| Risk Factors for Prolonged Pleural
Effusion after Total Cavopulmonary Connection by Multivariate
Analysis |
(Department of Cardiovascular Surgery, Kyushu Kosei-Nenkin
Hospital, Fukuoka, Japan)
| Fumio Fukumura* |
Akira Sese |
Yasutaka Ueno |
| Masato Sakamoto |
Yoshihisa Tanoue |
Yoshie Ochiai |
| Hiromichi Sonoda |
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We evaluated risk factors for prolonged
pleural effusion after surgery in 35 children who underwent total
cavopulmonary connection (TCPC). Duration of their chest tube
drainage was 5.4±7.0 days (1-41, median 3). In univariate analysis,
significant risk factors for prolonged pleural drainage over
7 days were preoperative body weight (p＝0.03), preoperative
cardiothoracic ratio (p＝0.03), cardiopulmonary bypass
(CPB) time (p＝0.02), homologous blood transfusion (p＝0.03),
serum protein concentration at CPB weaning (p＝0.04), central
venous pressure (CVP) averaged during 3 postoperative days (p＝0.01)
and body weight change during 3 postoperative days (p＝0.01).
However multivariate analysis showed only CVP averaged during
3 postoperative days was a significant risk factor for prolonged
chest tube drainage (p＝0.03, odd's ratio 3.3). In conclusion,
to keep the central venous pressure as low as possible during
the early postoperative period might decrease the duration of
pleural drainage.
Jpn. J. Cardiovasc. Surg. 30: 223-225 (2001) |
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