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Can I read Early Postoperative Vital Signs Predict Subsequent 90-Day Mortality After Pancreaticoduodenectomy on EtoBox?
Early Postoperative Vital Signs Predict Subsequent 90-Day Mortality After Pancreaticoduodenectomy by Teena Nerwal; Livia Qoshe; Sneha Iyer; Genevieve Medina; Adrian Felix; Harish Lavu; Charles J. Yeo; Jordan M. Winter is a Medicine article available to read on EtoBox.
What is Early Postoperative Vital Signs Predict Subsequent 90-Day Mortality After Pancreaticoduodenectomy about?
Background While complication rates after pancreaticoduodenectomy (PD) have improved in recent decades, surgical-related death remains a possibility. Postoperative vital signs offer an untapped opportunity to identify predictors of 90-day mortality. Methods We performed a retrospective chart review interrogating postoperative day (POD 0-7) vital sign measurements from patients undergoing a PD at Thomas Jefferson University Hospital, Philadelphia, PA (2009-2014). Five specific vital signs were examined as predictors of mortality: temperature, heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure. Statistical analyses and logic algorithms were employed to rank vital sign parameters, with cut-points, to identify those associated with the highest risk of mortality and the most clinical relevance. Results In our cohort, 11/750 patients (1.5%) died within 30 days of surgery, and 21/750 patients (2.8%) died within 90 days of surgery. Vital sign perturbations associated with the highest risk of mortality included mean SBP < 95 mmHg on POD 7 (odds ratio 51.46) and the mean temperature < 96.9°F on POD 3 (odds ratio 22.63) with specificitie
Who reads Early Postoperative Vital Signs Predict Subsequent 90-Day Mortality After Pancreaticoduodenectomy?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Teena Nerwal; Livia Qoshe; Sneha Iyer; Genevieve Medina; Adrian Felix; Harish Lavu; Charles J. Yeo; Jordan M. Winter
- Publisher
- Springer Science and Business Media LLC
- Published
- 2023
- Language
- EN
- Field
- Medicine (Health Sciences)