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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Kowsar
2014
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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. |
format | Online Article Text |
id | pubmed-4347792 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Kowsar |
record_format | MEDLINE/PubMed |
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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