1. Incidence of postoperative pulmonary complications in patients undergoing minimally invasive versus median sternotomy valve surgery: propensity score matching
- Author
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Mohamed Abdulkadir Mohamed, Xiang Wei, and Cai Cheng
- Subjects
Pulmonary and Respiratory Medicine ,Aortic valve ,medicine.medical_specialty ,RD1-811 ,medicine.medical_treatment ,law.invention ,law ,Minimally invasive surgery ,Anesthesiology ,Mitral valve ,Humans ,Minimally Invasive Surgical Procedures ,Medicine ,RD78.3-87.3 ,Propensity Score ,Full sternotomy ,Retrospective Studies ,Heart Valve Prosthesis Implantation ,Postoperative pulmonary complications ,business.industry ,Incidence ,General Medicine ,Odds ratio ,Length of Stay ,Sternotomy ,Intensive care unit ,Surgery ,Cardiac surgery ,Treatment Outcome ,medicine.anatomical_structure ,Median sternotomy ,Cardiothoracic surgery ,Propensity score matching ,Cardiology and Cardiovascular Medicine ,business ,Research Article - Abstract
Objective Postoperative pulmonary complications (PPCs) are common incidents associated with an increased hospital stay, readmissions into the intensive care unit (ICU), increased costs, and mortality after cardiac surgery. Our study aims to analyze whether minimally invasive valve surgery (MIVS) can reduce the incidence of postoperative pulmonary complications compared to the full median sternotomy (FS) approach. Methods We reviewed the records of 1076 patients who underwent isolated mitral or aortic valve surgery (80 MIVS and 996 FS) in our institution between January 2015 and December 2019. Propensity score-matching analysis was used to compare outcomes between the groups and to reduce selection bias. Results Propensity score matching revealed no significant difference in hospital mortality between the groups. The incidence of PPCs was significantly less in the MIVS group than in the FS group (19% vs. 69%, respectively; P P = 0.034), pleural effusions (P = 0.042), and pulmonary infection (P = 0.001). Prolonged mechanical ventilation time (> 24 h) (P = 0.016), blood transfusion amount (P = 0.006), length of hospital stay (P P P P Conclusion MIVS for isolated valve surgery reduces the risk of PPCs compared with the FS approach.
- Published
- 2021