Low hematocrit levels: a risk factor for long-term outcomes in patients requiring prolonged mechanical ventilation after cardiovascular surgery. A retrospective study
Autor: | Takahiro Mihara, Akito Tsukinaga, Takahisa Goto, Shunsuke Takaki, Susumu Isoda, Kenta Okamura, Kiyoyasu Kurahashi |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Male
medicine.medical_specialty Time Factors intensive care units medicine.medical_treatment 030204 cardiovascular system & hematology anesthesia General Biochemistry Genetics and Molecular Biology law.invention Cohort Studies 03 medical and health sciences 0302 clinical medicine Postoperative Complications law Risk Factors Preoperative Care Cardiopulmonary bypass Medicine Humans 030212 general & internal medicine Elective surgery Risk factor hemoglobins Original Research Aged Retrospective Studies Mechanical ventilation business.industry Cardiovascular Surgical Procedures Retrospective cohort study Anemia General Medicine Perioperative Middle Aged Intensive care unit Respiration Artificial Surgery medicine.anatomical_structure Treatment Outcome Hematocrit Female business Artery |
Zdroj: | Journal of Investigative Medicine |
ISSN: | 1708-8267 1081-5589 |
Popis: | While low-risk patients who undergo elective surgery can tolerate low hematocrit levels, the benefits of higher hematocrit levels might outweigh the risk of transfusion in high-risk patients. Therefore, this study aimed to evaluate the effects of perioperative hematocrit levels on mortality in patients requiring prolonged mechanical ventilation (PMV) after a cardiovascular surgery. This single-center retrospective cohort study was conducted on 172 patients who underwent cardiovascular surgery with cardiopulmonary bypass or off-pump coronary artery bypass grafting and required PMV for ≥72 hours in the intensive care unit (ICU) from 2008 to 2012 at the Yokohama City University Medical Center in Yokohama, Japan. Patients were classified according to hematocrit levels on ICU admission: high (≥30%) and low ( |
Databáze: | OpenAIRE |
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