Centered Research and Reviews (JPCRR) is a peer-reviewed scientific journal whose mission is to communicate clinical and bench research findings, with the goal of improving the quality of human health, the care of the individual patient, and the care of populations.
In patients with LVEF > 40%, the 1-, 6-and 12-month mortality rates were 3.8%, 9.0% and 12.1%, respectively. In patients with LVEF ≤ 40%, 1-, 6-and 12-month mortality was 9.5%, 18.4% and 25.2%, significantly greater than patients with LVEF > 40% at all time points (P<0.01). Univariate analysis of patients with LVEF ≤ 40% found the following echocardiographic parameters to be significant predictors of 6-month mortality: right atrial pressure, pulmonary artery systolic pressure, LVEF < 25%, mitral A-wave velocity, mitral E-wave deceleration time, and left ventricular posterior wall diastolic thickness. Multivariate analysis identified mitral A-point velocity (hazard ratio [HR]: 0.98, P=0.02), LVEF < 25% (HR: 3.48, P<0.01), glomerular filtration rate (HR: 0.71 at 10-unit increments, P<0.01) and colectomy (HR=5.47, P<0.01) as significant predictors of 6-month mortality. Conclusion: Preoperative LVEF < 25%, lower mitral A velocity, colectomy, and lower glomerular filtration rate are associated with 6-month mortality postsurgery. Close preoperative cardiac assessment of patients with decreased LVEF prior to noncardiac surgery may prove beneficial in improving long-term outcomes.
Anaesthesiology today is a vast speciality in medical science. In a healthcare setting, the expectations of teachers, parents, and patients augment the stress experienced by postgraduate trainees and registrars due to their hard workload, long duty hours, night shift, limited vacation time, insufficient sleep and food, and study.The study aims to assess factors influencing the selection of anaesthesia as a speciality choice and to assess stress levels while working as a postgraduate in anaesthesia.A questionnaire-based study was done among 265 junior anaesthesia residents for 2 months. A semi-structured was used to collect the data. Data were statistically analyzed using IBM SPSS statistics version 20.Of 265 participants, most participants lie in the age group of 26-35 years (82.3%) with a mean age of 28±4 years and the least in >35 years (5.3%). Most of the participants in the current study are females (54.3%), and the rest are males (45.7%). 177 (81.2%) were MD postgraduates with stress and DNB postgraduates (80.9%). However, there was no significant association between the post-graduation degree and perceived stress. Most women students reported statistically significant stress. Anaesthesiologists need to emphasize the positive aspects and scope of the speciality outside the operating room, like trauma, critical care and pain management.
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