Analysis of readmissions to the intensive care unit after coronary artery bypass surgery: ten years experience
Rev. bras. cir. cardiovasc
;
35(5): 732-740, Sept.-Oct. 2020. tab, graf
Artigo
em Inglês
| LILACS, SES-SP
| ID: biblio-1137335
ABSTRACT
Abstract 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<0.001; OR=17.6; 95% CI=11.19-28.41). Severe left ventricular dysfunction, chronic obstructive pulmonary disease, end-stage renal disease, emergency CABG, EuroSCORE II > 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Readmissão do Paciente
/
Ponte de Artéria Coronária
/
Unidades de Terapia Intensiva
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Rev. bras. cir. cardiovasc
Ano de publicação:
2020
Tipo de documento:
Artigo
Instituição/País de afiliação:
Bakırköy Sadi Konuk Research and Education Hospital/TR
/
Bezmialem Vakif University/TR
/
Kartal Kosuyolu Research and Education Hospital/TR
/
Mus State Hospital/TR
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