The impact of immediate extubation in the operating room after cardiac surgery on intensive care and hospital lengths of stay

Journal of Cardiothoracic and Vascular Anesthesia
Dmitri ChamchadScott M Goldman

Abstract

To determine if lengths of stay in intensive care and the hospital are associated with extubation in the operating room at the conclusion of cardiac surgery. A nonrandomized, observational study with propensity score-guided case-control matching of prospectively collected data. Three interrelated, university-affiliated, community hospitals. Three thousand three hundred seventeen patients undergoing elective or urgent coronary artery, valve repair or replacement, or combined surgery between 2000 and 2006. Tracheal extubation occurred, based on history and intraoperative events, either immediately in the operating room or in the intensive care unit. Of 3,317 patients in the institutions' Society of Thoracic Surgeons database, 3,089 were extubated within 24 hours, 69% of them in the operating room. Only 0.6% of patients extubated in the operating room required reintubation, compared with 5.9% extubated in the intensive care unit (p < 0.0001). By logistic regression, 12 of 25 preoperative and intraoperative factors generated a propensity score for each of the 2,595 patients with complete data, representing the likelihood of immediate extubation (c-statistic = 0.727). A "greedy 5 to 1" propensity score-matching technique created 713...Continue Reading

References

Oct 30, 1999·The Annals of Thoracic Surgery·C F RoyseP F Soeding
Dec 6, 2005·Journal of Cardiothoracic and Vascular Anesthesia·Gurkan TurkerErkan Sayan
Jan 27, 2006·The New England Journal of Medicine·Dennis T ManganoUNKNOWN Ischemia Research and Education Foundation
May 16, 2008·The New England Journal of Medicine·Dean A FergussonUNKNOWN BART Investigators

❮ Previous
Next ❯

Citations

Jan 31, 2016·Interactive Cardiovascular and Thoracic Surgery·Raul A BorracciMaria X Gambetta
Aug 16, 2014·Critical Care : the Official Journal of the Critical Care Forum·Stefan ProbstJoerg Ender
Sep 1, 2014·The Journal of Thoracic and Cardiovascular Surgery·Vinay BadhwarKathirvel Subramaniam
Aug 25, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Sukru TekindurOguz Kilickaya
Jul 17, 2012·Seminars in Cardiothoracic and Vascular Anesthesia·Karen E Singh, Victor C Baum
Feb 28, 2013·Circulation. Cardiovascular Quality and Outcomes·Emily J LawrenceAlexander J C Mittnacht
Mar 25, 2015·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Peter J NeuburgerDidier F Loulmet
Sep 13, 2016·The Cochrane Database of Systematic Reviews·Wai-Tat WongAnna Lee
May 12, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Alaa M KhidrMohamed R El Tahan
Jan 25, 2021·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Daan M VoetenUNKNOWN Dutch Upper Gastrointestinal Cancer Audit (DUCA) Group
Nov 10, 2020·The Journal of Thoracic and Cardiovascular Surgery·Peter MurinJoachim Photiadis

❮ Previous
Next ❯

Related Concepts

Related Feeds

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.

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. 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.