PROGNOSIS OF POSTOPERATIVE COMPLICATIONS AND THE RELATION TO CHRONOMEDICINE

Citation
M. Weckenmann et al., PROGNOSIS OF POSTOPERATIVE COMPLICATIONS AND THE RELATION TO CHRONOMEDICINE, Langenbecks Archiv fur Chirurgie, 382(6), 1997, pp. 284-290
Citations number
19
ISSN journal
00238236
Volume
382
Issue
6
Year of publication
1997
Pages
284 - 290
Database
ISI
SICI code
0023-8236(1997)382:6<284:POPCAT>2.0.ZU;2-R
Abstract
In 57 convalescence courses after surgery, temperature, pulse rate and complications recorded daily for 24 days were investigated. Complicat ions were synchronized approximately with temperature. The time struct ure of the temperature proved to be periodical (reactive periods). The approximate to 7-day periods (medium waves) predominated, frequently superimposed by short waves (less than or equal to 4-day periods) and long waves (greater than or equal to 14-day periods). There was an int ermediate band of approximate to 10-day periods. The phases were synch ronized with the day of operation, mostly with maxima, otherwise with minima. Periods and phases could jump, the periods preferably in integ er ratios, the phases approximate to 180 degrees. The long waves yield ed a steep drop initially and a reascent of the temperature in the app roximate to 3rd week. As the number of complications was coincident wi th the temperature, it also dropped quickly after operation but rose a gain during the 3rd week. Apart from long waves, temperature and compl ications descended slowly, synchronizing with the medium waves. The re ascent time structure is generally associated with a trophotropic type of patient (late reactive), the gradual descent with an ergotropic ty pe (early reactive). As both of them can be recognized preoperatively, the time structure of the late complications expected can be predicte d. Besides the long waves the time structure of the complications is r elated to the medium waves. Therefore a peak of the complications ofte n occurs at the end of the 1st week.