Clinical predictors for prolonged intensive care unit stay in adults undergoing thoracic aortic surgery requiring deep hypothermic circulatory arrest.
Publication/Presentation Date
2-1-2006
Abstract
OBJECTIVE: The purpose of this study was to describe clinical predictors for prolonged length of stay in the intensive care unit (PLOS-ICU) after adult thoracic aortic surgery requiring standardized deep hypothermic circulatory arrest (DHCA); and to determine the incidence of PLOS-ICU after DHCA, univariate predictors for PLOS-ICU, and multivariate predictors for PLOS-ICU.
STUDY DESIGN: A retrospective and observational study. PLOS-ICU was defined as longer than 5 days in the ICU.
STUDY SETTING: Cardiothoracic operating rooms and the ICU.
PARTICIPANTS: All adults requiring thoracic aortic repair with DHCA INTERVENTIONS: None.
MAIN RESULTS: The cohort size was 144. The incidence of PLOS-ICU was 27.8%. The mortality rate was 11.1%. Univariate predictors for PLOS-ICU were age, stroke, DHCA duration, vasopressor dependence >72 hours, mediastinal re-exploration for bleeding, and renal dysfunction. Multivariate predictors for PLOS-ICU were stroke, vasopressor dependence >72 hours, and renal dysfunction.
CONCLUSIONS: PLOS-ICU after DHCA is common. The identified multivariate predictors merit further hypothesis-driven research to enhance perioperative protection of the brain, kidney, and cardiovascular system.
Volume
20
Issue
1
First Page
8
Last Page
13
ISSN
1053-0770
Published In/Presented At
Augoustides, J. G., Pochettino, A., Ochroch, E. A., Cowie, D., McGarvey, M. L., Weiner, J., Gambone, A. J., Pinchasik, D., Cheung, A. T., & Bavaria, J. E. (2006). Clinical predictors for prolonged intensive care unit stay in adults undergoing thoracic aortic surgery requiring deep hypothermic circulatory arrest. Journal of cardiothoracic and vascular anesthesia, 20(1), 8–13. https://doi.org/10.1053/j.jvca.2005.07.031
Disciplines
Medicine and Health Sciences
PubMedID
16458206
Department(s)
Department of Surgery
Document Type
Article