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Postoperative air leak grading is useful to predict prolonged air leak after pulmonary lobectomy
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Oh, Sang Gi | - |
dc.contributor.author | Jung, Yochun | - |
dc.contributor.author | Jheon, Sanghoon | - |
dc.contributor.author | Choi, Yunhee | - |
dc.contributor.author | Yun, Ju Sik | - |
dc.contributor.author | Na, Kook Joo | - |
dc.contributor.author | Ahn, Byoung Hee | - |
dc.date.accessioned | 2017-02-02T02:33:10Z | - |
dc.date.available | 2017-02-02T02:33:10Z | - |
dc.date.issued | 2017-01-23 | - |
dc.identifier.citation | Journal of Cardiothoracic Surgery, 12(1):1 | ko_KR |
dc.identifier.uri | https://hdl.handle.net/10371/100384 | - |
dc.description | This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. | ko_KR |
dc.description.abstract | Background
Results of studies to predict prolonged air leak (PAL; air leak longer than 5days) after pulmonary lobectomy have been inconsistent and are of limited use. We developed a new scale representing the amount of early postoperative air leak and determined its correlation with air leak duration and its potential as a predictor of PAL. Methods We grade postoperative air leak using a 5-grade scale. All 779 lobectomies from January 2005 to December 2009 with available medical records were reviewed retrospectively. We devised six SUM variables using air leak grades in the initial 72h postoperatively. Results Excluding unrecorded cases and postoperative broncho-pleural fistulas, there were 720 lobectomies. PAL occurred in 135 cases (18.8%). Correlation analyses showed each SUM variable highly correlated with air leak duration, and the SUM4to9, which was the sum of six consecutive values of air leak grades for every 8h record on postoperative days 2 and 3, was proved to be the most powerful predictor of PAL; PAL could be predicted with 75.7% and 77.7% positive and negative predictive value, respectively, when SUM4to9 ≥ 16. When 4 predictors derived from multivariable logistic regression of perioperative variables were combined with SUM4to9, there was no significant increase in predictability compared with SUM4to9 alone. Conclusions This simple new method to predict PAL using SUM4to9 showed that the amount of early postoperative air leak is the most powerful predictor of PAL, therefore, grading air leak after pulmonary lobectomy is a useful method to predict PAL. | ko_KR |
dc.language.iso | en | ko_KR |
dc.publisher | BioMed Central | ko_KR |
dc.subject | Prolonged air leak | ko_KR |
dc.subject | Lobectomy | ko_KR |
dc.subject | Air leak grade | ko_KR |
dc.title | Postoperative air leak grading is useful to predict prolonged air leak after pulmonary lobectomy | ko_KR |
dc.type | Article | ko_KR |
dc.contributor.AlternativeAuthor | 오상기 | - |
dc.contributor.AlternativeAuthor | 정요천 | - |
dc.contributor.AlternativeAuthor | 전상훈 | - |
dc.contributor.AlternativeAuthor | 윤주식 | - |
dc.contributor.AlternativeAuthor | 나국주 | - |
dc.contributor.AlternativeAuthor | 안병희 | - |
dc.identifier.doi | 10.1186/s13019-017-0568-6 | - |
dc.language.rfc3066 | en | - |
dc.rights.holder | The Author(s). | - |
dc.date.updated | 2017-01-29T03:03:53Z | - |
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