Predictive Factors of Long-Term Stay in the ICU after Cardiac Surgery: Logistic CASUS Score, Serum Bilirubin Dosage and Extracorporeal Circulation Time
| Autor: | Marcelo José Ferreira Soares, Fernanda Luiza Faria, Marcio Fernandes Pimentel, Vinícius Zani de Faveri, Marcos Aurélio Barboza de Oliveira, Rodrigo Capobianco Guido, Yuzo Iano, Jamil Alli Murad Junior |
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| Přispěvatelé: | Fac Med Sao Jose Rio Preto FAMERP, Santa Casa Votuporanga, Universidade Estadual de Campinas (UNICAMP), Universidade Estadual Paulista (Unesp) |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty Extracorporeal Circulation Bilirubin Organ Dysfunction Scores Intensive Care Unit lcsh:Surgery 030204 cardiovascular system & hematology Total serum bilirubin Serum bilirubin law.invention Cohort Studies 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine law Risk Factors medicine Humans Postoperative Period Cardiac Surgical Procedures Retrospective Studies business.industry Cardiovascular Surgical Procedures Extracorporeal circulation Retrospective cohort study lcsh:RD1-811 General Medicine Length of Stay Middle Aged Intensive care unit Surgery Cardiac surgery Intensive Care Units 030228 respiratory system chemistry lcsh:RC666-701 Female Original Article Cardiology and Cardiovascular Medicine business Cohort study |
| Zdroj: | Brazilian Journal of Cardiovascular Surgery v.32 n.5 2017 Brazilian Journal of Cardiovascular Surgery Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV Web of Science Repositório Institucional da UNESP Universidade Estadual Paulista (UNESP) instacron:UNESP Brazilian Journal of Cardiovascular Surgery, Vol 32, Iss 5, Pp 367-371 |
| ISSN: | 0102-7638 |
| Popis: | Made available in DSpace on 2018-11-29T05:07:15Z (GMT). No. of bitstreams: 0 Previous issue date: 2017-01-01. Added 1 bitstream(s) on 2019-10-09T18:25:54Z : No. of bitstreams: 1 S0102-76382017000500367.pdf: 307270 bytes, checksum: 0ccf3a717f80dd450a23b82dd7fa9fa6 (MD5) Objective: To test the capacity of the Logistic CASUS Score on the second postoperative day, the total serum bilirubin dosage on the second postoperative day and the extracorporeal circulation time, as possible predictive factors of long-term stay in Intensive Care Unit after cardiac surgery. Methods: Eight-two patients submitted to cardiac surgery with extracorporeal circulation were selected. The Logistic CASUS Score on the second postoperative day was calculated and bilirubin dosage on the second postoperative day was measured. The extracorporeal circulation time was also registered. Patients were divided into two groups: Group A, those who were discharged up to the second day of postoperative care; Group B, those who were discharged after the second day of postoperative care. Results: In this study, 40 cases were listed in Group A and 42 cases in Group B. The mean extracorporeal circulation time was 83.9 +/- 29.4 min in Group A and 95.8 +/- 29.31 min in Group B. Extracorporeal circulation time was not significant in this study (P=0.0735). The level of P significance of bilirubin dosage on the second postoperative day was 0.0003 and an area under the ROC curve of 0.708 with a cut-off point at 0.51 mg/dl was registered. The level of P significance of Logistic CASUS Score on the second postoperative day was 0.0001 and an area under the ROC curve of 0.723 with a cut-off point at 0.40% was registered. Conclusion: The Logistic CASUS Score on the second postoperative day has shown to be better than the bilirubin dosage on the second postoperative day as a predictive tool for calculating the length of stay in intensive care unit during the postoperative care period of patients. Notwithstanding, extracorporeal circulation time has failed to prove itself as an efficient tool to predict an extended length of stay in intensive care unit. Fac Med Sao Jose Rio Preto FAMERP, Av Brigadeiro Faria Lima 5416, BR-15090000 Sao Jose Do Rio Preto, SP, Brazil Santa Casa Votuporanga, Votuporanga, SP, Brazil Univ Estadual Campinas FEEC Unicamp, Fac Engn Eletr & Comp, Campinas, SP, Brazil Univ Estadual Paulista IBILCE UNESP, Inst Biociencias Letras & Ciencias Exatas, Sao Jose Do Rio Preto, SP, Brazil Univ Estadual Paulista IBILCE UNESP, Inst Biociencias Letras & Ciencias Exatas, Sao Jose Do Rio Preto, SP, Brazil |
| Databáze: | OpenAIRE |
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