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Cardiac Variables as Main Predictors of Endotracheal Reintubation Rate after Cardiac Surgery
BACKGROUND: Reintubation in patients after cardiac surgery is associated with undesirable consequences. The purpose of the present study was to identify variables that could predict reintubation necessity in this group of patients. METHODS: We performed a prospective study in 1000 consecutive adult...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Tehran University of Medical Sciences
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3587673/ https://www.ncbi.nlm.nih.gov/pubmed/23646047 |
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author | Yazdanian, Forouzan Azarfarin, Rasoul Aghdaii, Nahid Faritous, Seyedeh Zahra Motlagh, Soudabeh Djalali Panahipour, Abdollah |
author_facet | Yazdanian, Forouzan Azarfarin, Rasoul Aghdaii, Nahid Faritous, Seyedeh Zahra Motlagh, Soudabeh Djalali Panahipour, Abdollah |
author_sort | Yazdanian, Forouzan |
collection | PubMed |
description | BACKGROUND: Reintubation in patients after cardiac surgery is associated with undesirable consequences. The purpose of the present study was to identify variables that could predict reintubation necessity in this group of patients. METHODS: We performed a prospective study in 1000 consecutive adult patients undergoing cardiac surgery with cardiopulmonary bypass. The patients who required reintubation after extubation were compared with patients not requiring reintubation regarding demographic and preoperative clinical variables, including postoperative complications and in-hospital mortality. RESULTS: Postoperatively, 26 (2.6%) of the 1000 patients studied required reintubation due to respiratory, cardiac, or neurological reasons. Advanced age and mainly cardiac variables were determined as univariate intra- and postoperative predictors of reintubation (all p values < 0.05). Multiple logistic regression analysis revealed lower preoperative (p = 0.014; OR = 3.00, 95%CI: 1.25 – 7.21), and postoperative ejection fraction (p = 0.001; OR = 11.10, 95%CI: 3.88 – 31.79), valvular disease (p = 0.043; OR = 1.84, 95%CI: 1.05 – 3.96), arrhythmia (p = 0.006; OR = 3.84, 95%CI: 1.47 – 10.03), and postoperative intra-aortic balloon pump requirement (p = 0.019; OR = 4.20, 95%CI: 1.26 – 14.00) as the independent predictors of reintubation. CONCLUSIONS: These findings reveal that cardiac variables are more common and significant predictors of reintubation after cardiac surgery in adult patients than are respiratory variables. The incidence of this complication, reintubation, is low, although it could result in significant postoperative morbidity and mortality. |
format | Online Article Text |
id | pubmed-3587673 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Tehran University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-35876732013-05-03 Cardiac Variables as Main Predictors of Endotracheal Reintubation Rate after Cardiac Surgery Yazdanian, Forouzan Azarfarin, Rasoul Aghdaii, Nahid Faritous, Seyedeh Zahra Motlagh, Soudabeh Djalali Panahipour, Abdollah J Tehran Heart Cent Original Article BACKGROUND: Reintubation in patients after cardiac surgery is associated with undesirable consequences. The purpose of the present study was to identify variables that could predict reintubation necessity in this group of patients. METHODS: We performed a prospective study in 1000 consecutive adult patients undergoing cardiac surgery with cardiopulmonary bypass. The patients who required reintubation after extubation were compared with patients not requiring reintubation regarding demographic and preoperative clinical variables, including postoperative complications and in-hospital mortality. RESULTS: Postoperatively, 26 (2.6%) of the 1000 patients studied required reintubation due to respiratory, cardiac, or neurological reasons. Advanced age and mainly cardiac variables were determined as univariate intra- and postoperative predictors of reintubation (all p values < 0.05). Multiple logistic regression analysis revealed lower preoperative (p = 0.014; OR = 3.00, 95%CI: 1.25 – 7.21), and postoperative ejection fraction (p = 0.001; OR = 11.10, 95%CI: 3.88 – 31.79), valvular disease (p = 0.043; OR = 1.84, 95%CI: 1.05 – 3.96), arrhythmia (p = 0.006; OR = 3.84, 95%CI: 1.47 – 10.03), and postoperative intra-aortic balloon pump requirement (p = 0.019; OR = 4.20, 95%CI: 1.26 – 14.00) as the independent predictors of reintubation. CONCLUSIONS: These findings reveal that cardiac variables are more common and significant predictors of reintubation after cardiac surgery in adult patients than are respiratory variables. The incidence of this complication, reintubation, is low, although it could result in significant postoperative morbidity and mortality. Tehran University of Medical Sciences 2013-01 2013-01-08 /pmc/articles/PMC3587673/ /pubmed/23646047 Text en Copyright © Tehran Heart Center, Tehran University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly. |
spellingShingle | Original Article Yazdanian, Forouzan Azarfarin, Rasoul Aghdaii, Nahid Faritous, Seyedeh Zahra Motlagh, Soudabeh Djalali Panahipour, Abdollah Cardiac Variables as Main Predictors of Endotracheal Reintubation Rate after Cardiac Surgery |
title | Cardiac Variables as Main Predictors of Endotracheal Reintubation Rate after Cardiac Surgery |
title_full | Cardiac Variables as Main Predictors of Endotracheal Reintubation Rate after Cardiac Surgery |
title_fullStr | Cardiac Variables as Main Predictors of Endotracheal Reintubation Rate after Cardiac Surgery |
title_full_unstemmed | Cardiac Variables as Main Predictors of Endotracheal Reintubation Rate after Cardiac Surgery |
title_short | Cardiac Variables as Main Predictors of Endotracheal Reintubation Rate after Cardiac Surgery |
title_sort | cardiac variables as main predictors of endotracheal reintubation rate after cardiac surgery |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3587673/ https://www.ncbi.nlm.nih.gov/pubmed/23646047 |
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