Postoperative Lactate Levels and Hospital Length of Stay After Cardiac Surgery

Autor: Mathias J Holmberg, Michelle Doherty, Lars W. Andersen, Michael W. Donnino, Adam Lerner, Katherine Berg, Kamal R. Khabbaz
Rok vydání: 2015
Předmět:
Zdroj: Wiuff Andersen, L, Holmberg, M J, Doherty, M, Khabbaz, K, Lerner, A, Berg, K M & Donnino, M W 2015, ' Postoperative Lactate Levels and Hospital Length of Stay After Cardiac Surgery ', Journal of Cardiothoracic and Vascular Anesthesia, vol. 29, no. 6, pp. 1454-60 . https://doi.org/10.1053/j.jvca.2015.06.007
ISSN: 1532-8422
Popis: OBJECTIVES: The objective of this study was to characterize the association between lactate levels and hospital length of stay (LOS) after cardiac surgery.DESIGN: A retrospective study using prospectively collected data from the Society of Thoracic Surgeons adult cardiac surgery database.SETTING: A tertiary-care hospital.PARTICIPANTS: Patients in the database who presented for major cardiac surgery between 2002 and 2014 and whose lactate level was measured within 3 hours after skin closure.INTERVENTIONS: None.MEASUREMENTS AND MAIN RESULTS: The authors performed multivariable linear regression with adjustment for more than 30 variables to assess the association between postoperative lactate levels and hospital LOS. The study included 1,208 patients whose median LOS was 6 days (quartiles: 5, 9). Median LOS in the low-, moderate-, and high-lactate groups was 5 days (quartiles: 4, 7), 6 days (quartiles: 5, 9) and 9 days (quartiles: 6, 17), respectively; pCONCLUSIONS: Postoperative lactate levels are associated with increased hospital LOS for patients undergoing major cardiac surgery.
Databáze: OpenAIRE