Preoperative prediction of intensive care unit stay following cardiac surgery

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Jeroen De CockerInez E R Rodrigus

Abstract

Following cardiac surgery, a great variety in intensive care unit (ICU) stay is observed, making it often difficult to adequately predict ICU stay preoperatively. Therefore, a study was conducted to investigate, which preoperative variables are independent risk factors for a prolonged ICU stay and whether a patient's risk of experiencing an extended ICU stay can be estimated from these predictors. The records of 1566 consecutive adult patients who underwent cardiac surgery at our institution were analysed retrospectively over a 2-year period. Procedures included in the analyses were coronary artery bypass grafting, valve replacement or repair, ascending and aortic arch surgery, ventricular rupture and aneurysm repair, septal myectomy and cardiac tumour surgery. For this patient group, ICU stay was registered and 57 preoperative variables were collected for analysis. Descriptives and log-rank tests were calculated and Kaplan-Meier curves drawn for all variables. Significant predictors in the univariate analyses were included in a Cox proportional hazards model. The definitive model was validated on an independent sample of 395 consecutive adult patients who underwent cardiac surgery at our institution over an additional 6-month ...Continue Reading

Citations

May 24, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Fabio BariliClaudio Grossi
Jul 27, 2012·Interactive Cardiovascular and Thoracic Surgery·Yunita WidyastutiVibeke Videm
May 13, 2014·BioMed Research International·Sirirat TribuddharatGanjana Lertmemongkolchai
Oct 8, 2014·Anesthesiology and Pain Medicine·Nahid AghdaiiSeyed Hosein Hamidi
Mar 19, 2015·Research in Cardiovascular Medicine·Rasoul AzarfarinAlireza Yaghoubi
Apr 26, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Adil Polat, Ebru Bal Polat
Mar 28, 2013·Journal of Cardiothoracic Surgery·Filomena R B G GalasLudhmila A Hajjar
Jul 31, 2016·BMC Health Services Research·Ahmed AlmashrafiPaul Aylin
Oct 11, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Pascal AugustinIvan Philip
Dec 22, 2016·The Journal of Thoracic and Cardiovascular Surgery·Yoan LamarcheAndré Y Denault
Apr 25, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Andrew BrennanLisa Bergersen
Oct 4, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Mohammad DiabMarjan Jahangiri
Sep 22, 2017·Journal of Intensive Care Medicine·Ryosuke HiguchiShuichiro Takanashi
Jun 3, 2018·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Daniel I McIsaacCarl van Walraven
Mar 22, 2021·British Journal of Anaesthesia·Daniel I McIsaacBernard McDonald
Dec 10, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Marisa Hernandez-MorganEmily Methangkool

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.