Impact of retained blood requiring reintervention on outcomes after cardiac surgery

Journal of Thoracic and Cardiovascular Surgery

Volumn 152, Issue 2, 2016, Pages 595-601.e4

  Balzer, Felix ^a   von Heymann, Christian ^a,b   Boyle, Edward M ^c   Wernecke, Klaus D ^a   Grubitzsch, Herko ^a   Sander, Michael ^a,d  

^a CHARITÉ UNIVERSITÄTSMEDIZIN BERLIN   (Germany)

^b VIVANTES KLINIKUM IM FRIEDRICHSHAIN   (Germany)

^c ST CHARLES MEDICAL CENTER   (United States)

^d UNIVERSITY HOSPITAL GIESSEN   (Germany)

Author keywords

chest tube; pericardial effusion; pleural effusion; reexploration; retained blood; tamponade

Indexed keywords

ADULT; AGED; ARTICLE; BLOOD CLOT; BLOOD GROUP; COMPARATIVE STUDY; CROSS-SECTIONAL STUDY; FEMALE; HEART SURGERY; HOSPITAL MORTALITY; HUMAN; INCIDENCE; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; OBSERVATIONAL STUDY; OUTCOME ASSESSMENT; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RENAL REPLACEMENT THERAPY; REOPERATION; RETAINED BLOOD; SURGICAL MORTALITY; ARTIFICIAL VENTILATION; BLOOD; CHEST TUBE; CHI SQUARE DISTRIBUTION; DEVICES; FACTUAL DATABASE; MIDDLE AGED; MORTALITY; MULTIVARIATE ANALYSIS; ODDS RATIO; POSTOPERATIVE HEMORRHAGE; RETREATMENT; RETROSPECTIVE STUDY; RISK FACTOR; STATISTICAL MODEL; TIME FACTOR; TREATMENT OUTCOME;

AGED; CARDIAC SURGICAL PROCEDURES; CHEST TUBES; CHI-SQUARE DISTRIBUTION; CROSS-SECTIONAL STUDIES; DATABASES, FACTUAL; DRAINAGE; FEMALE; HOSPITAL MORTALITY; HUMANS; LENGTH OF STAY; LOGISTIC MODELS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; ODDS RATIO; POSTOPERATIVE HEMORRHAGE; RENAL REPLACEMENT THERAPY; RESPIRATION, ARTIFICIAL; RETREATMENT; RETROSPECTIVE STUDIES; RISK FACTORS; TIME FACTORS; TREATMENT OUTCOME;

EID: 84969581339     PISSN: 00225223     EISSN: 1097685X     Source Type: Journal    
DOI: 10.1016/j.jtcvs.2016.03.086     Document Type: Article

References (35)

