Predictors of Prolonged Stay in the Intensive Care Unit following Cardiac Surgery
Joint Authors
Galanis, Petros
Fildissis, George
Eltheni, Rokeia
Brokalaki, Hero
Giakoumidakis, Konstantinos
Nenekidis, Ioannis
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-06-27
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
The prediction of intensive care unit length of stay (ICU-LOS) could contribute to more efficient ICU resources' allocation and better planning of care among cardiac surgery patients.
The aim of this study was to identify the preoperative and intraoperative predictors for prolonged cardiac surgery ICU-LOS.
An observational cohort study was conducted among 150 consecutive patients, who were admitted to the cardiac surgery ICU of a tertiary hospital of Athens, Greece from September 2010 to January 2011.
Multivariate regression analysis revealed that patients with increased creatinine levels preoperatively (odds ratio (OR) 3.0, P=0.049), history of atrial fibrillation (AF) (OR 6.3, P=0.012) and high EuroSCORE values (OR 2.6, P=0.017) had a significant greater probability to stay in the ICU for more than 2 days.
In addition, intraoperative hyperglycemia (OR 3.0, P=0.004) was strongly associated with longer ICU-LOS.
In conclusion, the high perioperative risk, the history of AF and renal dysfunction, and the intraoperative hyperglycemia are significant predictors of prolonged ICU stay.
The early identification of patients at risk could allow the efficient ICU resources' allocation and the reduction of healthcare costs.
This would contribute to nursing care planning depending on the availability of healthcare personnel and ICU bed capacity.
American Psychological Association (APA)
Eltheni, Rokeia& Giakoumidakis, Konstantinos& Brokalaki, Hero& Galanis, Petros& Nenekidis, Ioannis& Fildissis, George. 2012. Predictors of Prolonged Stay in the Intensive Care Unit following Cardiac Surgery. ISRN Nursing،Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-490926
Modern Language Association (MLA)
Eltheni, Rokeia…[et al.]. Predictors of Prolonged Stay in the Intensive Care Unit following Cardiac Surgery. ISRN Nursing No. 2012 (2012), pp.1-9.
https://search.emarefa.net/detail/BIM-490926
American Medical Association (AMA)
Eltheni, Rokeia& Giakoumidakis, Konstantinos& Brokalaki, Hero& Galanis, Petros& Nenekidis, Ioannis& Fildissis, George. Predictors of Prolonged Stay in the Intensive Care Unit following Cardiac Surgery. ISRN Nursing. 2012. Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-490926
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-490926