prikaz prve stranice dokumenta Diagnostic accuracy of central venous saturation in estimating mixed venous saturation is proportional to cardiac performance among cardiac surgical patients
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Diagnostic accuracy of central venous saturation in estimating mixed venous saturation is proportional to cardiac performance among cardiac surgical patients
Journal of Critical Care, 29 (2014), 5; 828-834. https://doi.org/10.1016/j.jcrc.2014.04.012
Gašparović, Hrvoje; Gabelica, Rajka; Ostojić, Zvonimir; Kopjar, Tomislav; Petričević, Mate; Ivančan, Višnja; Biočina, Bojan

Institucijski repozitorij: Dr Med - digitalni repozitorij Medicinskog fakulteta Sveučilišta u Zagrebu

Citirajte ovaj rad

Gašparović, H., Gabelica, R., Ostojić, Z., Kopjar, T., Petričević, M., Ivančan, V. i Biočina, B. (2014). Diagnostic accuracy of central venous saturation in estimating mixed venous saturation is proportional to cardiac performance among cardiac surgical patients. Journal of Critical Care, 29. (5), 828-834. doi: 10.1016/j.jcrc.2014.04.012

Gašparović, Hrvoje, et al. "Diagnostic accuracy of central venous saturation in estimating mixed venous saturation is proportional to cardiac performance among cardiac surgical patients." Journal of Critical Care, vol. 29, br. 5, 2014, str. 828-834. https://doi.org/10.1016/j.jcrc.2014.04.012

Gašparović, Hrvoje, Rajka Gabelica, Zvonimir Ostojić, Tomislav Kopjar, Mate Petričević, Višnja Ivančan i Bojan Biočina. "Diagnostic accuracy of central venous saturation in estimating mixed venous saturation is proportional to cardiac performance among cardiac surgical patients." Journal of Critical Care 29, br. 5 (2014): 828-834. https://doi.org/10.1016/j.jcrc.2014.04.012

Gašparović, H., et al. (2014) 'Diagnostic accuracy of central venous saturation in estimating mixed venous saturation is proportional to cardiac performance among cardiac surgical patients', Journal of Critical Care, 29(5), str. 828-834. doi: 10.1016/j.jcrc.2014.04.012

Gašparović H, Gabelica R, Ostojić Z, Kopjar T, Petričević M, Ivančan V, i sur.. Diagnostic accuracy of central venous saturation in estimating mixed venous saturation is proportional to cardiac performance among cardiac surgical patients. Journal of Critical Care [Internet]. 10.2014. [pristupljeno 26.11.2024.];29(5):828-834. doi: 10.1016/j.jcrc.2014.04.012

H. Gašparović, et al., "Diagnostic accuracy of central venous saturation in estimating mixed venous saturation is proportional to cardiac performance among cardiac surgical patients", Journal of Critical Care, vol. 29, br. 5, str. 828-834, Listopad 2014. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:105:847278. [Citirano: 26.11.2024.]

Za citiranje koristite ovu mrežnu adresu: https://urn.nsk.hr/urn:nbn:hr:105:847278
Podaci o radu
Naslov (engleski)Diagnostic accuracy of central venous saturation in estimating mixed venous saturation is proportional to cardiac performance among cardiac surgical patients
AutorHrvoje Gašparović
AutorRajka Gabelica
AutorZvonimir Ostojić
AutorTomislav Kopjar
AutorMate Petričević
AutorVišnja Ivančan
AutorBojan Biočina
Autorova ustanovaSveučilište u Zagrebu
Medicinski fakultet
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Sažetak (engleski)
PURPOSE: Advanced hemodynamic monitoring in cardiac surgery translates into improvement in outcomes. We evaluated the relationship between central venous (ScvO2) and mixed venous (SvO2) saturations over the early postoperative period. The adequacy of their interchangeability was tested in patients with varying degrees of cardiac performance. ----- METHODS: In this prospective observational study, we evaluated 156 consecutive cardiac surgical patients in an academic center. The ScvO2 and SvO2 data were harvested from 468 paired samples taken preoperatively (T0), after weaning from cardiopulmonary bypass (T1) and on postoperative day 1 (T2). ----- RESULTS: The relationship between ScvO2 and SvO2 was inconsistent, with inferior correlations in patients with lower cardiac indices (CI) (Pearson r(2) = 0.37 if CI ≤2.0 L/min per square meter vs r(2) = 0.73 if CI >2.0 L/min per square meter, both P < .01). Patients with lower CI also had wider 95% limits of agreement between SvO2 and ScvO2. The proportion of patients with a negative SvO2-ScvO2 gradient increased over time (48/156 [31%] at T0 to 73/156 [47%] at T2; P < .01). This subgroup more frequently required inotropes at T2 than patients with a positive SvO2-ScvO2 gradient (odds ratio, 6.46 [95% confidence interval, 0.81-51.87], P = .06) and also had higher serum lactate levels (1.5 ± 0.8 vs 1.0 ± 0.4; P < .01). ----- CONCLUSIONS: The diagnostic accuracy of ScvO2 for estimating SvO2 is proportional to cardiac performance. A negative SvO2-ScvO2 gradient at T2 correlated with inotropic support requirement, higher operative risk score, age, lactate level, and duration of cardiopulmonary bypass.
Ključne riječi (engleski)
Jezikengleski
Vrsta publikacijeZnanstveni rad - Izvorni znanstveni rad
Status objaveObjavljen
Vrsta recenzijeRecenziran
Verzija publikacijeZavršna verzija rukopisa prihvaćena za objavljivanje (postprint)
Naslov časopisaJournal of Critical Care
Brojčani podacivol. 29, br. 5, str. 828-834
p-ISSN0883-9441
DOIhttps://doi.org/10.1016/j.jcrc.2014.04.012
URN:NBNurn:nbn:hr:105:847278
Datum objave publikacije2014-10
URL dokumentahttps://doi.org/10.1016/j.jcrc.2014.04.012
Vrsta resursaTekst
Prava pristupaOtvoreni pristup
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Datum i vrijeme pohrane2024-03-27 20:16:31