1. 1 Sniecinski, R.M., Levy, J.H., Bleeding and management of coagulopathy. J Thorac Cardiovasc Surg 142 (2011), 662–667.
2. 2 Moulton, M.J., Creswell, L.L., Mackey, M.E., Cox, J.L., Rosenbloom, M., Reexploration for bleeding is a risk factor for adverse outcomes after cardiac operations. J Thorac Cardiovasc Surg 111 (1996), 1037–1046.
3. 3 Berger, J.S., Herout, P.M., Harshaw, Q., Steinhubl, S.R., Frye, C.B., Becker, R.C., Bleeding-associated outcomes with preoperative clopidogrel use in on- and off-pump coronary artery bypass. J Thromb Thrombolysis 34 (2012), 56–64.
4. 4 Dacey, L.J., Munoz, J.J., Baribeau, Y.R., Johnson, E.R., Lahey, S.J., Leavitt, B.J., et al. Reexploration for hemorrhage following coronary artery bypass grafting: incidence and risk factors. Northern New England Cardiovascular Disease Study Group. Arch Surg 133 (1998), 442–447.
5. 5 Kinnunen, E.M., Juvonen, T., Airaksinen, K.E., Heikkinen, J., Kettunen, U., Mariscalco, G., et al. Clinical significance and determinants of the universal definition of perioperative bleeding classification in patients undergoing coronary artery bypass surgery. J Thorac Cardiovasc Surg 148 (2014), 1640–1646.e2.
6. 6 Christensen, M.C., Dziewior, F., Kempel, A., von Heymann, C., Increased chest tube drainage is independently associated with adverse outcome after cardiac surgery. J Cardiothorac Vasc Anesth 26 (2012), 46–51.
7. 7 Ranucci, M., Bozzetti, G., Ditta, A., Cotza, M., Carboni, G., Ballotta, A., Surgical reexploration after cardiac operations: why a worse outcome?. Ann Thorac Surg 86 (2008), 1557–1562.
8. 8 Vivacqua, A., Koch, C.G., Yousuf, A.M., Nowicki, E.R., Houghtaling, P.L., Blackstone, E.H., et al. Morbidity of bleeding after cardiac surgery: is it blood transfusion, reoperation for bleeding, or both?. Ann Thorac Surg 91 (2011), 1780–1790.
9. 9 Murphy, G.J., Reeves, B.C., Rogers, C.A., Rizvi, S.I., Culliford, L., Angelini, G.D., Increased mortality, postoperative morbidity, and cost after red blood cell transfusion in patients having cardiac surgery. Circulation 116 (2007), 2544–2552.
10. 10 Carson, J.L., Brooks, M.M., Abbott, J.D., Chaitman, B., Kelsey, S.F., Triulzi, D.J., et al. Liberal versus restrictive transfusion thresholds for patients with symptomatic coronary artery disease. Am Heart J 165 (2013), 964–971.e1.
11. 11 Murphy, G.J., Pike, K., Rogers, C.A., Wordsworth, S., Stokes, E.A., Angelini, G.D., et al. Liberal or restrictive transfusion after cardiac surgery. N Engl J Med 372 (2015), 997–1008.
12. 12 Dixon, B., Santamaria, J.D., Reid, D., Collins, M., Rechnitzer, T., Newcomb, A.E., et al. The association of blood transfusion with mortality after cardiac surgery: cause or confounding?. Transfusion 53 (2013), 19–27.
13. 13 Hajjar, L.A., Vincent, J.L., Galas, F.R., Nakamura, R.E., Silva, C.M., Santos, M.H., et al. Transfusion requirements after cardiac surgery: the TRACS randomized controlled trial. JAMA 304 (2010), 1559–1567.
14. 14 Karimov, J.H., Gillinov, A.M., Schenck, L., Cook, M., Kosty Sweeney, D., Boyle, E.M., et al. Incidence of chest tube clogging after cardiac surgery: a single-center prospective observational study. Eur J Cardiothorac Surg 44 (2013), 1029–1036.
15. 15 Shalli, S., Saeed, D., Fukamachi, K., Gillinov, A.M., Cohn, W.E., Perrault, L.P., et al. Chest tube selection in cardiac and thoracic surgery: a survey of chest tube-related complications and their management. J Card Surg 24 (2009), 503–509.
16. 16 Spies, C., Kastrup, M., Kerner, T., Melzer-Gartzke, C., Zielke, H., Kox, W.J., Sops in Intensivmedizin und Notfallmedizin: Alle Relevanten Standards und Techniken Für die Klinik. 2013, Georg Thieme Verlag, Stuttgart, Germany.
