Risk Factors for Failed "Fast-Tracking" After Cardiac Surgery in Patients Older Than 70 Years

Journal of Cardiothoracic and Vascular Anesthesia

Volumn 22, Issue 4, 2008, Pages 530-535

  Kogan, Alexander ^a   Ghosh, Probal ^a   Preisman, Sergey ^a   Tager, Salis ^a   Sternik, Leonid ^a   Lavee, Jacob ^a   Kasiff, Igal ^a   Raanani, Ehud ^a  

^a TEL AVIV UNIVERSITY   (Israel)

Author keywords

cardiac surgery; complications; elderly; fast track

Indexed keywords

DIAZEPAM; FENTANYL; ISOFLURANE; MIDAZOLAM; PANCURONIUM;

AGED; ARTICLE; CONGESTIVE HEART FAILURE; CONTROLLED STUDY; CORONARY ARTERY BYPASS SURGERY; EXTUBATION; FEMALE; GROUPS BY AGE; HEART ATRIUM FIBRILLATION; HEART OUTPUT; HEART SURGERY; HOSPITAL DISCHARGE; HUMAN; INTENSIVE CARE UNIT; KIDNEY FAILURE; LOW DRUG DOSE; MAJOR CLINICAL STUDY; MALE; MEDIASTINITIS; MULTIPLE REGRESSION; OBSERVATIONAL STUDY; PATIENT CODING; PNEUMONIA; PRIORITY JOURNAL; RETROSPECTIVE STUDY; RISK ASSESSMENT; RISK FACTOR; SEPSIS; STROKE; TERTIARY HEALTH CARE; UNIVERSITY HOSPITAL;

AGE FACTORS; AGED; AGED, 80 AND OVER; CARDIOVASCULAR SURGICAL PROCEDURES; FEMALE; HUMANS; LENGTH OF STAY; MALE; PATIENT DISCHARGE; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; RETROSPECTIVE STUDIES; RISK FACTORS; TIME FACTORS; TREATMENT FAILURE;

EID: 47749119884     PISSN: 10530770     EISSN: None     Source Type: Journal    
DOI: 10.1053/j.jvca.2008.02.001     Document Type: Article

References (32)

