Acute Respiratory Failure Requiring Intubation, Mortality, Pneumonia, Pulmonary Edema, Respiratory Failure, Surgical Wound Infection
Conditions
Brief summary
Respiratory complications represent the second most frequent type of postoperative complications with an incidence estimated to range from 2.0% to 7.9% It has been shown that intra-operative protective ventilation is associated with a reduced risk of respiratory complications. The effects of intra-operative inspiratory oxygen fraction (FiO2) remain to be investigated. In this study, the investigators aim to investigate the association between intra-operative FiO2 and respiratory complication as well as surgical site infection and ICU admission in patients undergoing non-cardiothoracic surgery. The investigators primary hypothesis is that high intra-operative FiO2 increases the risk of postoperative respiratory complications independent of predefined risk factors.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Non-cardiothoracic surgery at Massachusetts General Hospital between January 2007 and August 2015 * Tracheally intubated at the beginning of the procedure and extubated at the end of the procedure * above18 years of age
Exclusion criteria
* Missing information regarding main characteristics or the exposure variable
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative respiratory complications | 7 days after surgery |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative reintubation | 7 days after surgery |
| Postoperative respiratory failure | 7 days after surgery |
| Postoperative pulmonary edema | 7 days after surgery |
| Postoperative pneumonia | 7 days after surgery |
| Postoperative admission to the intensive care unit | 7 days after surgery |
| Postoperative mortality | 7 days after surgery |
| Postoperative length of stay | 360 days after surgery |
| Postoperative surgical site infection | 21 days after surgery |