17. 17 Ranucci, M., Castelvecchio, S., Conte, M., Megliola, G., Speziale, G., Fiore, F., et al. The easier, the better: age, creatinine, ejection fraction score for operative mortality risk stratification in a series of 29,659 patients undergoing elective cardiac surgery. J Thorac Cardiovasc Surg 142 (2011), 581–586.
18. 18 Vittinghoff, E., Glidden, D.V., Shiboski, S.C., Regression Methods in Biostatistics. 2012, Springer, New York, NY.
19. 19 Christensen, M.C., Krapf, S., Kempel, A., von Heymann, C., Costs of excessive postoperative hemorrhage in cardiac surgery. J Thorac Cardiovasc Surg 138 (2009), 687–693.
20. 20 Light, R.W., Pleural effusions after coronary artery bypass graft surgery. Curr Opin Pulm Med 8 (2002), 308–311.
21. 21 Peng, M.C., Hou, C.J., Li, J.Y., Hu, P.Y., Chen, C.Y., Prevalence of symptomatic large pleural effusions first diagnosed more than 30 days after coronary artery bypass graft surgery. Respirology 12 (2007), 122–126.
22. 22 Lehto, J., Gunn, J., Karjalainen, P., Airaksinen, J., Kiviniemi, T., Incidence and risk factors of postpericardiotomy syndrome requiring medical attention: the Finland Postpericardiotomy Syndrome Study. J Thorac Cardiovasc Surg 149 (2015), 1324–1329.
23. 23 Sadikot, R.T., Rogers, J.T., Cheng, D.S., Moyers, P., Rodriguez, M., Light, R.W., Pleural fluid characteristics of patients with symptomatic pleural effusion after coronary artery bypass graft surgery. Arch Intern Med 160 (2000), 2665–2668.
24. 24 Labidi, M., Baillot, R., Dionne, B., Lacasse, Y., Maltais, F., Boulet, L.P., Pleural effusions following cardiac surgery: prevalence, risk factors, and clinical features. Chest 136 (2009), 1604–1611.
25. 25 Angelini, G.D., Penny, W.J., el-Ghamary, F., West, R.R., Butchart, E.G., Armistead, S.H., et al. The incidence and significance of early pericardial effusion after open heart surgery. Eur J Cardiothorac Surg 1 (1987), 165–168.
26. 26 Ashikhmina, E.A., Schaff, H.V., Sinak, L.J., Li, Z., Dearani, J.A., Suri, R.M., et al. Pericardial effusion after cardiac surgery: risk factors, patient profiles, and contemporary management. Ann Thorac Surg 89 (2010), 112–118.
27. 27 Gercekoglu, H., Aydin, N.B., Dagdeviren, B., Ozkul, V., Sener, T., Demirtas, M., et al. Effect of timing of chest tube removal on development of pericardial effusion following cardiac surgery. J Card Surg 18 (2003), 217–224.
28. 28 Halm, M.A., To strip or not to strip? Physiological effects of chest tube manipulation. Am J Crit Care 16 (2007), 609–612.
29. 29 Day, T.G., Perring, R.R., Gofton, K., Is manipulation of mediastinal chest drains useful or harmful after cardiac surgery?. Interact Cardiovasc Thorac Surg 7 (2008), 888–890.
30. 30 Boyacioglu, K., Kalender, M., Ozkaynak, B., Mert, B., Kayalar, N., Erentug, V., A new use of Fogarty catheter: chest tube clearance. Heart Lung Circ 23 (2014), e229–e230.
31. 31 Halejian, B.A., Badach, M.J., Trilles, F., Maintaining chest tube patency. Surg Gynecol Obstet, 167, 1988, 521.
32. 32 Arakawa, Y., Shiose, A., Takaseya, T., Fumoto, H., Kim, H.I., Boyle, E.M., et al. Superior chest drainage with an active tube clearance system: evaluation of a downsized chest tube. Ann Thorac Surg 91 (2011), 580–583.
33. 33 Perrault, L.P., Pellerin, M., Carrier, M., Cartier, R., Bouchard, D., Demers, P., et al. The PleuraFlow active chest tube clearance system: initial clinical experience in adult cardiac surgery. Innovations (Phila) 7 (2012), 354–358.
34. 34 Sirch, J., Ledwon, M., Puski, T., Boyle, E.M., Pfeiffer, S., Fischlein, T., Active clearance of chest drainage catheters reduces retained blood. J Thorac Cardiovasc Surg 151 (2016), 832–838.e2.
35. 35 Loor, G., Vivacqua, A., Sabik, J.F. III, Li, L., Hixson, E.D., Blackstone, E.H., et al. Process improvement in cardiac surgery: development and implementation of a reoperation for bleeding checklist. J Thorac Cardiovasc Surg 146 (2013), 1028–1032.