1. Statistical Abstract of Israel 2007, No 58. http://www.cbs.gov.il Accessed September 15, 2007
2. Brodsky J., Shnoor Y., and Beer S. The elderly in Israel. The 2004 statistical abstract. http://www.jdc.org.il/brookdale Accessed September 15, 2007
3. Craver J.M., Puskas J.D., Weintraub W.W., et al. 601 octogenarians undergoing cardiac surgery: Outcome and comparison with younger age groups. Ann Thorac Surg 67 (1999) 1104-1110
4. Kolh P., Kerzmann A., Lahaye L., et al. Cardiac surgery in octogenarians. Perioperative outcome and long-term results. Eur Heart J 22 (2001) 1235-1243
5. Avery G.J., Ley S.J., Hill J.D., et al. Cardiac surgery in the octogenarians: Evaluation of risk, cost, and outcome. Ann Thorac Surg 71 (2001) 591-596
6. Stoica S., Cafferty F., Kitcat J., et al. Octogenarians undergoing cardiac surgery outlive their peers-A case for early referral. Heart 92 (2006) 503-506
7. Kozower B.D., Moon M.R., Barner H.B., et al. Impact of complete revascularization on long-term survival after coronary artery bypass grafting in octogenarians. Ann Thorac Surg 80 (2005) 112-116
8. Chiapppini B., Camurri N., Loforte A., et al. Outcome after aortic valve replacement in octogenarians. Ann Thorac Surg 78 (2004) 85-89
9. Pretre R., and Turina M.I. Cardiac valve surgery in octogenarians. Heart 83 (2000) 116-121
10. London M.J., Shroyer A.L.W., Jernigan V., et al. Fast-track cardiac surgery in a Department of Veterans Affairs patient population. Ann Thorac Surg 64 (1997) 134-141
11. Silbert B.S., Santamaria J.D., O'Brien J.L., et al., The Fast Track Cardiac Care Team. Early extubation following coronary artery bypass surgery. Chest 113 (1998) 1481-1488
12. Cheng D.C.H., Karski J., Peniston C., et al. Early tracheal extubation after coronary bypass graft surgery reduces cost and improves resource use. A prospective, randomized, controlled trial. Anesthesiology 85 (1996) 1300-1310
13. Fruitman D.S., MacDougall C.E., and Ross D.B. Cardiac surgery in octogenarians: Can elderly patients benefit?. Quality of life after cardiac surgery. Ann Thorac Surg 68 (1999) 2129-2135
14. Barnett S.D., Halpin L.S., Speir A.M., et al. Postoperative complications among octogenarians after cardiovascular surgery. Ann Thorac Surg 76 (2003) 726-731
15. Ott R.A., Gutfinger D.E., Miller M.P., et al. Rapid recovery after coronary artery bypass grafting: Is the elderly patient eligible?. Ann Thorac Surg 63 (1997) 634-639
16. Lee J.H., Swain B., Andrey J., et al. Fast-track recovery of elderly coronary bypass surgery patients. Ann Thorac Surg 68 (1999) 437-441
17. Engoren M., Arslanian-Engoren C., Steckel D., et al. Cost, outcome, and functional status in octogenarians and septuagenarians after cardiac surgery. Chest 122 (2002) 1309-1315
18. Scott B.H., Seifert F.C., Grimson R., et al. Octogenarians undergoing coronary artery bypass graft surgery: Resource utilization, postoperative mortality, and morbidity. J Cardiothorac Vasc Anesth 19 (2005) 583-588
19. Wong D.T., Cheng D.C.H., Kustra R., et al. Risk factors of delayed extubation, prolonged length of stay in the intensive care unit, and mortality in patients undergoing coronary artery bypass graft with fast-track cardiac anesthesia. Anesthesiology 91 (1999) 936-944
20. Branca P., McGaw P., Light R.W., et al. Factors associated with prolonged mechanical ventilation following coronary artery bypass surgery. Chest 119 (2001) 537-546
21. Yende S., and Wunderlink R. Causes of prolonged mechanical ventilation after coronary artery bypass surgery. Chest 122 (2002) 245-252
22. Ghosh P., Holthouse D., Carroll I., et al. Cardiac reoperations in octogenarians. Eur J Cardiothorac Surg 15 (1999) 809-815
23. Royston D. Patient selection and anesthetic management for early extubation and hospital discharge: CABG. J Cardiothorac Vasc Anesth 12 suppl 2 (1998) 11-19
24. Bertoli L., Graziina A., Lo Cicero S., et al. Effects of clenbuterol on pulmonary circulation and on oxygen delivery in chronic airflow obstruction. Eur J Respir Dis Suppl 146 (1986) 503-510
25. Michalopoulos A., Tzepelis G., Kriaras J., et al. Determinants of duration of ICU stay after coronary artery bypass graft surgery. Br J Anaesth 77 (1996) 208-212
26. Doering L.V., Esmailian F., Imperial-Perez F., et al. Determinants of intensive care unit length of stay after coronary artery bypass graft surgery. Heart Lung 30 (2001) 9-17
27. Parsonnet V., Dean D., and Bernstein A.D. A method of uniform stratification of risk for evaluating the results of surgery in acquired adult heart disease. Circulation 79 (1989) I3-I12
28. Nashef S.A., Roques F., Michel P., et al. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg 16 (1999) 9-13
29. Welsby I.J., Bennett-Guerrero E., Atwell D., et al. The association of complication type with mortality and prolonged stay after cardiac surgery with cardiopulmonary bypass. Anesth Analg 94 (2002) 1072-1078
30. Alexander K.P., Anstrom K.J., Muhlbaier L.H., et al. Outcomes of cardiac surgery in patients > or = 80 years: Results from the National Cardiovascular Network. J Am Coll Cardiol 35 (2000) 731-738
31. Borzak S., Tisdale J.E., Amin N.B., et al. Atrial fibrillation after bypass surgery: Does the arrhythmia or the characteristics of the patients prolong hospital stay?. Chest 113 (1998) 1489-1491
32. Tamis J.E., and Steiberg J.S. Atrial fibrillation independently prolongs hospital stay after coronary artery bypass surgery. Clin Cardiol 23 (2000) 155-159