Role of surgeon in length of stay in ICU after cardiac bypass surgery
Journal of Tehran University Heart Center [The]. 2010; 5 (1): 9-13
en Inglés
| IMEMR
| ID: emr-93298
ABSTRACT
We presumed that the surgeon himself has an impact on the results after coronary artery bypass grafting [CABG] as there is no unique protocol for the discharge of post-operative cardiac patients at our institution. Therefore, we examined whether the surgeon himself has an impact on the intensive care unit [ICU] stay of isolated CABG patients. We prospectively studied a total of 570 consecutive patients undergoing elective CABG. Length of stay in the ICU was defined as the number of days in the ICU unit post-operatively. Seven operating surgeons were classified in 3 categories on the basis of the mean hospital stay of their patients [1, 2 and 3 if the mean total patients' stay in hospital was <8 days, between 8 to 10 days, and longer than 10 days; respectively]. Using a multivariable regression model, we determined the independent predictors of length of stay in the ICU [> 48 hours] and examined the role of surgeon in this regard. Incidence of post-operative arrhythmia and length of ICU stay were higher in the patients of surgeon category 3 than those of surgeon categories 1 and 2. Surgeon category 3 also operated on patients with higher Euro SCOREs than did surgeon categories 1 and 2. With the aid of a multivariable stepwise analysis, three variables were identified as independent predictors significantly associated with ICU length of stay age, history of cerebrovascular accident, and surgeon category. Surgeon category may independently predict a prolonged length of stay in the ICU. We suggest that a unique discharge protocol for post-CABG patients be considered to restrict the role of surgeon in the ICU stay of these patients
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Índice:
IMEMR (Mediterraneo Oriental)
Asunto principal:
Puente de Arteria Coronaria
/
Estudios Prospectivos
/
Medición de Riesgo
/
Unidades de Cuidados Intensivos
Límite:
Anciano
/
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
J. Tehran Univ. Heart Cent.
Año:
2010
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