Predictive risk factors associated with prolonged stay in the intensive care unit for patients undergoing coronary artery bypass grafting surgery
10.3760/cma.j.issn.1001-4497.2011.02.011
- VernacularTitle:冠状动脉旁路移植术后ICU监护时间延长的危险因素
- Author:
Yi YANG
;
Guohui HUANG
;
Shijie JIA
;
Ming JIA
;
Jiuhe WAN
;
Jianqun ZHANG
;
Ye ZHOU
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass;
Risk factors;
Custodial care
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2011;27(2):97-100,96
- CountryChina
- Language:Chinese
-
Abstract:
Objective The rate of post -operative complications has been increased with the changes in patients' age,prolonged duration, more severe and diffused lesions, and more patients with complications in recent years. We try to identify the risk factors associated with prolonged stay in the intensive care unit ( ICU ) after coronary artery bypass graft surgery (CABG). Methods 1623 patients who received CABG surgery in Beijing Anzhen Hospital Between June 1, 2006 and December 31,2007 were divided into two groups based on their stay duration in the ICU. Prolonged stay in ICU was defined as 5days or more. Univariate and multivariate analysis ( logistic regression) were used to identify the risk factors. The discrimination and calibration of the result were tested after the risk factors were determined. Results Fifty one patients had prolonged ICU stay, accounting for 3.14% of total cases. Multivariate logistic analysis showed that the age of patients, peripheral vascular diseases, critical status before operation, LVEF, operative status, mitral regurgitation, postoperative respiratory failure,postoperative renal failure, secondary thoracotomy for postoperative bleeding were associated risk factors. Conclusion Prolonged ICU stay after CABG surgery can be predicted based on the above factors. For patients with these risk factors, more pre-and postoperative care strategies are needed.
