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Journal Reading

Age and other perioperative risk


factors for postoperative
systemic inflammatory response
syndrome after cardiac surgery

J. M. Dieleman
Department of Anaesthesia and
Perioperative Medicine, Alfred
Hospital and Monash University,
Melbourne, Victoria, Australia
Presented by : Irfan TBW
Risk Factor
Risk Factor

Risk Factor
Age as a
substantial SIRS in the first
factor ? 24H after
cardiac surgery Risk Factor
Risk Factor

Risk Factor

Background
SIRS Criteria

P-SIRS  Outcome definition


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here
Heart Cardiogram PowerPoint Template

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Methods
Exclusion Criteria

Age < 18 years old

BMI < 14

Height < 135 cm

Weight < 30 kg
Heart Cardiogram PowerPoint Template

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Result
Heart Cardiogram PowerPoint Template

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Result
Heart Cardiogram PowerPoint Template

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Result
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Result
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Result
The Overall prevalence
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58.7text
%
of the outcome of p-SIRS
(i.e two or more criteria) here

Result
Other Risk Factors that Most Associated with SIRS

Left Ventricular
BMI > 30
Dysfunction

Intra Operative
Diabetes Mellitus
IABP Use

Recent MCI ( < 21


days before surgery)

Result
Younger Patient

Generate more inflammatory


response

Could receive benefit from anti


inflammatory prophylaxis

Discussion
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Discussion
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Discussion
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Discussion
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Discussion
Another
Genetic Important SIRS Environment
Risk Factors

No Data
 Not well defined
 Not Routinly collected

Discussion
Advanced patient age is associated with a
reduced risk of post operative SIRS

The data can predict the occurrence of


post operative SIRS

Conclusion
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