Key result
Diabetes mellitus, hypertension, left ventricular systolic dysfunction, and chronic kidney disease were associated with prolonged hospital stay after elective cardiac surgery (mean ICU stay 6 days vs 3.98 days; p<0.0001).
Why the study?
Cardiac surgery involves morbidity and mortality, and length of hospital stay can depend on many factors; the study aimed to analyse factors responsible for prolonged hospital stay in a tertiary care center.
Observational (n=83)
No
Pre-existing comorbidities including diabetes, hypertension, and renal dysfunction are associated with prolonged intensive care unit stay after elective cardiac surgery.
Answers are grounded in this paper and cite their sources.
May support preoperative risk stratification for elective cardiac surgery; leaves open whether targeted interventions shorten ICU stay.
Cardiac surgery involves both morbidity and mortality. Length of hospital stay can depend on many factors. The aim of this study is to analyse the factor which were responsible for prolonged hospital stay in a tertiary care center .We retrospectively analysed cardiac surgery patients over a period of four months from hospital registers. Only elective surgery was considered. 83 patients were studied. The patients were divided into two groups(Group 1 and Group 2) based on length of hospital stay in cardiac intensive care postoperatively. We considered prolonged hospital stay if patient was discharged after 4th postoperative day. Data was analysed using Chi squared test , One way ANOVA and Unpaired t test. We observed that the mean duration of stay in the intensive care unit during this study period was 3.98 days in Group 1 and 6 days in Group 2 which is signicant(t=-11.70, and p<0.0001).Diabetes mellitus, hypertension ,left ventricular systolic dysfunction ,chronic kidney disease and increased creatinine were factors responsible for prolonged hospital stay in our study
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Sarath et al. (2022) conducted an observational in Cardiac surgery (n=83). Clinical risk factors (diabetes mellitus, hypertension, left ventricular systolic dysfunction, chronic kidney disease, increased creatinine) vs. Absence of these risk factors was evaluated on Duration of stay in the intensive care unit (p=<0.0001). Diabetes mellitus, hypertension, left ventricular systolic dysfunction, and chronic kidney disease were associated with prolonged hospital stay after elective cardiac surgery (mean ICU stay 6 days vs 3.98 days; p<0.0001).
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