Predictors and Outcome of ICU Readmission after Cardiac Surgery

Litmathe, Jens; Kurt, Muhammed; Feindt, P.; Gams, E.; Boeken, Udo

doi:10.1055/s-0029-1185852

Cited by 62 publications

(75 citation statements)

References 12 publications

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“…In a retrospective review of 3.523 patients undergoing CABG and/or valve surgery, multivariate logistic regression analysis showed that LCOS was an independent predictor of longer hospital stay and readmission to the ICU and a longer hospital stay [23]. We also observed that patients who developed LCOS in the postoperative period have average length of stay in ICU and hospital stay longer than patients without this complication.…”

Section: Discussionmentioning

confidence: 73%

Risk factors for low cardiac output syndrome after coronary artery bypass grafting surgery

Sá¹,

Nogueira²,

Ferraz³

et al. 2012

Rev Bras Cir Cardiovasc

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Fatores de risco para síndrome de baixo débito cardíaco após cirurgia de revascularização miocárdicaRisk factors for low cardiac output syndrome after coronary artery bypass grafting surgery Abstract Objectives: Low cardiac output syndrome (LCOS) is a serious complication after cardiac surgery and is associated with significant morbidity and mortality. The aim of this study is to identify risk factors for LCOS in patients undergoing coronary artery bypass grafting (CABG) in the Division of Cardiovascular Surgery of Pronto Socorro Cardiológico de Pernambuco -PROCAPE (Recife, PE, Brazil).Methods: A historical prospective study comprising 605 consecutive patients operated between May 2007 and December 2010. We evaluated 12 preoperative and 7 intraoperative variables. We applied univariate and multivariate logistic regression analysis.Results: The incidence of LCOS was 14.7% (n = 89), with a lethality rate of 52.8% (n = 47). In multivariate analysis by logistic regression, four variables remained as independent risk factors: age ≥ 60 years (OR 2.00, 95% CI 1.20 to 6.14, P = 0.009), on-pump CABG (OR 2.16, 95% CI 1.40 to 7.08, P = 0.006), emergency surgery (OR 4.71, 95% CI 1.34 to 26.55, P = 0.028), incomplete revascularization (OR 2.62, 95% CI 1.32 to 5.86, P = 0.003), and ejection fraction <50%.Conclusions: This study identified the following independent risk factors for LCOS after CABG: age ≥ 60 years of off-pump CABG, emergency surgery, incomplete CABG and ejection fraction <50%. Rev Bras Cir Cardiovasc 2012;27(2):217-23

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Section: Discussionmentioning

confidence: 73%

Risk factors for low cardiac output syndrome after coronary artery bypass grafting surgery

Sá¹,

Nogueira²,

Ferraz³

et al. 2012

Rev Bras Cir Cardiovasc

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“…view of 3523 patients undergoing CABG and/or valve surgery, multivariate logistic regression analysis showed that LCOS was an independent predictor of longer hospital stay and readmission to the ICU. 14) Higher morbidity and mortality coincided with longer ICU stay and postoperative hospital stay, which might contribute to an increase of the economic impact of this entity. Obviously, it became crucial for clinicians to identify the predictors of LCOS following CABG surgery, in order to optimize pre-and intraoperative risk factors involved in strategies to reduce the incidence of LCOS following CABG.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Low Cardiac Output Syndrome After Isolated Coronary Artery Bypass Grafting

Ding

Shi

et al. 2015

Int. Heart J.

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SummaryLow cardiac output syndrome (LCOS) is one of the most important complications following coronary artery bypass grafting (CABG) and results in higher morbidity and mortality. However, few reports have focused on the predictors of LCOS following CABG. This study aimed to evaluate the predictors of LCOS following isolated CABG through the review of 1524 consecutive well-documented patients in a single center, retrospective trial.The relevant preoperative and intraoperative data of patients with complete information from medical records undergoing isolated CABG from January 2010 to December 2013 in our center were investigated and retrospectively analyzed. LCOS was considered when the following criteria were met: signs of impairment of body perfusion and need for inotropic support with vasoactive drugs or mechanical circulatory support with an intra-aortic balloon pump to maintain systolic blood pressure greater than 90 mmHg.LCOS developed in 205 patients following CABG, accounting for 13.5% of the total population. The in-hospital mortality in the LCOS group was significantly higher than that in the non-LCOS group (25.4% versus 1.8%, P < 0.0001). In addition to the length of ICU stay and postoperative hospital stay, LCOS was correlated with negative cerebral, respiratory and renal outcomes. Through univariate analysis and then logistic regression analysis, the predictors of LCOS following CABG included older age (age > 65 years) (OR = 1.85, 95%CI 1.27-3.76), impaired left ventricular function (OR = 2.05, 95%CI 1.53-4.54), on-pump CABG (OR = 2.16, 95%CI 1.53-4.86), emergent CPB (OR = 9.15, 95%CI 3.84-16.49), and incomplete revascularization (OR = 2.62, 95%CI 1.79-5.15).LCOS following isolated CABG caused higher mortality, higher rates of morbidity, and longer ICU and postoperative hospital stays. Older age, impaired left ventricular function, on-pump CABG, emergent CPB, and incomplete revascularization were identified as 5 predictors of LCOS following isolated CABG surgery. (Int Heart J 2015; 56: 144-149)

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“…In another study, it was demonstrated that one of the main independent risk factors for ICU readmission in fast track CABG, is a patient's age of more than 65 years (11)(12)(13). All of the above findings should be tempered with the fact that the more age increases above 65 years, there is an increased risk for postoperative complications (36)(37)(38)(39)(40).…”

Section: Agementioning

confidence: 94%

Risk Factors for Postoperative Respiratory Mortality and Morbidity in Patients Undergoing Coronary Artery Bypass Grafting

Rajaei

Dabbagh²

2012

anesthpain

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Predictors and Outcome of ICU Readmission after Cardiac Surgery

Cited by 62 publications

References 12 publications

Risk factors for low cardiac output syndrome after coronary artery bypass grafting surgery

Risk factors for low cardiac output syndrome after coronary artery bypass grafting surgery

Predictors of Low Cardiac Output Syndrome After Isolated Coronary Artery Bypass Grafting

Risk Factors for Postoperative Respiratory Mortality and Morbidity in Patients Undergoing Coronary Artery Bypass Grafting

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