Why the study?
Is an ICU stay of > 14 days after cardiac surgery associated with non-cardiac organ failure and lower long-term survival?
Is an ICU stay of > 14 days after cardiac surgery associated with non-cardiac organ failure and lower long-term survival?
Prolonged ICU stay (>14 days) following cardiac surgery is associated with non-cardiac organ failure and significantly reduced long-term survival.
May warrant vigilance for organ failure in prolonged post-cardiac surgery ICU stays; leaves open causal links and intervention effects.
Some studies have shown an association between a prolonged intensive care unit (ICU) stay and risk factors such as mediastinal re-exploration, advanced age, low ejection fraction, lung disease and organ failure. The aim of this retrospective study was first to evaluate peri-operative risk factors (n = 2683) and secondly to evaluate long-term survival (n = 2563) in cardiac surgery patients with an ICU stay > 14 days. Long-term survival was assessed in an observational 3-year follow-up study. An ICU stay of > 14 days was associated independently with respiratory failure and dialysis-dependent acute renal failure, and with a significantly lower survival rate. Since an ICU stay is associated with a higher hospital and long-term mortality, measures should be taken throughout the entire hospital stay to identify and reduce the risk of organ failure.
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Hein et al. (2006) studied this question.
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