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KMID : 0388320190260010032
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Journal of Korean Academy of Fundamental Nursing
2019 Volume.26 No. 1 p.32 ~ p.41
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Surgical Intensive Care Unit Patients’ Risk Factors for Postoperative Pulmonary Complications after Abdominal Surgery
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Joo Soon-Yeo
Kim Hee-Seung
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Abstract
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Purpose: The purpose of this study was to identify the risk factors for postoperative pulmonary complications (PPCs) after upper or lower abdominal digestive tract surgery.
Methods: Participants in this retrospective observational study had undergone upper or lower digestive tract surgery and entered the surgical intensive care unit between March 1, 2016 and February 28, 2017. Data were collected from the medical records, operative records, results of laboratory test, and the nursing records of the hospitals.
Results: Of the patients, 544 patients were enrolled in the study and PPCs -developed in 335 (61.6%) patients. On multivariate logistic regression analysis, significant risk factors of PPCs were identified: BMI (Body Mass Index; kg/m2), preoperative serum BUN (Blood Urea Nitrogen; mg/dL), abdominal open surgery, or blood transfusion during operation.
Conclusion: These risk factors could be used to help identify patients at risk for PPCs and then appropriate nursing interventions could be provided for patients at risk of PPCs.
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KEYWORD
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Postoperative complications, Risk factors, General surgery, Intensive care units
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