Improved Neurologic Outcome After Implementing Evidence-Based Guidelines for Cardiac Surgery

Journal of Cardiothoracic and Vascular Anesthesia

Volumn 21, Issue 4, 2007, Pages 529-534

  Suojaranta Ylinen, Raili Tuulikki ^a   Roine, Risto Olavi ^a   Vento, Antti Erland ^a   Niskanen, MinnaLiisa Marikki ^a   Salmenperä, Markku Tapani ^a  

^a HELSINKI UNIVERSITY CENTRAL HOSPITAL   (Finland)

Author keywords

cardiac surgery; cardiopulmonary bypass; cerebral complications; intraoperative care; outcomes

Indexed keywords

ADULT; AGED; ARTICLE; BRAIN EDEMA; CARDIOPULMONARY BYPASS; CLINICAL ASSESSMENT; CLINICAL PROTOCOL; COMORBIDITY; CONFIDENCE INTERVAL; CONTROLLED STUDY; DISEASE ASSOCIATION; EVIDENCE BASED MEDICINE; FEMALE; HEART SURGERY; HIGH RISK PATIENT; HUMAN; HYPERGLYCEMIA; HYPERTHERMIA; INCIDENCE; INTENSIVE CARE UNIT; LENGTH OF STAY; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MALE; MORBIDITY; NEUROLOGIC DISEASE; NEUROLOGIC EXAMINATION; OBSERVATIONAL STUDY; OUTCOME ASSESSMENT; PERIOPERATIVE PERIOD; POSTOPERATIVE CARE; POSTOPERATIVE PERIOD; PRACTICE GUIDELINE; PREDICTOR VARIABLE; PRIORITY JOURNAL; RISK FACTOR; STROKE; SURGICAL PATIENT; TOTAL QUALITY MANAGEMENT;

AGED; BRAIN ISCHEMIA; CARDIAC SURGICAL PROCEDURES; CONFIDENCE INTERVALS; CORONARY CARE UNITS; EVIDENCE-BASED MEDICINE; FEMALE; HOSPITAL MORTALITY; HUMANS; INTRAOPERATIVE CARE; LENGTH OF STAY; MALE; MIDDLE AGED; ODDS RATIO; POSTOPERATIVE COMPLICATIONS; PRACTICE GUIDELINES AS TOPIC; PROGNOSIS; RETROSPECTIVE STUDIES;

EID: 34547207120     PISSN: 10530770     EISSN: None     Source Type: Journal    
DOI: 10.1053/j.jvca.2006.12.019     Document Type: Article

References (22)

1. Eagle K.A., Guyton R.A., Davidoff R., et al. ACC/AHA guidelines for coronary artery bypass graft surgery: A report to the American College of Cardiology/American Heart Association task force on practice guidelines (Committee to revise the 1991 guidelines for coronary artery bypass graft surgery). J Am Coll Cardiol 34 (1999) 1262-1347
2. Roach G.W., Kanchuger M., Mora-Mangano C., et al. Adverse cerebral outcomes after coronary bypass surgery. N Engl J Med 335 (1996) 1857-1863
3. Tuman K.J., McCarthy R.J., Najafi H., et al. Differential effects of advanced age on neurologic and cardiac risks of coronary artery operations. J Thorac Cardiovasc Surg 104 (1992) 1510-1517
4. Bucerius J., Gummert J.F., Borger M.A., et al. Stroke after cardiac surgery: A risk factor analysis of 16,184 consecutive adult patients. Ann Thorac Surg 75 (2003) 472-478
5. Puskas J.D., Winston D.A., Wright C.E., et al. Stroke after coronary artery bypass operation: Incidence, correlates, outcome, and costs. Ann Thorac Surg 69 (2000) 1053-1056
6. Nashef S.A.M., Roques F., Michel P., et al. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg 16 (1999) 9-13
7. Anderson R.E., Li T.Q., Hindmarsch T., et al. Increased extracellular brain water after coronary artery bypass grafting is avoided by off-pump surgery. J Cardiothorac Vasc Anesth 13 (1999) 698-702
8. Grocott H.P., Mackensen B., Grigone A.M., et al. Postoperative hyperthermia is associated with cognitive dysfunction after coronary artery bypass graft surgery. Stroke 33 (2002) 537-541
9. Wareing T.H., Davila-Roman V.G., Daily B.B., et al. Strategy for reduction of stroke incidence in cardiac surgical patients. Ann Thorac Surg 55 (1993) 1400-1407
10. Blauth C.I., Arnold J.V., Schulenberg J.V., et al. Cerebral microembolism during cardiopulmonary bypass. Retinal microvascular studies in vivo with fluorescein angiography. J Thorac Cardiovasc Surg 95 (1988) 668-676
11. Royse A.G., Royse C.F., Ajani A.E., et al. Reduced neuropsychological dysfunction using epiaortic echocardiography and the exclusive Y graft. Ann Thorac Surg 69 (2000) 1431-1438
12. Cheng D.C., Bainbridge D., Martin J.E., et al. Does off-pump coronary artery bypass reduce mortality, morbidity, and resource utilization when compared with conventional coronary artery bypass?. A meta analysis of randomized trials. Anesthesiology 102 (2005) 188-203
13. Trowbridge C.C., Stammers A.H., Wood G.C., et al. Improved outcomes during cardiac surgery: A multifactorial enhancement of cardiopulmonary bypass techniques. J Extra Corpor Technol 37 (2005) 165-172
14. Ahonen J., and Salmenperä M. Brain injury after adult cardiac surgery. Acta Anaesthesiol Scand 48 (2004) 4-19
15. Bartnik M., Ryden L., Ferrari R., et al. The prevalence of abnormal glucose regulation in patients with coronary artery disease across Europe. The Euro Heart Survey on diabetes and the heart. Eur Heart J 25 (2004) 1880-1890
16. Davis E.A., Gillinov A.M., Cameron D.E., et al. Hypothermic circulatory arrest as a surgical adjunct: A 5-year experience with 60 adult patients. Ann Thorac Surg 53 (1992) 402-406
17. Nathan H.J., Wells G.A., Munson J.L., et al. Neuroprotective effect of mild hypothermia in patients undergoing coronary artery surgery with cardiopulmonary bypass. Circulation 104 suppl (2001) 1-85
18. Hogue Jr. C.W., Murphy S.F., Schechtman K.B., et al. Risk factors for early or delayed stroke after cardiac surgery. Circulation 100 (1999) 642-647
19. Doenst T., Wijeysundera D., Karkouti K., et al. Hyperglycemia during cardiopulmonary bypass is an independent risk factor for mortality in patients undergoing cardiac surgery. J Thorac Cardiovasc Surg 130 (2005) 1144-1148
20. Guyton R.A., Mellit R.J., and Weintraub W.S. A critical assessment of neurological risk during warm heart surgery. J Card Surg 10 (1995) 488-492
21. Ouattara A., Lecomte P., Le Manach Y., et al. Poor intraoperative blood glucose control is associated with a worsened hospital outcome after cardiac surgery in diabetic patients. Anesthesiology 103 (2005) 687-694
22. Van den Berghe G., Wouters P., Weekers F., et al. Intensive insulin therapy in critically ill patients. N Engl J Med 345 (2001) 1359-1367