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Factors Influencing Prolonged ICU Stay After Open Heart Surgery

BACKGROUND: There are different risk factors that affect the intensive care unit (ICU) stay after cardiac surgery. OBJECTIVES: The aim of this study was to evaluate possible risk factors influencing prolonged ICU stay in a large referral hospital. PATIENTS AND METHODS: We conducted a case-control st...

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Autores principales: Azarfarin, Rasoul, Ashouri, Nasibeh, Totonchi, Ziae, Bakhshandeh, Hooman, Yaghoubi, Alireza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4347792/
https://www.ncbi.nlm.nih.gov/pubmed/25785249
http://dx.doi.org/10.5812/cardiovascmed.20159
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author Azarfarin, Rasoul
Ashouri, Nasibeh
Totonchi, Ziae
Bakhshandeh, Hooman
Yaghoubi, Alireza
author_facet Azarfarin, Rasoul
Ashouri, Nasibeh
Totonchi, Ziae
Bakhshandeh, Hooman
Yaghoubi, Alireza
author_sort Azarfarin, Rasoul
collection PubMed
description BACKGROUND: There are different risk factors that affect the intensive care unit (ICU) stay after cardiac surgery. OBJECTIVES: The aim of this study was to evaluate possible risk factors influencing prolonged ICU stay in a large referral hospital. PATIENTS AND METHODS: 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. RESULTS: 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). CONCLUSIONS: In this study, about one-third of patients had prolonged ICU stay. Factors influencing prolonged ICU stay were medical and some non-medical factors. In the present study, up to 30% of the patients had a prolonged ICU stay of > 96 hours. Additional data from well-designed investigations are needed for further assessment of the factors influencing prolonged ICU stay after cardiac surgery.
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spelling pubmed-43477922015-03-17 Factors Influencing Prolonged ICU Stay After Open Heart Surgery Azarfarin, Rasoul Ashouri, Nasibeh Totonchi, Ziae Bakhshandeh, Hooman Yaghoubi, Alireza Res Cardiovasc Med Research Article BACKGROUND: There are different risk factors that affect the intensive care unit (ICU) stay after cardiac surgery. OBJECTIVES: The aim of this study was to evaluate possible risk factors influencing prolonged ICU stay in a large referral hospital. PATIENTS AND METHODS: 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. RESULTS: 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). CONCLUSIONS: In this study, about one-third of patients had prolonged ICU stay. Factors influencing prolonged ICU stay were medical and some non-medical factors. In the present study, up to 30% of the patients had a prolonged ICU stay of > 96 hours. Additional data from well-designed investigations are needed for further assessment of the factors influencing prolonged ICU stay after cardiac surgery. Kowsar 2014-10-14 /pmc/articles/PMC4347792/ /pubmed/25785249 http://dx.doi.org/10.5812/cardiovascmed.20159 Text en Copyright © 2014, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences,; Published by Kowsar. http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
spellingShingle Research Article
Azarfarin, Rasoul
Ashouri, Nasibeh
Totonchi, Ziae
Bakhshandeh, Hooman
Yaghoubi, Alireza
Factors Influencing Prolonged ICU Stay After Open Heart Surgery
title Factors Influencing Prolonged ICU Stay After Open Heart Surgery
title_full Factors Influencing Prolonged ICU Stay After Open Heart Surgery
title_fullStr Factors Influencing Prolonged ICU Stay After Open Heart Surgery
title_full_unstemmed Factors Influencing Prolonged ICU Stay After Open Heart Surgery
title_short Factors Influencing Prolonged ICU Stay After Open Heart Surgery
title_sort factors influencing prolonged icu stay after open heart surgery
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4347792/
https://www.ncbi.nlm.nih.gov/pubmed/25785249
http://dx.doi.org/10.5812/cardiovascmed.20159
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