, clinical information was recorded. Maximal inspiratory (MIP) and expiratory (MEP) pressures, and expiratory peak flow rate (EPFR) values were assessed 1 day before surgery and on the fifth postoperative day. Student's t test, 2-way ANOVA, Pearson's linear correlation, and logistic regression were used for statistical analysis.Results: Patients were 63 +/- 10 years old, 67% males. Arterial hypertension was found in 75.4% of the patients, diabetes in 31.2%, dyslipidemia in 63.9%, tabagism in 25%, and chronic obstructive pulmonary disease (COPD) in 16.4%. Previous myocardial infarction was found in 67%. Preoperative hemoglobin levels were 12.8 +/- 1.71 g/dL. Older individuals had lower preoperative MEP and EPFR values. Preoperatively, positive association was found between hemoglobin levels and maximal respiratory pressures and EPFR values. Patients with both class III angina and COPD presented higher reductions in pulmonary pressures between the preoperative period and the 5th postoperative day.Conclusions: Older age and low hemoglobin levels are associated with preoperative low maximal respiratory pressures and EPFR. The combination of severe angina and COPD results in higher postoperative reduction of maximal respiratory pressures for patients who underwent CABG. | en |
dc.description.affiliation | São Paulo State Univ, UNESP, Botucatu Med Sch, Dept Internal Med, São Paulo, Brazil | |
dc.description.affiliation | São Paulo State Univ, UNESP, Biosci Inst, Dept Biostat, São Paulo, Brazil | |
dc.description.affiliationUnesp | São Paulo State Univ, UNESP, Botucatu Med Sch, Dept Internal Med, São Paulo, Brazil | |
dc.description.affiliationUnesp | São Paulo State Univ, UNESP, Biosci Inst, Dept Biostat, São Paulo, Brazil | |
dc.description.sponsorship | Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) | |
dc.description.sponsorship | Fundação para o Desenvolvimento da UNESP (FUNDUNESP) | |
dc.description.sponsorship | Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) | |
dc.description.sponsorshipId | CNPq: 304998/2009-5 | |
dc.description.sponsorshipId | CNPq: 305013/2009-0 | |
dc.format.extent | CR558-CR563 | |
dc.identifier | http://www.ncbi.nlm.nih.gov/pubmed/22936191 | |
dc.identifier.citation | Medical Science Monitor. Smithtown: Int Scientific Literature, Inc, v. 18, n. 9, p. CR558-CR563, 2012. | |
dc.identifier.issn | 1234-1010 | |
dc.identifier.lattes | 5079454858778041 | |
dc.identifier.lattes | 4463138671998432 | |
dc.identifier.lattes | 1590971576309420 | |
dc.identifier.uri | http://hdl.handle.net/11449/17167 | |
dc.identifier.wos | WOS:000308607100010 | |
dc.language.iso | eng | |
dc.publisher | Int Scientific Literature, Inc | |
dc.relation.ispartof | Medical Science Monitor | |
dc.relation.ispartofsjr | 0,619 | |
dc.rights.accessRights | Acesso aberto | |
dc.source | Web of Science | |
dc.subject | coronary artery bypass graft | en |
dc.subject | pre- and intra-operative factors | en |
dc.subject | maximal inspiratory pressure | en |
dc.subject | maximal expiratory pressure | en |
dc.subject | expiratory peak flow rate | en |
dc.title | Respiratory pressures and expiratory peak flow rate of patients undergoing coronary artery bypass graft surgery | en |
dc.type | Artigo | |
dcterms.rightsHolder | Int Scientific Literature, Inc | |
unesp.author.lattes | 5079454858778041 | |
unesp.author.lattes | 4463138671998432 | |
unesp.author.lattes | 1590971576309420 | |
unesp.author.lattes | 8727897080522289[3] | |
unesp.author.orcid | 0000-0002-7719-9682[3] | |
unesp.author.orcid | 0000-0001-8980-8839[6] | |
unesp.campus | Universidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatu | pt |
unesp.department | Clínica Médica - FMB | pt |
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