Journal ArticleDOI
Predictors of prolonged intensive care unit stay in patients undergoing coronary surgery
Kazim Ergunes,Levent Yilik,Ismail Yurekli,Ufuk Yetkin,Yuksel Besir,Nagahan Karahan,Serkan Yazman,Ali Gürbüz +7 more
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TLDR
The factors affecting the length of intensive care unit (ICU) stay in patients undergoing isolated on-pump coronary artery bypass (CABG) and effective factors on morbidity, mortality, and survival among patients with prolonged ICU stay were investigated.Abstract:
We aimed to investigate the factors affecting the length of intensive care unit (ICU) stay in patients undergoing isolated on-pump coronary artery bypass (CABG). We also aimed to evaluate effective factors on morbidity, mortality, and survival among patients with prolonged ICU stay. Between January 2002 and December 2009, a total of 1,657 patients underwent isolated on-pump CABG in our clinic. Prolonged ICU stay (>2 days) was present in 532 patient (32.1 %). Diabetes (OR 1.49, P = 0.006), hypertension (OR 1.37, P = 0.029), chronic obstructive pulmonary disease (OR 9.06, P 3 units) (OR 3.23, P = 0.007) were the independent predictive factors of prolonged ICU stay (>2 days). Postoperative mortality rate was 7 % (n = 37) and 2.3 % (n = 26) in patients with length of ICU stay >2 days and length of ICU stay ≤2 days (P 2 days (P < 0.0001). Postoperative mortality was higher in patients with prolonged ICU stay. Mean follow-up was shorter in patients with prolonged ICU stay.read more
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Institutional report - Cardiac general Predicting prolonged intensive care unit length of stay in patients undergoing coronary artery bypass surgery - development of an entirely preoperative scorecard
Christine R. Herman,Wojtek Karolak,Alexandra M. Yip,Karen J. Buth,Ansar Hassan,Jean-Francois Légaré +5 more
TL;DR: A parsimonious risk-predictive model was constructed on the basis of preoperative factors, and a scorecard was developed allowing identification of patients at risk for PrlICULOS following coronary artery bypass grafting and allowing for strategies aimed at optimizing hospital resources.
References
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A. Laurie Shroyer,Laura P. Coombs,Eric D. Peterson,Mary C. Eiken,Elizabeth R. DeLong,Anita Chen,T. Bruce Ferguson,Frederick L. Grover,Fred H. Edwards +8 more
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Jack V. Tu,S B Jaglal,C D Naylor +2 more
TL;DR: Mortality, ICU length ofStay, and postoperative length of stay after cardiac surgery can be predicted using a simple six-variable risk index and has potential application as a risk stratification tool for comparing patient outcomes and resource use among different hospitals and surgeons.
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Risk factors of delayed extubation, prolonged length of stay in the intensive care unit, and mortality in patients undergoing coronary artery bypass graft with fast-track cardiac anesthesia: a new cardiac risk score.
David T. Wong,Davy Cheng,Rafal Kustra,Robert Tibshirani,Jacek Karski,Jo Carroll-Munro,Alan N. Sandler +6 more
TL;DR: In CABG patients undergoing FTCA, the authors derived and validated risk factors of delayed extubation, prolonged ICU LOS, and mortality and developed a simplified CRS system with similar predictive abilities as the logistic models.
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Early postoperative outcome and medium-term survival in 540 diabetic and 2239 nondiabetic patients undergoing coronary artery bypass grafting.
TL;DR: Short-term mortality was acceptable in diabetic patients after CABG but they had increased postoperative morbidity in comparison with nondiabetic patients, particularly with regard to renal function, cerebral complications, and infections.
Journal ArticleDOI
Acute renal failure associated with cardiac operations. A case-control study.
TL;DR: Discriminant analysis performed with preoperative variables revealed preoperative serum creatinine values, concurrent valve and bypass surgery, and age to be significant variables for identifying patients at risk for acute renal failure.