655
ORIGINAL488722001005095115161181234281316
ARTICLES521822001004692132152192227269309
Value29433300100437792130165
of312533001003757
electrocardiogram31983300100355086117145170208239275299336352390429453489549
and376333001003471110
chest388933001002967102132159
X-ray40653300100426589124160
examinations424133001003471107167182220255281297336374402
in466033001001452
preoperative47283300100376196136174210234269296312348383
management512733001005994132167205240300336374400
|5584220010018
E7564222001004174
/36358040010732
Vnitř3712804001074592111139166
Lék.3897804001074184122140
2024;70(8):E3-E104057804001074487128168182224265290332355369411456483527566606
/47088040010731
VNITŘNÍ48058040010746106127172220280301
LÉKAŘSTVÍ5128804001074084130188235279324377399
www.casopisvnitrnilekarstvi.cz42580400107651332012142542953293774274464795215705896176436927117307748128548809159449871007102310631101
was4256360010765105138
also58163600107415991138
a7376360010741
significant79663600107345199146164187206245286333359
association1173636001074173106153194211251277295342390
between1581636001075094121187230274321
chronic1920636001074087113159207224264
coronary2202636001074085112158205245271313
syndrome,2533636001073474122170196242315359372
atrial42565000107406590108146163
fibrillation60265000107234188113131148165203229246292338
and954650001074086133
the1100650001072874116
risk122965000107274475110
of1353650001074769
PCCS,1436650001074493139180194
although164465000107405783129175221269314
on1972650001074793
a20796500010740
lower2133650001071965127168193
level2339650001071961100141158
of2511650001074769
statistical259465000107336099124141172199216255294311
significance42566400107345199146164187206245286333373414
(p=0.016857664001072473128174188232271309
and1184664001074188136
p=0.03613386640010750105151165209249292
respectively).1648664001072769101150194234263281322364382421443455
All56567800107537392
patients684678001075092120139183232259295
with1006678001076585114163
a11956780010742
PCCS1264678001074597146190
due1481678001074997142
to1650678001072875
pneumonia17526780010750100144193267317366385426
detected2205678001074994122165207238281332
on2564678001074898
a26886780010742
CXR27576780010751103148
had425692001074990139
a5916920010741
significantly659692001073352101150169193213254296344371391431
higher1116692001074968117166210237
CRP1380692001075197143
level1549692001071964105149168
than1744692001072876117166
those1936692001072877126160204
without2167692001076585113162211259288
pneumonia2481692001075099144192266315364383424
(median425706001072495139189208248296
CRPs:748706001075196142174190
189964706001074483126
vs.111670600107417591
712347060010744
mg/l,12937060010774123156176191
p=0.001).15117060010749105152167212257297315328
All186570600107537290
patients1982706001074991118137181229256290
with2299706001076584112160
pneumonia2485706001075099143191264313361380420
had425720001074889138
CRP581720001075196142
levels740720001071963104147167199
above957720001074190139180223
611197720001074482
mg/l.12957200010774123156176192
These1504720001074292136170214
patients1736720001074991118137181229256290
were20447200010765108135178
also223972000107416093141
older2398720001074867117161187
than2603720001072776116164
the2785720001072876120
others425734001074875123168194228
(mean674734001072495140180228
81923734001074484
vs.102773400107417592
631140734001074386
years,1247734001073983123149183199
p=0.007),14677340010750106152168212258299323337
and1825734001074189138
all198473400107416078
were20837340010765109135178
over2282734001074888131158
692461734001074386
years2568734001074083123149184
old.2773734001074767116132
Furthermore,425748001074287114145193237264338387413456471
we9207480010765109
found1053748001072371119167217
that1294748001072876117144
ages1462748001074190134168
≥701654748001075494136
years1814748001074083123150184
and2022748001074189138
CRP2185748001075196142
levels2351748001071963104147166199
≥622574748001075397139
mg/l27297480010774123156176
were4257620010766110138182
statistically634762001073463106134153187216236277319339358399
significant1060762001073453103152171196216257300349376
