Risk factors for acute respiratory distress syndrome in elderly patients undergone heart surgeryunder cardiopulmonary bypass
Shen Mengmeng
Ji Mingxue
Zhao Wenchao
Abstract：Objective To discuss the risk factors for acute respiratory distress syndrome(ARDS)in elderly patients undergone heart surgeryunder cardiopulmonary bypass(CPB).Methods The elderly patients undergone heart surgeryunder CPB(n=250)were chosen from Municipal Hospital of Qingdao City from Jan.2020 to Jan.2023.The patients with postoperative ARDS were chosen into ARDS group(n=20)and those without ARDS were chosen into non-ARDS group(n=230).The indexes of age,gender,smoking,drinking,diabetes,hypertension,NYHA classification of heart function,intraoperative blood loss,intraoperative blood transfusion,CPB time and aortic occlusion time were compared between 2 groups.The risk factors for ARDS were analyzed by using Logistic regression analysis in elderly patients after heart surgeryunder CPB.Results The comparison in age,gender,smoking,drinking,diabetes and hypertension showed the difference had no statistical significance between 2 groups(P＞0.05).After the operation,ARDS was correlated to NYHA classification of heart function,intraoperative blood loss,intraoperative blood transfusion,CPB time and aortic occlusion time(P＜0.05).The results of Logistic regression analysis showed that NYHA classification of heart function,intraoperative blood loss,intraoperative blood transfusion,CPB time and aortic occlusion time all were risk factors for ARDS occurrence(P＜0.05).Conclusion NYHAclassification of heart function,intraoperative blood loss,intraoperative blood transfusion,CPB time and aortic occlusion time all are risk factors for ARDS occurrence in elderly patients after heart surgeryunderCPB.
Keywords：Cardiopulmonary bypassHeart surgeryAcute respiratory distress syndromeRisk factors
Publication Date：2024-07-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 860-862 )