Factors influencing prolonged ICU stay after open heart surgery

Research in Cardiovascular Medicine
Rasoul AzarfarinAlireza Yaghoubi

Abstract

There are different risk factors that affect the intensive care unit (ICU) stay after cardiac surgery. The aim of this study was to evaluate possible risk factors influencing prolonged ICU stay in a large referral hospital. We conducted a case-control study to determinate causes of prolonged ICU stay in 280 adult patients undergoing cardiac surgery in a tertiary care center for cardiovascular patients, Tehran, Iran. These patients were divided into two groups according to ICU stay ≤ 96 and > 96 hours. We evaluated perioperative risk factors of ICU stay > 96 hours. Among the 280 patients studied, 184 (65.7%) had stayed ≤ 96 hours and 96 (34.3%) had stayed > 96 hours in ICU. Frequency of prolonged ICU stay was 34.2% in patients undergoing coronary artery bypass graft (CABG), 30.8% in patients with valve surgery, and 44.8% in patients with CABG plus valve surgery. Patients with > 96 hours of ICU stay received more blood transfusion and intravenous inotropes. They also had longer anesthesia, cardiopulmonary bypass, and postoperative intubation time. There were higher incidence of postoperative tamponade, re-exploration, re-intubation, hemodialysis, and hypotension in this group (P < 0.05 for all comparisons). In this study, about o...Continue Reading

References

Sep 24, 1999·Chest·W E CohnR G Johnson
Apr 20, 2001·Journal of Cardiothoracic and Vascular Anesthesia·M CapdevilleA L Taylor
Apr 28, 2001·The Journal of Thoracic and Cardiovascular Surgery·H L LazarR J Shemin
Oct 25, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·J F LégaréJ A Sullivan
Nov 16, 2002·Heart & Lung : the Journal of Critical Care·Helen Walthall, Steve Ray
Feb 21, 2006·The Annals of Thoracic Surgery·Ortrud Vargas HeinClaudia Spies
Nov 28, 2006·The Annals of Thoracic Surgery·Maurizio MazzoniOberdan Parodi
Jul 16, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jeroen De CockerInez E R Rodrigus
May 15, 2012·The Annals of Thoracic Surgery·Balakrishnan MaheshAlain Vuylsteke

❮ Previous
Next ❯

Citations

Mar 19, 2015·Research in Cardiovascular Medicine·Nahid Yaghoobi, Hadi Malek
Jun 30, 2016·The Journal of Emergency Medicine·Jeroen Walpot, Masoud Sadreddini
Jan 14, 2016·Revista da Escola de Enfermagem da U S P·Larissa Bertacchini de OliveiraSilvia Regina Secoli
Mar 18, 2020·Journal of Cellular and Molecular Medicine·Alexis J PerrosMelinda M Dean
Jul 31, 2016·BMC Health Services Research·Ahmed AlmashrafiPaul Aylin
Dec 18, 2020·Angiologii︠a︡ i sosudistai︠a︡ khirurgii︠a︡ = Angiology and vascular surgery·R N Komarov, P V Kleshchev

❮ Previous
Next ❯

Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.