Key result
Prolonged intubation time independently increased the risk of an extended intensive care unit stay after cardiac surgery in octogenarians (OR 18.182).
Why the study?
With increasing life expectancy and an older cardiac surgery population, determining risk factors for extended ICU stay is important for preoperative risk assessment in octogenarians.
Cohort (n=115)
No
Odds Ratio: 18.182 (95% CI 4.055–81.532)
p-value: p=<0.001
In octogenarians undergoing cardiac surgery, prolonged intubation is a strong independent predictor of extended ICU stay, while preoperative factors like Euroscore II, diabetes, and leukocytosis also indicate higher risk.
Prolonged intubation identifies high-risk octogenarians post-cardiac surgery; hypothesis-generating for ventilation-targeted interventions before practice change.
Objectives: With longer life expectancy, an increase in the average age of cardiac surgery patients is expected. Pre-operative risk assessment is especially important for octogenarians. Our aim is to determine the risk factors for extended intensive care unit (ICU) stay after cardiac surgery in octogenarians in our tertiary cardiac surgery center.
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Safa Özçelik (2021) conducted a cohort in Cardiac surgery (n=115). Prolonged intubation time vs. Shorter intubation time was evaluated on Extended ICU stay (≥ 3 days) (OR 18.182, 95% CI 4.055-81.532, p=<0.001). Prolonged intubation time independently increased the risk of an extended intensive care unit stay after cardiac surgery in octogenarians (OR 18.182).
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