predictors1464762001075078122173192233264312339375
of1866762001074873
a19667620010742
change2035762001074089131180231276
in2338762001071968
preoperative2433762001075078122172223269296339366386428472
management,4257760010774114163203253297370415463490506
due950776001074997141
to1111776001072774
an1205776001074189
abnormal1313776001074191140188215289330349
CXR16827760010751102146
(Table1848776001072469104154174218
8).208577600107446780
There3187636001074293139168212
was34286360010765108143
a36006360010741
significant3670636001073353104154174200222264307357385
association4084636001074176111161204225267296316366417
between4529636001075097126196241288337
90-day4895636001074491123176218259
postoperative51836360010749100136166215267313304765000107277099120163208
all-cause328565000107416282112156200249284330
mortality36456500010774124153186229250271300345
and4020650001074191142
preoperative4192650001075079124175227274302345374395438483
heart4705650001074995137165198
rate493365000107267099143
(HR).5106650001072482130155170
When53066500010774125171221
using3047664001074883103152203
heart3272664001074894136164197
rate349166400107266998143
of3655664001074874
70-793750664001074488120161205
bpm39766640010750102178
as4175664001074176
a42736640010740
reference433566400107267197142170215265307352
point,47086640010750101122171200218
there4947664001072878124153197
was51666640010765108143
a53316640010740
significantly5393664001073454104304767800107486792113154196245273293334
elevated3400678001074364108150192220263314
risk373367800107264780119
of3871678001074772
90-day3962678001074490121172214254
postoperative4235678001074999133163210261307334377405425466510
all-cause476567800107406080108152194242276321
mortality51056780010773122150182224244263292336
in5460678001071967
patients3047692001074992121141186235263299
with3366692001076485114164
HR35496920010757103
above3672692001074091141183227
1003919692001074384131
bpm40706920010749100175
(2.08,426569200107236784130176193
p=0.005),44786920010749106154170216263307331346
relative484469200107267091133161181224268
risk513269200107264781119
further5271692001072373101133183228256
increasing3047706001071968111139184226261281331382
with3451706001076586116166
the3640706001072878124
higher3786706001074969120170216244
heart4052706001074995137165198
rates,427270600107277099143179197
for4491706001072473102
the4615706001072878124
detailed4762706001074995124168188208254306
distribution5091706001074969104134163184235285315336386436
of3047720001074874
relative314672000107267192134163184227272
risks344372000107264782121159
in3627720001071969
the3721720001072878124
heart3870720001074894136164197
rate409272000107267098143
spectrum4260720001073384131174206235285360
see4645720001073480126
the4796720001072878124
Table4945720001074279130152197
951677200010744
and5236720001074191142
the5403720001072878124
Diagram3047734001075879121173201244319
1.3390734001074457
Additionally,31877480010753101150168196215263311352371389429440
there3644748001072876120146189
was38497480010765106139
significantly4005748001073351100148166190210250291339366385425
increased4446748001071967107133176216249293343
risk480574800107274679116
of4937748001074872
90-day5026748001074388118169210248
postoperative52917480010749981321612073047762001075095121163190209250293
all-cause336676200107416078106149190238271315
mortality37077620010773122149180221240259287329
in4062762001071967
patients4155762001075091118137181229256291
with4472762001076584112160
abnormal4658762001074191139188215289330349
CXR50337620010751102147
(RR=2.49,5206762001072469115169208224267309321
p=0.001)30477760010749104150165208253293310
compared3373776001073985158207248274316365
to3754776001072773
patients3843776001074990117135178226252286
with4145776001076483110158
normal4319776001074895122195235253
CXR45887760010751101145
findings474977600107234289138156203252284
(see504977600107235598142
Table5207776001074276125144187
10).5410776001074382105117
Tab.42559001135093144171
6.62359001135480
Relationship73060001074482100145171189234281311356374419
between116560001074584111175212251297
