Outcome of cardiac surgery patients with complicated intensive care unit stay
| Autor: | Martin Goenen, Olivier Van Caenegem, Luc-Marie Jacquet |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
medicine.medical_specialty
Critical Care and Intensive Care Medicine Outcome (game theory) law.invention Postoperative Complications Quality of life law Predictive Value of Tests Risk Factors medicine Humans Myocardial infarction Hospital Mortality Cardiac Output Cardiac Surgical Procedures Intensive care medicine Aged Ejection fraction business.industry Age Factors Postoperative complication Stroke Volume Length of Stay medicine.disease Intensive care unit Cardiac surgery Intensive Care Units medicine.anatomical_structure Treatment Outcome Hematocrit Nervous System Diseases business Artery |
| Zdroj: | Current opinion in critical care. 8(5) |
| ISSN: | 1070-5295 |
| Popis: | Risk stratification has become an essential element in the practice of cardiac surgery. Several studies have identified preoperative risk factors for adverse outcome. However, outcome is mostly defined by 30-day mortality and morbidity. These data reflect poorly the benefit for the patient. Long-term survival, quality of life, and functional status should be included in a more global analysis of the outcome, particularly in patients with complicated ICU stay. By reviewing the recent data reported in the literature, we can identify a number of preoperative predictive factors for complicated ICU stay, including advanced age, chronic obstructive pulmonary disease, preoperative low ejection fraction, previous myocardial infarction, reoperation, renal failure, combined surgery (coronary artery bypass grafting plus valve surgery), low hematocrit, and neurologic impairment. Short- and long-term outcomes are dependent on the type of postoperative complication. Unfortunately, data regarding the long-term outcome in these situations are very scarce. |
| Databáze: | OpenAIRE |
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