Key result
Prolonged ICU stay (≥ 72 hours) occurred in 23.04% of CABG patients and was significantly associated with preoperative myocardial infarction, elevated WBC counts, prolonged bypass time, and postoperative complications.
Why the study?
Prolonged ICU stays after CABG are associated with increased mortality, poor long-term prognosis, and high resource use, prompting identification of influencing perioperative risk factors.
Cross-Sectional (n=230)
No
Preoperative, intraoperative, and postoperative factors, including prior MI, elevated WBC count, and prolonged cardiopulmonary bypass time, significantly increase the risk of prolonged ICU stay following CABG surgery.
Background: Long stays in the Intensive Care Unit (ICU) following coronary artery bypass graft (CABG) surgery are associated with higher hospital mortality, poor long-term prognosis, prolonged hospital admissions, and consequently, excessive cost and resource use. This study aimed to identify the individual and perioperative risk factors influencing ICU length of stay after coronary artery bypass graft surgery at Azadi Heart Center in Duhok city. Patients and Methods: This comparative cross-sectional study reviewed the medical records of 230 patients who underwent CABG surgery from 1st January 2019 to 31st December 2020. The patients were divided into two groups based on their length of stay in the ICU. The usual stay group (ICU length of stay < 72 h), and the prolonged stay group (ICU length of stay ≥ 72 h). Results: Among the 230 patients studied, 53 (23.04%) patients had an ICU length of stay ≥ 72 hours and 177 (76.96%) patients had an ICU length of stay < 72 hours and the mean duration of ICU stay was 2.45 days, ranging from 1 to 13 days. This study found that the factors increasing the ICU length of stay after CABG were; preoperative myocardial infarction (MI), elevated preoperative WBC counts, prolonged cardiopulmonary bypass (CPB) time, prolonged intubation, reintubation, reoperation, readmission, arrhythmia, receiving inotropic agents in the ICU, cardiac, pulmonary, and wound complications, and a higher postoperative troponin level. Conclusion: This study showed pre-, intra-, and post-operative clinical and surgical risk factors affect prolonged ICU stays
No takes yet. Share an insight, caveat, or question.
Hussein et al. (2022) conducted a cross-sectional in Coronary Artery Disease requiring CABG (n=230). Clinical and surgical risk factors vs. Absence of risk factors was evaluated on Prolonged ICU length of stay (≥ 72 hours). Prolonged ICU stay (≥ 72 hours) occurred in 23.04% of CABG patients and was significantly associated with preoperative myocardial infarction, elevated WBC counts, prolonged bypass time, and postoperative complications.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: