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Table 1 Baseline, operative, and Post-Operative characteristics of the study population (n = 75)

From: Overlap and correlation of reperfusion lung injury with postoperative pneumonia following pulmonary thromboendarterectomy: incidence, characteristics, and outcomes in chronic thromboembolic pulmonary hypertension

 

Total Cohort (n = 75)

RPLI (n = 21)

PNA (n = 18)

 

Demographics/Baseline Characteristics

Age

54 (14)

53 (12)

56 (15)

 

Female Sex

45 (60.0)

13 (61.9)

15 (83.3)

 

Body Mass Index (BMI)

35 (9)

34 (8)

35 (9)

 

Race

   White

45 (60.0)

13 (61.9)

13 (72.2)

 

   Black

25 (33.3)

7 (33.3)

3 (16.7)

 

   Unknown/Not Reported

5 (6.7)

1 (4.8)

2 (11.1)

 

Ethnicity,

   Hispanic or Latino

5 (6.7)

1 (4.8)

2 (11.1)

 

History of Pneumonia (PNA) Six Months Prior PTE

4 (5.3)

2 (9.5)

2 (11.1)

 

History of Smoking

   Never

42 (56.0)

13 (61.9)

12 (66.7)

 

   Quit within a year of PTE

5 (6.7)

1 (4.8)

0 (0.0)

 

   Quit before a year of PTE

23 (30.7)

5 (23.8)

5 (27.8)

 

   Current

5 (6.7)

2 (9.5)

1 (5.6)

 

Obstructive Sleep Apnea (OSA)

27 (36.0)

7 (33.3)

6 (33.3)

 

Diabetes Mellitus, Type II (DMII)

13 (17.3)

3 (14.3)

3 (16.7)

 

Chronic Obstructive Pulmonary Disease

19 (25.3)

5 (23.8)

5 (27.8)

 

Cerebrovascular Accident (CVA)

7 (9.3)

1 (4.8)

1 (5.6)

 

Chronic Kidney Disease (CKD)

23 (30.7)

5 (23.8)

6 (33.3)

 

Anemia

32 (42.7)

8 (38.1)

8 (44.4)

 

CTEPH Comorbidities

Antiphospholipid Syndrome (APLS)

6 (8.0)

4 (19.0)

1 (5.6)

 

Splenectomy

3 (4.0)

1 (4.8)

1 (5.6)

 

Ventriculoatrial (VA) Shunt

1 (1.3)

0 (0.0)

0 (0.0)

 

Prior Venous Thromboembolism (VTE)

61 (81.3)

18 (85.7)

14 (77.8)

 

Obesity

47 (62.7)

9 (42.9)

7 (38.9)

 

Clinical Risk Assessments

NYHA FC

3.0

2.9

2.9

 

6MWD

311 ± 176

284 ± 180

289 ± 186

 

BNP

252.6 ± 333.7

329.6 ± 408.7

399.6 ± 456.8

 

Pulmonary Function Tests (PFTs)

Forced Vital Capacity (FVC)

79.8 ± 14.0

79.7 ± 11.2

80.3 ± 14.5

 

Forced Expiratory Volume1 (FEV1)

74.4 ± 14.4

80.9 ± 8.2

75.1 ± 19.2

 

FVC/FEV1 ratio

0.73

0.77

0.73

 

Total Lung Capacity (TLC)

87.0 ± 16.4

4.9 ± 1.2

4.9 ± 1.2

 

DLCO

64.4 ± 17.6

62.3 ± 23.9

57.2 ± 18.3

 

Preoperative Hemodynamics

Mean Right Atrial Pressure (mRAP)

10.2 ± 6.0

11.3 ± 5.3

10.2 ± 4.6

 

Mean Pulmonary Artery Pressure (mPAP)

45.8 ± 12.0

44.4 ± 9.3

44.2 ± 12.6

 

Pulmonary Capillary Wedge Pressure (PCWP)

12.7 ± 5.0

15.0 ± 5.4

17.8 ± 5.6

 

Cardiac Index (CI)

2.3 ± 0.6

2.2 ± 0.7

2.6 ± 0.7

 

Pulmonary Vascular Resistance (PVR)

610.5 ± 336

562.2 ± 232

517.9 ± 248

 

Operative Characteristics

p-value

Hypothermic Nadir*

17.4 ± 0.9

17.0 ± 0.9

17.4 ± 1.0

0.40

Total Operative Time* (min)

544.8 ± 62.1

557.8 ± 67.6

543 ± 60.4

0.58

Circulatory Arrest Time (min)

44.5 ± 12.3

46.7 ± 13.2

44.2 ± 9.8

0.52

Cardiopulmonary Bypass Time (min)

273.1 ± 43.5

281.5 ± 42.7

275.9 ± 46.7

0.70

Additional Operative Procedure, n (%)

34 (45.3)

10 (47.7)

7 (38.9)

0.75

Postoperative Hemodynamics

Mean Right Atrial Pressure (mRAP)

8.0 (5.5)

8.8 (6.4)

9.6 (7.6)

0.75

Mean Pulmonary Artery Pressure (mPAP)

30.3 (12.5)

34.7 (14.1)

40.6 (15.4)

0.27

Pulmonary Capillary Wedge Pressure (PCWP)

12.5 (6.7)

13.4 (6.8)

12.4 (8.5)

0.71

Cardiac Index (CI)

2.6 (0.5)

2.5 (0.5)

2.4 (0.4)

0.75

Pulmonary Vascular Resistance (PVR)

3.5 (2.2)

4.5 (2.8)

6.0 (2.8)

0.13

Postoperative Complications

Airway Hemorrhage

4 (5.3)

1 (4.8)

2 (11.1)

0.59

Extracorporeal Membrane Oxygenation (ECMO)

5 (6.7)

3 (14.3)

4 (22.2)

0.68

  1. Data are summarized as mean (standard deviation) or number (percentage)
  2. Abbreviations: IQR, interquartile range; BMI, body mass index; PNA, pneumonia; PTE, pulmonary thromboendarterectomy; CTEPH, chronic thromboembolic pulmonary hypertension; APLS, antiphospholipid syndrome; VA, ventriculoatrial; VTE, venous thromboembolism; mRAP; mPAP, mean pulmonary artery pressure; PCWP, pulmonary capillary wedge pressure; CI, cardiac index; SD, standard deviation; PVR, pulmonary vascular resistance; NYHA, New York Heart Association; FC, functional class; 6MWD, 6-minute walk distance; BNP, B-type natriuretic peptide; FVC, forced vital capacity; FEV1, forced expiratory volume at 1 s; TLC, total lung capacity; DLCO, diffusing capacity of lungs for carbon monoxide
  3. *Data is incomplete for some subjects