ArticleJournal of thoracic disease2017
Determinants of prolonged intensive care unit stay in patients after cardiac surgery: a prospective observational study.
Article in Journal of thoracic disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Effect of Perioperative Benzodiazepine Use on Postoperative Delirium in Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-Analysis.Anesthesiology research and practice · 2026Review
- Predictors of Prolonged Intensive Care Unit Stay and In-Hospital Mortality Following Cardiac Surgery: An Integrated Analysis from the PROCARD-ATI Study.Journal of clinical medicine · 2025Article
- The Effect of Neuromuscular Electrical Stimulation on Muscle Proteolysis, Muscle Mass and Strength, Cardiorespiratory Fitness, Functional Activity, and Quality of Life in Post-Cardiac Surgery Patients: A Narrative Review.Journal of multidisciplinary healthcare · 2025Review
- Risk factors for prolonged postoperative ICU stay in the patients with Stanford type A aortic dissection.Journal of cardiothoracic surgery · 2024Article
- Three Logistic Predictive Models for the Prediction of Mortality and Major Pulmonary Complications after Cardiac Surgery.Medicina (Kaunas, Lithuania) · 2023Observational
- Article
- Incidence of and Risk Factors for Prolonged Intensive Care Unit Stay After Open Heart Surgery Among Elderly Patients.Cureus · 2022Article
- Predictors of aortic clamp time duration and intensive care unit length of stay in elective adult cardiac surgery.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2021Article
- Predictors of Length of Stay in Intensive Care Unit after Coronary Artery Bypass Grafting: Development a Risk Scoring System.Brazilian journal of cardiovascular surgery · 2021Article
- Predicting Intensive Care Unit Length of Stay After Acute Type A Aortic Dissection Surgery Using Machine Learning.Frontiers in cardiovascular medicine · 2021Article
- Does Transfusion of Blood and Blood Products Increase the Length of Stay in Hospital?Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2019Article
- Analysis of length of hospital stay using electronic health records: A statistical and data mining approach.PloS one · 2018Article
- Impaired right ventricular ejection fraction after cardiac surgery is associated with a complicated ICU stay.Journal of intensive care · 2018Article
- Morbidity After cardiac surgery under cardiopulmonary bypass and associated factors: A retrospective observational study.Indian heart journalObservational
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundProlonged intensive care unit (ICU) stay of patients after cardiac surgery has a major impact on overall cost and resource utilization. The aim of this study was to identify perioperative factors which prolong stay in ICU.
methodsAll adult patients from a single, specialized cardiac center who were admitted to the ICU after cardiac surgery during a 2-month period were included. Demographic and clinical characteristics, comorbidities, preoperative use of drugs, intraoperative variables, and postoperative course were recorded. Hemodynamic and blood gas measurements were recorded at four time intervals during the first 24 postoperative hours. Routine hematologic and biochemical laboratory results were recorded preoperatively and in the first postoperative hours.
resultsDuring the study period 145 adult patients underwent cardiac surgery: 65 (45%) underwent coronary artery bypass graft surgery, 38 (26%) valve surgery, 26 (18%) combined surgery and 16 (11%) other types of cardiac operation. Seventy nine (54%) patients had an ICU stay of less than 24 hours. Random forests analysis identified four variables that had a major impact on the length of stay (LOS) in ICU; these variables were subsequently entered in a logistic regression model: preoperative hemoglobin [odds ratio (OR) =0.68], duration of aortic clamping (OR =1.01) and ratio of arterial oxygen partial pressure to inspired oxygen fraction (PaO
conclusionsLow preoperative hemoglobin, prolonged aortic clamping time and low PaO
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