RESUMEN
We studied predictors of prolonged stay in intensive care unit (ICU) after coronary surgery without cardiopulmonary bypass. Factors significantly associated with duration of ICU stay were elevated levels of glucose and lactate in venous blood, types of conduits used, and type of bypass surgery. Results of this study can be used for elaboration of a quantitative scale for prediction of duration of postoperative treatment in ICU.
Asunto(s)
Puente de Arteria Coronaria , Tiempo de Internación , Anciano , Femenino , Humanos , Unidades de Cuidados Intensivos , Masculino , Persona de Mediana Edad , Periodo Posoperatorio , Estudios Retrospectivos , Factores de RiesgoRESUMEN
Assessment of cost of management of patients during 1 year after stenting of coronary arteries has shown that priority should be given to active introduction into practical health care of technologies increasing duration of life and lowering probability of invalidization. We stress the need for evaluation of indirect expenditures on patients care because of their substantial share in the total cost. We also consider essential to elaborate measures of state regulation of medication supply irrespective of type of treatment for shifting expenditures from hospital to ambulatory sector and improvement of effectiveness of pharmacotherapy.