{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T22:58:10Z","timestamp":1788562690085,"version":"build-2803163510"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,9,30]],"date-time":"2022-09-30T00:00:00Z","timestamp":1664496000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,9,30]],"date-time":"2022-09-30T00:00:00Z","timestamp":1664496000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001809","name":"Natural Science Foundation of China","doi-asserted-by":"crossref","award":["81360014"],"award-info":[{"award-number":["81360014"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>We aimed to investigate risk factors of multiorgan failure following pericardiectomy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This was a retrospective study of patients undergoing pericardiectomy between January 1994 and May 2021 at three hospitals.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>826 patients were included in the study and divided into two groups: group with multiorgan failure (n\u2009=\u200986) and group without multiorgan failure (n\u2009=\u2009740). There were 86 patients with multiorgan failure (86\/826, 10.4%). There were 66 operative deaths (66\/826, 8.0%). The causes of operative deaths were multiorgan failure, including cardiogenic shock\u2009+\u2009AKI\u2009+\u2009ventricular fibrillation (13\/66), cardiogenic shock\u2009+\u2009AKI (35\/66), cardiogenic shock\u2009+\u2009AKI\u2009+\u2009hepatic failure\u2009+\u2009septicemia (8\/66), cardiogenic shock\u2009+\u2009AKI\u2009+\u2009respiratory failure (10\/66). Univariate and multivariate analyses showed the factors associated with multiorgan failure, including male (<jats:italic>P<\/jats:italic>\u2009=\u20090.006), time between symptoms and surgery (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), thickness of pericardium (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), intubation time (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), ICU retention time (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), hospitalized time postoperative (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), preoperative central venous pressure (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), postoperative central venous pressure (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), D0 fluid balance (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), D2 fluid balance (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), postoperative chest drainage (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), preoperative LVEDD(<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), postoperative LVEDD (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), surgical duration (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), bleeding during operation (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), serum creatinine 24\u00a0h after surgery (<jats:italic>P<\/jats:italic>\u2009=\u20090.042), serum creatinine 48\u00a0h after surgery (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), fresh-frozen plasma (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), packed red cells (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), blood lactate (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>In our study, incomplete pericardial dissection, fluid overload, delayed diagnosis and treatment are associated with multiorgan failure following pericardiectomy.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13019-022-02007-1","type":"journal-article","created":{"date-parts":[[2022,9,30]],"date-time":"2022-09-30T14:13:41Z","timestamp":1664547221000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Analysis of risk factors of multiorgan failure after pericardiectomy for constrictive pericarditis"],"prefix":"10.1186","volume":"17","author":[{"given":"Jing-bin","family":"Huang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhao-ke","family":"Wen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian-rong","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun-jun","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chang-chao","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Da-ying","family":"Liang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng-xin","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,9,30]]},"reference":[{"issue":"5","key":"2007_CR1","doi-asserted-by":"publisher","first-page":"1376","DOI":"10.1016\/j.athoracsur.2019.03.105","volume":"108","author":"M Vondran","year":"2019","unstructured":"Vondran M, Rylski B, Berezowski M, et al. 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The Medical Ethics Committee of The People's Hospital of Guangxi Zhuang Autonomous Region 2021-8-12. The Medical Ethics Committee of The People's Hospital of Guangxi Zhuang Autonomous Region gave the authors approval to waive the need for patient consent for publishing data in the study about the patients. The Medical Ethics Committee of The People's Hospital of Guangxi Zhuang Autonomous Region 2021-8-12.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent for publication was obtained from all participants.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare they have no conflict of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"244"}}