Analysis of the prognostic value of hemodynamic monitoring collective strategy——CHOLKIT protocol in patients after cardiac surgery
10.3969/j.issn.1673-9701.2024.30.011
- VernacularTitle:血流动力学监测群体化策略——CHOLKIT方案对心脏外科术后患者预后的价值分析
- Author:
Rui WANG
1
;
Yunlin SONG
;
Yucheng REN
;
Yaowei TONG
;
Laiti JU
;
Zhengkai WANG
;
Ying LI
Author Information
1. 新疆医科大学研究生学院,新疆乌鲁木齐 830011
- Keywords:
After cardiac surgery;
Hemodynamic monitoring;
Circulation;
CHOLKIT protocol
- From:
China Modern Doctor
2024;62(30):55-60
- CountryChina
- Language:Chinese
-
Abstract:
Objective To predict the prognosis of patients after cardiac surgery by implementing hemodynamic monitoring collective strategy—CHOLKIT protocol,and to explore the practical application value of CHOLKIT protocol,such as early intervention to improve tissue circulation and microcirculation,and predict the timing of extubation.Methods A prospective cohort study was used to analyse 88 patients who underwent cardiac surgery in the First Affiliated Hospital of Xinjiang Medical University from April to October 2020,and they were divided into the survival group (84 cases) and the death group (4 cases) with patient survival or death as the study endpoint.The CHOLKIT protocol was applied to score the central venous pressure (CVP),heart rate (HR),central venous oxygen saturation (ScvO2),lactic acid (Lac),potassium (K+),perfusion index (PI),and toe temperature (T) of patients at different time periods.The correlation between CHOLKIT score and prognosis was predicted based on the scores.Results Some monitoring indexes in the CHOLKIT protocol were related to the mortality,renal injury and duration of mechanical ventilation after cardiac surgery.Conclusion The CHOLKIT protocol can predict the timing of extubation and the change of the condition of patients after cardiac surgery,and early intervention can improve the prognosis of patients,duration of mechanical ventilation and number of days of stay in the intensive care unit.
