Perioperative Risk Factors for Intensive Care Unit Readmissions and Mortality After Cardiac Surgery
| Autor: | A. Aliabadi-Zuckermann, Mohamed Mouhieddine, Philipp Opfermann, Barbara Steinlechner, Fabian Winter, Christine Schlömmer, Andreas Zuckermann, Caroline Holaubek, Bernhard Urbanek, Anita Lesjak |
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| Rok vydání: | 2022 |
| Předmět: |
Adult
medicine.medical_specialty Preoperative risk Psychological intervention Patient Readmission law.invention Risk Factors law medicine Humans Hospital Mortality Cardiac Surgical Procedures General hospital Retrospective Studies business.industry Odds ratio Perioperative Length of Stay Intensive care unit Cardiac surgery Intensive Care Units Anesthesiology and Pain Medicine Emergency medicine Population study Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiothoracic and Vascular Anesthesia. 36:2339-2343 |
| ISSN: | 1053-0770 |
| DOI: | 10.1053/j.jvca.2021.10.044 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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