Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Introduction: The relationship between intraoperative fluid balance and surgical reintervention in patients undergoing cardiac surgery is currently unclear.
Methods: Case‒control study nested in a historical cohort. Patients over 18 years of age in the immediate postoperative period of cardiac surgery were included, and unplanned surgical reintervention was evaluated as the primary outcome. Four groups were created according to intraoperative fluid balance. We performed a univariate analysis comparing patients who underwent reintervention (cases) with those who did not (controls), and a multivariate conditional logistic regression model controlling for multiple confusion variables.
Results: In total, 304 patients were analyzed (76 cases and 228 controls). The median age was 67 years, and the European System for Cardiac Operative Risk Evaluation (EuroSCORE) II was greater in cases than in controls (2.05 (1.21-3.48) vs. 2.5 (1.46-4.63), = 0.016). A greater proportion of smokers were found in cases (36.8% vs. 15.3%, < 0.01). No differences were found in fluid balance between groups. Moreover, no differences were found according to the type of procedure performed given the match. The total duration of surgery was longer in reintervened patients (median 4 h (interquartile range (IQR) 3.66-5) vs. 5 h (IQR 4-5.11), = 0.04). According to multivariate analysis, no association was found between fluid balance and the risk of requiring reintervention (odds ratio (OR) 1.03, confidence interval (CI) 0.86-1.23, = 0.75). However, reintervention was associated with smoking (OR 4.44; CI 2.09-9.44; < 0.01) and total duration of the surgical procedure (OR 1.39; CI 1.06-1.82; < 0.01). The type of programming (urgent surgery) (OR 0.34; CI 0.16-0.74; < 0.01) and history of acute myocardial infarction in the last 7 days (OR 0.46; CI 0.21-0.99; = 0.04) were more frequent in patients who did not undergo reintervention.
Conclusion: Our findings did not reveal an association between a positive intraoperative fluid balance and the incidence of unplanned reintervention after cardiac surgery.
Supplementary Information: The online version contains supplementary material available at 10.1007/s12055-025-01935-6.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276163 | PMC |
| http://dx.doi.org/10.1007/s12055-025-01935-6 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Stent it and Forget it? Not in Kids: Endovascular Treatment of Traumatic Arterial Injuries in Adolescents.
J Pediatr Surg
September 2025
Department of Pediatric Surgery, McGovern Medical School, UTHealth Houston and Children's Memorial Hermann Hospital, Houston, TX, USA(†). Electronic address:
Background: Repair strategies for pediatric vascular injuries must consider vascular growth and intervention durability. Endovascular interventions are increasingly utilized in pediatrics, particularly in unstable patients or for injuries in surgically morbid regions. This study describes a single-center experience with endovascular stenting in adolescent pediatric trauma.
View Article and Find Full Text PDFThe impact of clinically insignificant residual fragments following endourological management of urolithiasis: a systematic review of complications and re-intervention rates.
Minerva Urol Nephrol
September 2025
GRC n°20, Groupe de Recherche Clinique sur la Lithiase Urinaire, Hôpital Tenon, Sorbonne University, Paris, France.
Introduction: Achieving stone-free status (SFS) is a key goal of endourological treatment, yet definitions of SFS and clinically insignificant residual fragments (CIRF) remain controversial. While CIRF is frequently defined as residual fragments ≤4 mm, there is no consensus on its clinical significance regarding complications and re-intervention needs. We evaluate the risk of complications and the need for re-intervention associated with the presence of CIRF following endourological treatment for urolithiasis.
View Article and Find Full Text PDFDecision-making in valve reintervention: Redo-Transcatheter aortic valve replacement vs. explant surgery.
Cardiovasc Revasc Med
August 2025
Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, USA; Cardiovascular Branch, Division of Intramural Research, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD, USA. Electronic address:
Objective: Data remain limited on factors influencing the selection of redo-transcatheter aortic valve replacement (TAVR) versus surgical explant in patients with failing transcatheter heart valves. This study aimed to identify clinical and procedural factors guiding treatment decisions.
Methods: This single-center, retrospective study included all patients who underwent aortic valve reintervention following prior TAVR at a U.
Pericystic-digestive anastomosis is a rarely used but valuable surgical option in the management of complicated hepatic hydatid cysts. This retrospective observational study included 24 patients operated on between 2010 and 2023 in a general surgery center in Romania. We analyzed intraoperative decision-making, type of anastomosis, and postoperative outcomes.
View Article and Find Full Text PDFComparison of early and intermediate-term outcomes between hybrid arch debranching and total arch replacement: A systematic review and meta-analysis of propensity-matched studies.
PLoS One
September 2025
Department of Surgery, Roi Et Hospital, Roi Et, Thailand.
Objectives: To systematically review propensity score-matched studies comparing hybrid arch repair (HAR) with total arch replacement (TAR) for aortic arch pathologies, summarizing early outcomes and intermediate-term results.
Methods: We searched PubMed, Embase, the Cochrane Library, and Google Scholar to April 2024. The primary outcome was in-hospital mortality, evaluated by a random-effects model to calculate the odds ratio (OR).