Intensive care unit stay of more than 14 days after cardiac surgery is associated with non-cardiac organ failure

被引：10
作者：
Hein, O. V.
Birnbaum, I.
D Wernecke, K.
Konertz, W.
Spies, C.
机构：
[1] Univ Med Berlin, Charite, Dept Anaesthesiol & Intens Care Med, D-10117 Berlin, Germany
[2] Univ Med Berlin, Charite, Dept Biometry, D-10117 Berlin, Germany
[3] Univ Med Berlin, Charite, Dept Cardiac Surg, D-10117 Berlin, Germany
来源：
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH | 2006年 / 34卷 / 06期
关键词：
cardiac surgery; intensive care unit stay; organ failure; risk factors; long-term survival;
D O I：
10.1177/147323000603400617
中图分类号：
R-3 [医学研究方法]; R3 [基础医学];
学科分类号：
1001 ;
摘要：
Some studies have shown an association between a prolonged intensive care unit (ICU) stay and risk factors such as mediastinal re-exploration, advanced age, low ejection fraction, lung disease and organ failure. The aim of this retrospective study was first to evaluate peri-operative risk factors (n = 2683) and secondly to evaluate long-term survival (n = 2563) in cardiac surgery patients with an ICU stay > 14 days. Long-term survival was assessed in an observational 3-year follow-up study. An ICU stay of > 14 days was associated independently with respiratory failure and dialysis-dependent acute renal failure, and with a significantly lower survival rate. Since an ICU stay is associated with a higher hospital and long-term mortality, measures should be taken throughout the entire hospital stay to identify and reduce the risk of organ failure.
引用
收藏
页码：695 / 703
页数：9
相关论文
共 27 条
[1]   Intraaortic balloon pump in open heart operations: 10-year follow-up with risk analysis [J].
Arafa, OE ;
Pedersen, TH ;
Svennevig, JL ;
Fosse, E ;
Geiran, OR .
ANNALS OF THORACIC SURGERY, 1998, 65 (03) :741-747
[2]  
Bashour CA, 2000, CRIT CARE MED, V28, P3847, DOI 10.1097/00003246-200012000-00018
[3]   Early and intensive continuous hemofiltration for severe renal failure after cardiac surgery [J].
Bent, P ;
Tan, HK ;
Bellomo, R ;
Buckmaster, J ;
Doolan, L ;
Hart, G ;
Silvester, W ;
Gutteridge, G ;
Matalanis, G ;
Raman, J ;
Rosalion, A ;
Buxton, BF .
ANNALS OF THORACIC SURGERY, 2001, 71 (03) :832-837
[4]   Predictors of prolonged ICU stay after on-pump versus off-pump coronary artery bypass grafting [J].
Bucerius, J ;
Gummert, JF ;
Walther, T ;
Doll, N ;
Falk, V ;
Schmitt, DV ;
Mohr, FW .
INTENSIVE CARE MEDICINE, 2004, 30 (01) :88-95
[5]   Corticosteroids and cardiopulmonary bypass - A review of clinical investigations [J].
Chaney, MA .
CHEST, 2002, 121 (03) :921-931
[6]  
Christakis G T, 1996, Cardiovasc Surg, V4, P29, DOI 10.1016/0967-2109(96)83780-X
[7]   Morbidity, mortality, and quality-of-life outcomes of patients requiring ≥14 days of mechanical ventilation [J].
Combes, A ;
Costa, MA ;
Trouillet, JL ;
Baudot, J ;
Mokhtari, M ;
Gibert, C ;
Chastre, J .
CRITICAL CARE MEDICINE, 2003, 31 (05) :1373-1381
[8]   Efficacy and cost-effectiveness of preoperative IABP in patients with ejection fraction of 0.25 or less [J].
Dietl, CA ;
Berkheimer, MD ;
Woods, EL ;
Gilbert, CL ;
Pharr, WF ;
Benoit, CH .
ANNALS OF THORACIC SURGERY, 1996, 62 (02) :401-408
[9]   Predictors of survival 1 hour after implantation of an intra-aortic balloon pump in cardiac surgery [J].
Hausmann, H ;
Potapov, EV ;
Koster, A ;
Siniawski, H ;
Kukucka, M ;
Loebe, M ;
Krabatsch, T ;
Sodian, R ;
Yeter, R ;
Kuppe, H ;
Hetzer, R .
JOURNAL OF CARDIAC SURGERY, 2001, 16 (01) :72-77
[10]   Three-year survival after four major post-cardiac operative complications [J].
Hein, Ortrud Vargas ;
Birnbaum, Juergen ;
Wernecke, Klaus D. ;
Konertz, Wolfgang ;
Jain, Uday ;
Spies, Claudia .
CRITICAL CARE MEDICINE, 2006, 34 (11) :2729-2737
123