selected14786000107316987126163191227273
patient176760001074591117135173219244
characteristics202860001073783128154196234261298324342371397415453484
and252960001074591136
postponement268260001074591121147192238285323394432479504
or320260001074571
canceling328960001073882128165202220238284330
of363560001074568
surgery371960001073175101144183208248
due398360001074591129
to412860001072670
chest421460001073884122153179
X-ray44096000107456995138175
findings46006000107234288133152198243272
Parameter4567400984585115156225267296338367
Category20457400984788117158206252281324
No282074009854100
Delay29377400985597119160200
N315374009854
=322474009848
2,35732887400984364109151193
PCCS39147400984593138181
N411174009854
=418274009848
5424674009843
P503174009845
Age4578600985197139
6330258600953977
(±15)31208600952168101135156
8139918600953975
(±7)40848600952168106128
0.00749578600984362106151193
Hypertension4569800985495143185215246287334368389435481
No21529800955194
1,0282946980095394989126164
(43.6%)3128980095215895109149207227
2395798009539
(40.0%)4014980095215899113153213232
0.99949681040095395391131171
Yes214611000954075106
1,32929451100095394989126164
(56.4%)31271100095215998112151209229
33957110009539
(60.0%)40141100095215899113152213232
Chronic45612200984793122168215236273
coronary74512200983681111157203245274317
syndrome107812200983475122170199245314356
No215212200955194
1,96929451220095394986126165
(83.5%)31271220095226098112152209229
33957122009539
(60.0%)40141220095215899113152213232
0.19349741280095395388122159
Yes214613400954075106
388297113400953978118
(16.5%)31071340095215792107147204223
23957134009539
(40.0%)40141340095215899113153213232
Chronic45614600984793122168215236273
heart74514600984688130159189
failure9511460098266788109156185227
No215214600955194
2,29429451460095395394132173
(97.3%)31351460095225895102142201220
53940146009539
(100.0%)39971460095215792133147187247266
0.99949681520095395391131171
Yes214615800954075106
63300815800953977
(2.7%)31031580095215973112171190
03977158009539
(0.0%)40341580095215973113173192
Ischemic4561700098215592139181250271308
or78017000984575
hemorrhagic87117000984688157203232262308350396417454
stroke13421700098336291137179220
No215217000955194
2,15229511700095395388122159
(91.3%)31281700095215894104144203222
53940170009539
(100.0%)39971700095215792133147187247266
0.99949681760095395391131171
Yes214618200954075106
205298818200953978116
(8.7%)31221820095215974113172191
03977182009539
(0.0%)40341820095215973113173192
Atrial45619400985178107129170191
fibrillation6641940098254896125146168189230259280326372
No215219400955194
2,16529501940095395388123161
(91.9%)31291940095215894104142202222
43957194009539
(80.0%)40141940095215999113153213232
0.34749682000095395393133170
Yes214620600954075106
192299520600953973111
(8.1%)31232060095215974109164183
13958206009539
(20.0%)40152060095215998112151212231
Diabetes45621800985576118165208237279313
No215221800955194
1,82029462180095394990128166
(77.2%)31302180095216099106147206225
43957218009539
(80.0%)40142180095215999113153213232
0.99949682240095395391131171
Yes214623000954075106
537296923000953976113
(22.8%)30992300095216099113154213233
13958230009539
(20.0%)40152300095215998112151212231
Pulmonary45624200984590112180226273314344386
disease85924200984668102144186220262
No215224200955194
2,04829382420095395393134175
(86.9%)313024200952159100114152213232
53940242009539
(100.0%)39972420095215792133147187247266
0.99949682660095395391131171
COPD210525400954697138189
133299125400953973110
(5.6%)31192540095215972112171190
03977254009539
(0.0%)40342540095215973113173192
AB215526600954787
100298826600953975116
(4.2%)31212660095215972113172192
03977266009539
(0.0%)40342660095215973113173192
ACOS210927800954791143179
14300927800953974
(0.6%)31012780095215973113172191
03977278009539
(0.0%)40342780095215973113173192
Other210629000955480124163187
62300729000953977
(2.6%)31012900095216074114172192
03977290009539
(0.0%)40342900095215973113173192
BMI,456302009846113136156
kg/m262930200984086114181810302005725
27.829893020095397683124
(±5.6)313030200952169109122162182
28.439373020095397792131
