Predictors of prolonged mechanical ventilation in a cohort of 5123 cardiac surgical patients

European Journal of Anaesthesiology

Volumn 26, Issue 5, 2009, Pages 396-403

  Cislaghi, Francesca ^a   Condemi, Anna Maria ^a   Corona, Alberto ^a  

^a UNIVERSITY OF MILAN   (Italy)

Author keywords

Cardiac surgical patients; Predictive model; Prolonged mechanical ventilation

Indexed keywords

FRESH FROZEN PLASMA;

ADULT; AGE; AGED; ARTICLE; ARTIFICIAL VENTILATION; CARDIOPULMONARY BYPASS; CHRONIC KIDNEY FAILURE; CHRONIC OBSTRUCTIVE LUNG DISEASE; COHORT ANALYSIS; EMERGENCY SURGERY; ERYTHROCYTE TRANSFUSION; FEMALE; HEART LEFT VENTRICLE EJECTION FRACTION; HEART SURGERY; HOSPITAL DISCHARGE; HUMAN; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; PATIENT CODING; PLASMA TRANSFUSION; PREDICTOR VARIABLE; PROBABILITY; PROSPECTIVE STUDY; REOPERATION; SURVIVAL RATE; TREATMENT DURATION; FACTUAL DATABASE; FORECASTING; METHODOLOGY; MIDDLE AGED; MORTALITY; POSTOPERATIVE COMPLICATION; RISK FACTOR; STATISTICAL MODEL; STATISTICS; SURVIVAL; TIME;

AGED; CARDIAC SURGICAL PROCEDURES; COHORT STUDIES; DATABASES, FACTUAL; FEMALE; FORECASTING; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; LOGISTIC MODELS; MALE; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; RESPIRATION, ARTIFICIAL; RISK FACTORS; SURVIVAL ANALYSIS; TIME FACTORS;

EID: 70149106692     PISSN: 02650215     EISSN: 13652346     Source Type: Journal    
DOI: 10.1097/EJA.0b013e3283232c69     Document Type: Article

References (32)

