Analysis of Readmissions to The Intensive Care Unit After Coronary Artery Bypass Surgery: Ten Years’ Experience
| Autor: | Emre Selçuk, Kamil Cantürk Çakalağaoğlu, Cengiz Köksal, Hasan Erdem, Ahmet Elibol |
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| Přispěvatelé: | SELÇUK, Emre |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Respiratory complications Bypass grafting RD1-811 Intensive Care Unit 030204 cardiovascular system & hematology Patient Readmission law.invention 03 medical and health sciences Coronary artery bypass surgery Ventricular Dysfunction Left 0302 clinical medicine Postoperative Complications Risk Factors law medicine Humans Diseases of the circulatory (Cardiovascular) system Coronary Artery Bypass Retrospective Studies business.industry Mortality rate General Medicine Perioperative Readmission rate Intensive care unit Intensive Care Units medicine.anatomical_structure RC666-701 Emergency medicine Female Original Article Surgery Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Brazilian Journal of Cardiovascular Surgery, Vol 35, Iss 5, Pp 732-740 (2020) Brazilian Journal of Cardiovascular Surgery v.35 n.5 2020 Brazilian Journal of Cardiovascular Surgery Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV Brazilian Journal of Cardiovascular Surgery, Volume: 35, Issue: 5, Pages: 732-740, Published: 23 OCT 2020 |
| ISSN: | 1678-9741 |
| Popis: | Objective: To evaluate the frequency, causes, and related predictive factors of intensive care unit (ICU) readmissions after coronary artery bypass grafting (CABG) surgery. Objective: To evaluate the frequency, causes, and related predictive factors of intensive care unit (ICU) readmissions after coronary artery bypass grafting (CABG) surgery. Methods: A total of 4112 consecutive patients who underwent on-pump CABG between January 2007 and January 2017 were retrospectively evaluated. The patients were divided into two groups as patients with and without ICU readmission. Demographic and perioperative characteristics were compared between the two groups. Results: The ICU readmission rate was 3.5%. The most common reasons for ICU readmissions were respiratory (29%) and cardiac (23.4%) complications. The 90-day mortality risk was significantly higher in the readmitted patients than the non-readmitted patients (22.1% and 1.6%, respectively; P 5%, cross-clamp time > 35 minutes, postoperative respiratory complications, neurological complications, and cardiac complications showed a strong association with ICU readmissions. Conclusion: ICU readmission after CABG is associated with an increased mortality rate. Evaluation, not only of patients' comorbidities, but also of intraoperative conditions and postoperative complications, is important to identify patients at risk for ICU readmission. |
| Databáze: | OpenAIRE |
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