Metabolic Acidosis in the Surgical Intensive Care Unit: Risk Factors, Clinical Correlates and Outcome. Findings from a High Dependency Heart and Vascular Surgical Center in Nigeria

• 作者: A. D. Adebajo M. Sanusi O. B. Udom O. F. Salami O. J. Alao P. K. Uduagbamen
• 来源期刊: 心血管外科国际期刊(英文)
• 学科: 数学
• 关键词: Metabolic Acidosis PERIOPERATIVE Anesthetic Induction Post-Operative Day Open Heart VASCULAR COMORBIDITIES Kidney Function
• 年，卷（期）: 2020,（11）
• 页码范围: 226-241
• 页数: 16页
• 分类号: O17

摘要

<strong>Background:</strong> <span style="font-size:12px;font-family:Verdana;">Metabolic acidosis (MA) is a common finding on the surgical ward, more so in the intensive care unit. Diseases affecting the major organ systems of the body and higher grades of surgery are common risk factors for MA. It is associated with poor treatment outcome. </span><b><span style="font-size:12px;font-family:Verdana;">Aim</span></b><b><span style="font-size:12px;font-family:Verdana;">:</span></b><b><span style="font-size:10.0pt;font-family:;" "=""> </span></b><span style="font-size:12px;font-family:Verdana;">To determine the risk factors and clinical correlates of metabolic acidosis and assess its relationship with treatment outcome. </span><b><span style="font-size:12px;font-family:Verdana;">Methodology:</span></b><span style="font-size:12px;font-family:Verdana;"> A retrospective study at the “Tristate Heart and vascular Center” in Ilishan-Remo South west Nigeria, on patients that had cardiac and vascular surgeries </span><span style="font-size:12px;font-family:Verdana;">from</span><span style="font-size:10.0pt;font-family:;" "=""><span style="font-family:Verdana;font-size:12px;"> January 2015 to De</span><span style="font-family:Verdana;font-size:12px;">cember 2019. Three hundred and forty two participants took part in the </span><span style="font-family:Verdana;font-size:12px;">study. The demographic, clinical and laboratory findings were entered. Statistical analysis was with Student’s t-test and Chi square. </span></span><b><span style="font-size:12px;font-family:Verdana;">Results:</span></b><span style="font-size:12px;font-family:Verdana;"> Two hundred and six males and 136 females were studied. The incidence</span><span style="font-size:12px;font-family:Verdana;">s</span><span style="font-size:10.0pt;font-family:;" "=""><span style="font-family:Verdana;font-size:12px;"> of metabolic acidosis prior to induction, on post-operative day one (POD</span>^{<span style="font-family:Verdana;font-size:12px;">1</span>}<sp