ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Wolfgang Konertz
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Hein, O. V.
Right arrow Articles by Spies, C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hein, O. V.
Right arrow Articles by Spies, C.
Related Collections
Right arrow Cardiac - other

Ann Thorac Surg 2006;81:880-885
© 2006 The Society of Thoracic Surgeons

Original article: Cardiovascular

Prolonged Intensive Care Unit Stay in Cardiac Surgery: Risk Factors and Long-Term-Survival

Ortrud Vargas Hein, MD a , * , Jürgen Birnbaum, MD a , Klaus Wernecke, MD b , Michael England, MD d , Wolfgang Konertz, MD c , Claudia Spies, MD a

a Department of Anesthesiology and Intensive Care Medicine, Campus Charité Mitte, Charite-University Medicine Berlin, Berlin, Germany
b Department of Biometry, Campus Charité Mitte, Charite-University Medicine Berlin, Berlin, Germany
c Department of Cardiac Surgery, Campus Charité Mitte, Charite-University Medicine Berlin, Berlin, Germany
d Department of Anesthesia, New England Medical Center, Boston, Massachusetts

Accepted for publication September 30, 2005.

* Address correspondence to Dr Vargas Hein, Department of Anesthesiology and Intensive Care Medicine, Campus Charité Mitte, Charité-University Medicine Berlin, Schumannstrasse 20/21, D-10117 Berlin, Germany (Email: ortrud.vargas{at}charite.de).

BACKGROUND: Risk factors have been found for prolonged intensive care unit (ICU) stay in cardiac surgery patients in only a few studies; conflicting results have been described. The focus of this study was twofold: first, to evaluate preoperative, intraoperative, and postoperative risk factors for ICU stay greater than 3 days in a cardiac surgery patient population; second, to evaluate long-term survival in cardiac surgery patients with prolonged ICU stay.

METHODS: Records from 2,683 cardiac surgery patients were retrospectively evaluated. Univariate and multivariate analyses for risk factors were performed for an ICU stay greater than 3 days. Thereafter, 2,563 patients were enrolled in a follow-up study for an observational time of 3 years after surgery.

RESULTS: Mortality was dependent on renal, respiratory, and heart failure, as well as age, elevated APACHE II scores, and reexploration. Long-term survival analyses demonstrated a significantly lower survival in patients with longer ICU stay. However, the 6-month to 3-year long-term survival was comparable with survival in patients without prolonged ICU stay.

CONCLUSIONS: Because of the increasing acuity of patients needing cardiac surgery, it is important to identify those at risk for a prolonged ICU course. It is therefore of paramount interest to implement measures throughout their entire hospital stay that would maximize organ function to improve survival and resource utilization.




This article has been cited by other articles:


Home page
 ICVTSHome page
C. Herman, W. Karolak, A. M. Yip, K. J. Buth, A. Hassan, and J.-F. Legare
Predicting prolonged intensive care unit length of stay in patients undergoing coronary artery bypass surgery - development of an entirely preoperative scorecard
Interactive CardioVascular and Thoracic Surgery, October 1, 2009; 9(4): 654 - 658.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
K. Dimopoulos, G.-P. Diller, E. Koltsida, A. Pijuan-Domenech, S. A. Papadopoulou, S. V. Babu-Narayan, T. V. Salukhe, M. F. Piepoli, P. A. Poole-Wilson, N. Best, et al.
Prevalence, Predictors, and Prognostic Value of Renal Dysfunction in Adults With Congenital Heart Disease
Circulation, May 6, 2008; 117(18): 2320 - 2328.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
M. Gaudino, F. Girola, M. Piscitelli, L. Martinelli, A. Anselmi, C. Della Vella, R. Schiavello, and G. Possati
Long-term survival and quality of life of patients with prolonged postoperative intensive care unit stay: Unmasking an apparent success
J. Thorac. Cardiovasc. Surg., August 1, 2007; 134(2): 465 - 469.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
D. G. Healy, A. E. Wood, A. O'Neill, J. F. McCarthy, J. M. Fitzpatrick, and R. W. Watson
Can preoperative modelling of individual neutrophil adhesion responses predict renal morbidity?
Eur. J. Cardiothorac. Surg., June 1, 2007; 31(6): 1088 - 1093.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2006 by The Society of Thoracic Surgeons.