Predictors of postoperative mechanical ventilation time, length of ICU stay and hospitalization period after cardiac surgery in adults
المؤلفون المشاركون
al-Adwan, Hayil
Muhammad, Ashraf Fadil
Qsus, Rami
Altaani, Haytham
Abu Jubbah, Rani
Qusus, Rami
al-Khasawinah, Muhammad Adnan
المصدر
Journal of the Royal Medical Services
العدد
المجلد 22، العدد 4 (31 ديسمبر/كانون الأول 2015)، ص ص. 31-39، 9ص.
الناشر
الخدمات الطبية الملكية الأردنية
تاريخ النشر
2015-12-31
دولة النشر
الأردن
عدد الصفحات
9
التخصصات الرئيسية
الموضوعات
الملخص EN
Objectives: To study the effect of perioperative factors on patients’ recovery after cardiac surgery in adults.
Methods: This is a prospective observational analysis of 101 adult patients (age range 19-78 years) who had undergone coronary artery grafting, heart valve(s) replacement / repair or combined (coronary and valve) surgeries, was conducted at Queen Alia Heart Institute.
The influence of 22 perioperative parameters (age, gender, co-morbidities, body mass index, type of surgical procedure, left ventricular function, cardiopulmonary bypass time (CPB), inotropic support, analgesia, postoperative blood losses,...) on recovery variables (time of extubation, ICU and hospital discharge) was studied.
European system for cardiac operative risk evaluation (EUROSORE) has been calculated.
Univariate and multivariate analysis of results was performed.
Results: Mean time of mechanical ventilation was 11±8.5 hours.
Delay in extubation was noticed in patients with left ventricular impairment, chronic respiratory disease, morbid obesity, urgent surgery, age above 61 years, patients who had reopening for control of bleeding and lower temperatures during deliberate hypothermic cardiopulmonary bypass.
The mean length of ICU stay was 1.8 ± 1.2 days.
The average length of hospitalization was 5.1±1.2 days.
There was a correlation between Length of intensive care unit stay and CPB (p-value=0.02), and between Length of intensive care unit stay and aortic cross clamp time (p-value=0.006).
Prolonged operative time (OT) was associated with increased length of hospitalization (p-value=0.008).
Average EUROSCORE value was 1.4 (ranged between 0.5 -5.3).
Conclusion: Left ventricular dysfunction, urgent surgery, inotropic support, considerable postoperative bleeding, morbid obesity, longer cardiopulmonary bypass and aortic clamp times, are main risk factors of delayed (or prolonged) extubation, and ICU/ hospital discharge.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Adwan, Hayil& Muhammad, Ashraf Fadil& al-Khasawinah, Muhammad Adnan& Altaani, Haytham& Abu Jubbah, Rani& Qsus, Rami…[et al.]. 2015. Predictors of postoperative mechanical ventilation time, length of ICU stay and hospitalization period after cardiac surgery in adults. Journal of the Royal Medical Services،Vol. 22, no. 4, pp.31-39.
https://search.emarefa.net/detail/BIM-673938
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Adwan, Hayil…[et al.]. Predictors of postoperative mechanical ventilation time, length of ICU stay and hospitalization period after cardiac surgery in adults. Journal of the Royal Medical Services Vol. 22, no. 4 (Dec. 2015), pp.31-39.
https://search.emarefa.net/detail/BIM-673938
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Adwan, Hayil& Muhammad, Ashraf Fadil& al-Khasawinah, Muhammad Adnan& Altaani, Haytham& Abu Jubbah, Rani& Qsus, Rami…[et al.]. Predictors of postoperative mechanical ventilation time, length of ICU stay and hospitalization period after cardiac surgery in adults. Journal of the Royal Medical Services. 2015. Vol. 22, no. 4, pp.31-39.
https://search.emarefa.net/detail/BIM-673938
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 38-39
رقم السجل
BIM-673938
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر