دورية أكاديمية
Journal of Cardiothoracic and Vascular Anesthesia / Perioperative risk factors for intensive care unit readmissions and mortality after cardiac surgery
| العنوان: | Journal of Cardiothoracic and Vascular Anesthesia / Perioperative risk factors for intensive care unit readmissions and mortality after cardiac surgery |
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| المؤلفون: | Steinlechner, Barbara, Holaubek, Caroline, Winter, Fabian, Lesjak, Anita, Aliabadi-Zuckermann, Arezu, Opfermann, Philipp, Urbanek, Bernhard, Schlömmer, Christine, Mouhieddine, Mohamed, Zuckermann, Andreas |
| بيانات النشر: | Elsevier |
| سنة النشر: | 2022 |
| المجموعة: | MedUni Vienna ePub (Medzinische Universität Wien) |
| مصطلحات موضوعية: | Intensive care unit, readmission, mortality, cardiac surgery |
| جغرافية الموضوع: | UMW:14612, UMW:20942, UMW:14615 |
| الوصف: | Objective The aim of this study was to identify perioperative risk factors associated with intensive care unit readmission and in-hospital death after cardiac surgery. Design Retrospective analysis using a multivariable regression model to identify independent risk factors for ICU readmission and in-hospital mortality. Setting The study was carried out in a single tertiary-care hospital. Participants This was an analysis of 2789 adult patients. Interventions All patients underwent cardiac surgery and were admitted to the intensive care unit perioperatively at the General Hospital Vienna. Measurements and Main Results Among the 2789 patients included in the analysis, 167 (6%) were readmitted to the intensive care unit during the same hospital stay. Preoperative risk factors associated with ICU readmission included end-stage renal failure (odds ratio (OR) 2.80, 95% CI: 1.126-6.964), arrhythmia (OR 1.59, 95% CI: 1.019-2.480), chronic obstructive pulmonary disease (OR 1.51, 95% CI: 1.018-2.237), age > 80 (OR 2.55, 95% CI: 1.189-5.466), and EuroSCORE II > 8 (OR 1.40, 95% CI: 1.013-1.940). Readmitted patients were more likely to die than non-readmitted patients (OR 5.3, 95% CI: 3.284-8.558). In-hospital mortality in readmitted patients was 19.2%, whereas that in the non-readmitted study population was 5.1%. Conclusion Preoperative risk assessment is crucial for identifying cardiac surgery patients at risk of ICU readmission and in-hospital death. The potentially modifiable risk factors pinpointed by our study call for the optimization of care before surgery and after ICU discharge. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | text/html |
| اللغة: | English |
| تدمد: | 1053-0770 |
| العلاقة: | vignette : https://repositorium.meduniwien.ac.at/titlepage/urn/urn:nbn:at:at-ubmuw:3-53569/128Test; urn:nbn:at:at-ubmuw:3-53569; https://resolver.obvsg.at/urn:nbn:at:at-ubmuw:3-53569Test; local:99147048853503331; system:AC16688290 |
| DOI: | 10.1053/j.jvca.2021.10.044 |
| الإتاحة: | https://doi.org/10.1053/j.jvca.2021.10.044Test https://resolver.obvsg.at/urn:nbn:at:at-ubmuw:3-53569Test |
| حقوق: | cc-by_4 |
| رقم الانضمام: | edsbas.A0D0684E |
| قاعدة البيانات: | BASE |
| تدمد: | 10530770 |
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| DOI: | 10.1053/j.jvca.2021.10.044 |