Factors influencing length of intensive care unit stay following a bidirectional cavopulmonary shunt
| Autor: | Jürgen Hörer, Lisa Anderl, Martina Strbad, Peter Ewert, Melchior Burri, Alfred Hager, Masamichi Ono, Takashi Kido, Julie Cleuziou, Gunter Balling |
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| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
Heart Defects Congenital Discharged alive 030204 cardiovascular system & hematology Fontan Procedure law.invention 03 medical and health sciences Congenital 0302 clinical medicine law Risk Factors medicine.artery medicine Humans In patient Cavopulmonary shunt Retrospective Studies business.industry Hazard ratio Length of Stay Intensive care unit Confidence interval Intensive Care Units medicine.anatomical_structure 030228 respiratory system Ventricle Anesthesia Pulmonary artery Surgery Cardiology and Cardiovascular Medicine business |
| Zdroj: | Interact Cardiovasc Thorac Surg |
| ISSN: | 1569-9285 |
| Popis: | OBJECTIVES The goal of this study was to identify the risk factors for prolonged length of stay (LOS) in the intensive care unit (ICU) after a bidirectional cavopulmonary shunt (BCPS) procedure and its impact on the number of deaths. METHODS In total, 556 patients who underwent BCPS between January 1998 and December 2019 were included in the study. RESULTS Eighteen patients died while in the ICU, and 35 died after discharge from the ICU. Reduced ventricular function was significantly associated with death during the ICU stay (P = 0.002). In patients who were discharged alive from the ICU, LOS in the ICU [hazard ratio (HR) 1.04, 95% confidence interval (CI) 1.02–1.06; P CONCLUSIONS Prolonged LOS in the ICU with a cut-off value of 19 days after BCPS was a significant risk factor for mortality. High pulmonary artery pressure at BCPS was a significant risk factor for a prolonged ICU stay. |
| Databáze: | OpenAIRE |
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