(±5.4)408630200952168108121160180
0.57649703020095395393131167
Smoking457314009842110156198220267313
Non-smoker199931400955194138163194259303337376400
1,37629473140095394989125161
(58.4%)31263140095215997112151209229
53940314009539
(100.0%)39973140095215792133147187247266
0.24349703260095395394130167
Smoker2078326009537102146181219243
702297032600953976114
(29.8%)31013260095216098110151211230
03977326009539
(0.0%)40343260095215973113173192
Ex-smoker20323380095377497128193237271310334
279297633800953976114
(11.8%)3108338009521578898139198217
03977338009539
(0.0%)40343380095215973113173192
Potassium,45735000984590118160194228249295364384
mmol/l858350009867136182204231253
4.2429663500095395394130
(±0.48)311335000952169109123162203223
3.7839173500095395392129
(±0.57)406435000952168109123163200222
0.05049683500095395393131170
CRP,45736200984793139150
mg/l624362009868114142164
73023362009539
(3–42)308036200952159100142178199
189388636200953974113
(108–231)40163620095225793133175211250285301
0.001495836200984362106151191
Systolic45737400984280114143189211232268
blood74237400984768114161209
pressure,96737400984776118153187232262304324
mmHg1307374009868136191238
139300737400953973110
(±21)313537400952168108144160
136395937400953973112
(±19)408837400952269102136156
0.91149743740095395391127158
Diastolic45738600985576118152181226248269306
blood77938600984769115161209
pressure,100438600984777119153187233262304324
mmHg1344386009868137191238
80302538600953979
(±12)312238600952168101135155
71398138600953976
(±11)407438600952169102133149
0.06749683860095395393133170
Heart45739800985496138167198
rate,6713980098297098140160
beats/min84739800984790131160194222289310357
79302539800953977
(±16)311939800952269102137157
71397639800953976
(±10)406939800952169102137158
0.19649723980095395388122162
Values4574100095407794135169197
are6684100095416497
the7794100095246599
mean89241000956498139180
(±standard10874100095216594118157198239279302341
deviation),144341000954074109125165189205246287306319
number177641000954182146186221244
(%),20344100095227796109
or215741000954064
median223541000956498139155196237
(intraquartile24864100095223879102125163204244285308333350366400
range),290141000952361103143177197210
as312541000954068
indicat-ed.32074100095165898115148188211233269310325
PCCS354641000953882122157
–3718410009540
postponement377241000954081108132173214255290353388429452
or423841000954064
canceling431641000953373114148181197214255296
of462641000954061
surgery;47014100095286790129164187222237
COPD495241000954392131180
–5147410009540
chronic52014100095337597137179195228
pulmonary4574200095408198162202244284307343
obstructive81442000954081108132155196229254271305338
disease;11664200095415784117158185219233
AB141342000954381
–1509420009540
bronchial156342000954064103145178220236276293
asthma;18704200095416891132196236250
ACOS213442000954385134168
–2317420009540
asthma-COPD23714200095406791132196236260306355394443
overlap282942000954074107130147187228
syndrome;307142000952861103143166206270304318
BMI340442000953899115
–3534420009540
body-mass358842000954082123156180245285312340
index;39424200095165898133167182
CRP413842000954382120
–4272420009540
C-reactive43274200095435680113153187212228262295
protein463742000954063103126159176217
Tab.425440001135093144171
7.623440001135473
Age724441001074893132
and872441001074591137
heart1025441001074684130155184
rate122544100107266994131
predict1372441001074571108154172209237
change1625441001073783128175220258
in1899441001071965
preoperative1980441001074571108153199238264306332350388425
management24224410010771116162207253291362401447472
due2910441001074691129
to3055441001072770
electrocardio-gram314244100107385694132159185229267311337380398444472519545588659
Predictor54745900984573116163185221252297327
AUC1133459009851103151
(95%130045900982466109175
CI)14924590098476892
P1973459009845
Cut-off241645900984792121144191218246
Sensitivity289845900984284131165186214235277298327370
Specificity344245900984289132169190217240276297326369
PPV410145900984589138
NPV4639459009854100149
Overall513145400985699140169210232253
accuracy510246400984177113159189230267309