1. Prakash O, Jonson B, Meij S, et al. Criteria for early extubation after intracardiac surgery in adults. Anesth Analg 1977; 56:703-708.
2. Nilsson J, Ohlsson M, Thulin L, et al. Risk factor and mortality prediction in cardiac surgery using artificial neural network. J Thorac Cardiovasc Surg 2006; 132:9-12.
3. Reddy SL, Grayson AD, Griffiths EM, et al. Logistic risk model for prolonged ventilation after adult cardiac surgery. Ann Thorac Surg 2007; 84:528-536.
4. Ranucci M, Bellucci C, Conti D, et al. Determinants of early discharge from the intensive care unit after cardiac operations. Ann Thorac Surg 2007; 83:1089 -1095.
5. Rajakaruna C, Rogers CA, Angelini GD, Ascione R. Risk factors for and economic implications of prolonged ventilation after cardiac surgery. J Thorac Cardiovasc Surg 2005; 130:1270-1277.
6. Serrano N, Garcia C, Villegas J, et al. Epidemiological Project for ICU Research and Evaluation (EPICURE). Prolonged intubation rates after coronary artery bypass surgery and ICU risk stratification score. Chest 2005; 128:595-601.
7. Oliver WC Jr, Nuttall GA, OrszulakTA, et al. Hemofiltration but not steroids results in earlier tracheal extubation following cardiopulmonary bypass: a prospective, randomized double-blind trial. Anesthesiology 2004; 101 :327 -339.
8. Pappalardo F, Franco A, Landoni G, et al. Long-term outcome and quality of life of patients requiring prolonged mechanical ventilation after cardiac surgery. Eur J Cardiothorac Surg 2004; 25:548-552.
9. Dunning J, Au J, Kalkat M, Levine A. A validated rule for predicting patients who require prolonged ventilation post cardiac surgery. Eur J Cardiothorac Surg 2003; 24:270-276.
10. Gopalan PD, Burrows RC. Critical care of the vascular surgery patient. Crit Care Clin 2003; 19:109-125.
11. Branca P, McGaw P, Light R. Factors associated with prolonged mechanical ventilation following coronary artery bypass surgery. Chest 2001; 119:537 -546.
12. Engoren M, Buderer NF, Zacharias A. Long-term survival and health status after prolonged mechanical ventilation after cardiac surgery. Crit Care Med 2000; 28:2742-2749.
13. Habib RH, Zacharias A, Engoren M. Determinants ofprolonged mechanical ventilation after coronary artery bypass grafting. Ann Thorac Surg 1996; 62:1164-1171.
14. Lo Cicero J 3rd, McCann B, Massad M, Joob AW. Prolonged ventilatory support after open-heart surgery. Crit Care Med 1992; 20:990-992.
15. Peters RM, Brimm JE, Utley JR. Predicting the need for prolonged ventilatory support in adult cardiac patients. J Thorac Cardiovasc Surg 1979; 77:175-182.
16. Sthor IM, Albes JM, Franke U, et al. Outcome of patients after cardiac surgery transferred to other hospitals following prolonged intensive care stay. Thorac Cardiovasc Surg 2002; 50:329 -333.
17. Geissler HJ, Holzl P, Kuhn-Regnier F, et al. Risk stratification in heart surgery: comparison of six score systems. Eur J Cardiothorac Surg 2000; 17:400-406.
18. Kleinbaum DG, Mitchel K. Logistic regression a self learning text, 2nd ed. New York: Spinger Verlag; 2002.
19. Campeau L. Letter: grading ofangina pectoris. Circulation 1976; 54:522-523.
20. The Criteria Committee of the New York Heart Association. Nomenclature and criteria fordiagnosis ofdiseases of the heart andgreat vessels. 9th ed. Boston, Massachusetts: Little, Brown & Co; 1994. pp. 253-256.
21. Miyamoto T, Kimura T, Hadama T. The benefits and new predictors of early extubation following coronary artery bypass grafting. Ann Thorac Cardiovasc Surg 2000; 6:39-45.
22. Cheng DC. Pro: early extubation after cardiac surgery decreases intensive care unit stay and cost. J Cardiothorac Vasc Anesth 1995; 9:460-464.
23. Bezanson JL, Deaton C, Craver J, et al. Predictors and outcomes associated with early extubation in older adults undergoing coronaryartery bypass surgery. Am J Crit Care 2001; 10:383-390.
24. Legare JF, Hirsch GM, Buth KJ, et al. Preoperative prediction of prolonged mechanical ventilation following coronary artery bypass grafting. Eur J Cardiothorac Surg 2001; 20:930-936.
25. Nakasuji M, Nishi S, Nakasuji K, et al. Duration of dialysis is a significant predictor of prolonged postoperative mechanical ventilation in dialysis- dependent patients undergoing cardiac surgery. Anesth Analg 2006; 102:2-7.
26. Kouchoukos NT, Masetti P, Murphy SF. Hypothermic cardiopulmonary bypass and circulatory arrest in the management ofextensive thoracic and thoraco-abdominal aortic aneurysms. Semin Thorac Cardiovasc Surg 2003; 15:333-339.
27. Rothenburger M, Tjan TD, Schneider M, et al. The impact of the pro- and anti-inflammatory immune response on ventilation time after cardiac surgery. Cytometry B Clin Cytom 2003; 53:70-74.
28. Levy JH, Tanaka KA. Inflammatory response to cardiopulmonary bypass. Ann Thorac Surg 2003; 75:S715-S720.
29. Peterson ED, Coombs LP, Ferguson TB, et al. Hospital variability in length of stay after coronary artery bypass surgery: results from the Society of Thoracic Surgeon's National Cardiac Database. Ann Thorac Surg 2002; 74:464-473.
30. Rothenburger M, Soeparwata R, Deng MC, et al. Prediction of clinical outcome after cardiac surgery: the role of cytokines, endotoxin, and antiendotoxin core antibodies. Shock 2001; 16 (Suppl 1):44-50.
31. Bond BR, Dorman BH, Clair MJ, et al. Endothelin-1 during and after cardiopulmonary bypass: association to graft sensitivity and postoperative recovery. J Thorac Cardiovasc Surg 2001; 122:358-364.
32. Tepel M, van der Giet M, Schwarzfeld C, et al. Prevention of radiographic- contrast-agent-induced reductions in renal function by acetylcysteine. N Engl J Med 2000; 343:180-184.