Outcomes of octogenarians discharged from the hospital after prolonged intensive care unit length of stay after cardiac surgery

Abstract

Octogenarians with prolonged intensive care unit length of stay have acceptable functional survival at 1 year but have high rates of early rehospitalization. Access to health services may influence functional survival and early rehospitalizations. These data suggest that close follow-up of these vulnerable patients after hospital discharge is warranted.

Frailty as a risk predictor in cardiac surgery: Beyond the eyeball test

“…The goal is to ensure that patients not only survive after cardiac surgery but also thrive, with the maintenance of acceptable healthrelated quality of life and functional independence. 23 Indeed, a question that the cardiac surgery community must start to consider is whether poor outcomes in the frail…”

Nutrition support in cardiac surgery patients: Be calm and feed on!

“…1 Indeed, vulnerable older adult patients who experience a complicated or prolonged intensive care unit (ICU) stay after surgery remain impaired for years, with many of them never returning to work and a normal life after the ICU stay. 2,3 One major factor contributing to this ''post-ICU disability'' is the loss of functional lean body mass, highlighting the importance of nutrition support as an integral component of the perioperative care of cardiac surgery patients. Since the first description of nutrition therapy in cardiac surgery patients in 1974 by Manners 4 and Stoppe and colleagues, 5 it has taken more than 3 decades years until the crucial role of adequate nutrition support has been ''rediscovered.…”

Prognostic Value of GDF-15 in Predicting Prolonged Intensive Care Stay following Cardiac Surgery: A Retrospective Case-Control Study

“…We de ned prolonged intensive care length of stay (PICULOS) as a time period greater than 48 hours as other studies in cardiac surgery demonstrated recovery within 48 hours and showed development of complications thereafter (11). Patient characteristics and clinical parameters were retrieved from an electronically patient data recording system (medico//s, Siemens, Germany) and from a patient data management system (IntelliSpace Critical Care and Anesthesia, ICCA Rev.…”