Age,61247700954790130143
y772477009536
0.78610524770095395392129170
(0.696–0.876)12394770095215973113152192235277291332369405425
0.048189847600984362106150195
≥2467477009548
72253247700953978
100.0%296847700953975116130169230
67.1%35404770095397683117172
0.5%40954770095395393151
100.0%459947700953975116130169230
67.2%51664770095397683124183
HR,57048900955091107
bpm69448900954489156
0.99510594890095395391131169
(0.991–1.000)12464890095215973111151187224259269309350391412
0.001190048800984362106151191
≥2450489009548
125251548900953973112
100.0%296848900953975116130169230
98.8%35294890095397994134194
12.1%40824890095397387121176
100.0%459948900953975116130169230
98.8%51604890095397994134194
AUC45650100954389132
–603501009540
area6575010095406497137
under80950100954081122156179
the10035010095236499
receiver11165010095235690122139173207230
operating136050100954081116139177201217258299
characteristic167350100953375115138176210235268291307334358374407
curve;20955010095337396133166180
CI229050100954359
–2363501009540
confidence241850100953372113134151191226267301333
interval;27665010095165780113136172212228241
NPV302250100954987126
–3163501009540
neg-ative321750100954276116141183206223257290
predictive35215010095416497138155188213229263297
value;38325010095347390130164179
PPV402550100953875115
–4154501009540
positive420850100954182109124148164198231
predictive44545010095406396137154187212228263296
value;47645010095347390130165179
HR495750100954988
–5059501009540
heart511450100954175116139164
rate;52935010095236184117131
bpm45651100954081145
–616511009540
beats67051100954075116139167
per8515110095417599
minute96451100956480121162185218
Tab.425535001135093144171
8.623535001135480
Age730536001074893132
and878536001074591137
CRP1031536001074891134
as1181536001074575
predictors1273536001074571107153171209236280306337
of1626536001074568
change1711536001073783128174219258
in1985536001071864
preoperative2066536001074571108153199238263306332350388425
management25075360010772117163208253292363401448473
due2996536001074591129
to3141536001072670
chest3227536001073884122153179
X-ray342253600107456995138175
Predictor54755400984573116163185221252297327
AUC1200554009851103151
(95%136755400982466109175
CI)15595540098476892
P2097554009845
Cut-off252055400984792121144191218246
Sensitivity298355400984284131165186214235277298327370
Specificity350855400984289132169190217239276297326369
PPV414855400984589138
NPV4668554009854100149
Overall503954900985699140169210232253
accuracy530854900984178114160519255900982870106149
Age,61257200954790130143
y772572009536
0.85011215720095395394132171
(0.744–0.955)13095720095226074112147189231273287325363400421
0.007202357100984362106151193
≥2573572009548
70263857200953977
100.0%305357200953975116130169230
61.5%36025720095397383123181
0.5%41425720095395393151
100.0%462757200953975116130169230
61.6%51755720095397383123182
CRP,55758400954686127131
mg/l706584009566110139158
0.91311295840095395391127161
(0.855–0.971)13075840095216074114153190231273287325362398414
0.001202358300984362106151191
≥2573584009548
62263858400953977
100.0%305358400953975116130169230
80.6%35975840095397993133192
1.2%41435840095394990149
100.0%462758400953975116130169230
80.6%51715840095397993133192
AUC45659600954389132
–603596009540
area6575960095406497137
under80959600954081122156179
the10035960095236499
receiver11165960095235690122139173207230
operating136059600954081116139177201217258299
characteristic167359600953375115138176210235268291307334358374407
curve;20955960095337396133166180
CI229059600954359
–2363596009540
confidence241859600953372113134151191226267301333
interval;27665960095165780113136172212228241
NPV302259600954987126
–3163596009540
neg-ative321759600954276116141183206223257290
predictive35215960095416497138155188213229263297
value;38325960095347390130164179
PPV402559600953875115
–4154596009540
positive420859600954182109124148164198231
predictive44545960095406396137154187212228263296
value;47645960095347390130165179
CRP495759600954382120
–5091596009540
C-reactive51465960095435680113153187212228262295
protein45660600954064103126159176217