Risk factors for prolonged intensive care unit stays in patients after cardiac surgery with cardiopulmonary bypass: A retrospective observational study

Zhang, Xueying; Zhang, Wenxia; Lou, Hongyu; Luo, Chuqing; Du, Qianqian; Yang, Meng; Wu, Xiaoyu; Zhang, Meifen

doi:10.1016/j.ijnss.2021.09.002

Cited by 9 publications

(12 citation statements)

References 32 publications

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“…The extended MV is also associated with surgical variables such as aorta cross-clamping, CPB period greater than 120 min, and postoperative events such as lung damage and chest infection. Another research, by Azafarin et al, 2014, found that reduced cardiac output, neuromuscular weakness, and electrolyte abnormalities might be the reasons for extended intubation (Azarfarin et al, 2014, Zhang et al, 2021. which is in line with the current study.…”

Section: <00001 Bsupporting

confidence: 90%

“…LCO is a clinical syndrome induced by a temporary reduction in systemic perfusion caused by cardiac dysfunction. However, it is observed that the number of inotropes, rather than their usage, was the main influence (Sadeghi et al, 2019, Zhang et al, 2021.…”

Section: <00001 Bmentioning

confidence: 99%

“…It is a significant cause of ICU readmission following discharge. (Safarpoor et al, 2021, Zhang et al, 2021.…”

Section: <00001 Bmentioning

confidence: 99%

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Factors Influencing Length of Stay in The Intensive Care Unit after Coronary Artery Bypass Graft in Duhok City – Kurdistan Region

Hussein

Muhamad²

2022

UOD

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Background: Long stays in the Intensive Care Unit (ICU) following coronary artery bypass graft (CABG) surgery are associated with higher hospital mortality, poor long-term prognosis, prolonged hospital admissions, and consequently, excessive cost and resource use. This study aimed to identify the individual and perioperative risk factors influencing ICU length of stay after coronary artery bypass graft surgery at Azadi Heart Center in Duhok city. Patients and Methods: This comparative cross-sectional study reviewed the medical records of 230 patients who underwent CABG surgery from 1st January 2019 to 31st December 2020. The patients were divided into two groups based on their length of stay in the ICU. The usual stay group (ICU length of stay < 72 h), and the prolonged stay group (ICU length of stay ≥ 72 h). Results: Among the 230 patients studied, 53 (23.04%) patients had an ICU length of stay ≥ 72 hours and 177 (76.96%) patients had an ICU length of stay < 72 hours and the mean duration of ICU stay was 2.45 days, ranging from 1 to 13 days. This study found that the factors increasing the ICU length of stay after CABG were; preoperative myocardial infarction (MI), elevated preoperative WBC counts, prolonged cardiopulmonary bypass (CPB) time, prolonged intubation, reintubation, reoperation, readmission, arrhythmia, receiving inotropic agents in the ICU, cardiac, pulmonary, and wound complications, and a higher postoperative troponin level. Conclusion: This study showed pre-, intra-, and post-operative clinical and surgical risk factors affect prolonged ICU stays.

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Section: <00001 Bsupporting

confidence: 90%

Section: <00001 Bmentioning

confidence: 99%

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Factors Influencing Length of Stay in The Intensive Care Unit after Coronary Artery Bypass Graft in Duhok City – Kurdistan Region

Hussein

Muhamad²

2022

UOD

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“…pertussis, influenza, HIV/AIDS, dengue fever, West Nile, Zika virus, H1N1, and Ebola). In particular, the now ubiquitous nature of social media means that it represents an important "nontraditional" source for disease surveillance [7]. In particular, user-generated social media data can be mined to assess people's knowledge, attitudes and behavior towards disease, and can be very informative when cross-validated with traditional disease surveillance data [8].…”

Section: Introductionmentioning

confidence: 99%

COVID-19 Vaccination: A Retrospective Observation and Sentiment Analysis of the Twitter Social Media Platform in Indonesia

Hananto

2022

IJIIS Int. J. Informatics Inf. Syst.

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“…The duration of mechanical ventilation is a key determinant of postoperative length of stay (LOS) in pediatric intensive care units. Some previous studies demonstrated that prolonged mechanical ventilation was associated with longer ICU LOS in adult patients after cardiac surgery [11,12]. Long postoperative mechanical ventilation is usually attributed to the presence of chest infection or a worsened condition of heart failure.…”

Section: Resultsmentioning

confidence: 99%

Risk factors associated with prolonged postoperative intensive care unit stay in total anomalous pulmonary venous connection

Huang

Tang

Yang

et al. 2022

Preprint

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Objective Prolonged intensive care unit stay occupies medical resources and increases medical cost. The present study aimed to identify the risk factors associated with prolonged postoperative intensive care unit (ICU) stay in total anomalous pulmonary venous connection (TAPVC). Methods The medical records of 85 patients who underwent TAPVC correction surgery were retrospectively analyzed. Patients were divided into the prolonged stay group and the standard stay group. The prolonged stay group included all the patients exceeding the 75th percentile for duration of ICU stay, and the standard stay group included all the remaining patient. The effect of patient variables on the ICU stay duration was investigated using univariate analysis and logistic regression analysis. Results The median age of 85 patients was 41 (18–103) days, median weight was 3.80 (3.30–5.35) kg. According to the grouping criteria, the postoperative duration of ICU stay in prolonged stay group (n = 23) was 11–68 days and the postoperative duration of ICU stay in standard stay group (n = 62) was 2–10 days. Preoperative lower saturation of pulse oximetry (SpO2), intraoperative higher plasma lactate level and prolonged postoperative mechanical ventilation were independent risk factors for prolonged ICU stay in children with TAPVC. When the preoperative SpO2 was lower than 88.5%, the highest plasma lactate value was more than 4.15 mmol/L, and the postoperative mechanical ventilator duration was longer than 53.5 hours, the risk of prolonged ICU stay was increased. Young age, low body weight, subcardiac type, need for vasoactive drug support, emergency operation, long anesthesia time, low SpO2 after anesthesia induction, long cardiopulmonary bypass (CPB) time and aortic clamp time, high level lactate, low temperature and large volume of ultrafiltration during CPB, large amount chest drainage, large red blood cells (RBCs) and plasma transfusion, postoperative cardiac dysfunction might be associated with prolonged ICU stay. Conclusions Preoperative lower SpO2, intraoperative higher plasma lactate level and prolonged postoperative mechanical ventilation were independent risk factors for prolonged ICU stay in children with TAPVC. When the SpO2 was lower than 88.5%, the highest plasma lactate value was more than 4.15 mmol/L, and the postoperative mechanical ventilator duration was longer than 53.5 hours, the risk of prolonged ICU stay was increased. Improved clinical management including early diagnosis and timely surgical intervention to reduce hypoxia time, intraoperative cardiac function protection, etc. can help to reduce ICU stay time.

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Risk factors for prolonged intensive care unit stays in patients after cardiac surgery with cardiopulmonary bypass: A retrospective observational study

Cited by 9 publications

References 32 publications

Factors Influencing Length of Stay in The Intensive Care Unit after Coronary Artery Bypass Graft in Duhok City – Kurdistan Region

Factors Influencing Length of Stay in The Intensive Care Unit after Coronary Artery Bypass Graft in Duhok City – Kurdistan Region

COVID-19 Vaccination: A Retrospective Observation and Sentiment Analysis of the Twitter Social Media Platform in Indonesia

Risk factors associated with prolonged postoperative intensive care unit stay in total anomalous pulmonary venous connection

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