ArticleJournal of thoracic disease2020
Perioperative risk factors for delayed extubation after acute type A aortic dissection surgery.
Article in Journal of thoracic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Clinical outcomes of early vs. late extubation following cardiac surgery: a systematic review and meta-analysis.Frontiers in medicine · 2026Pooled it
- Predictors of delayed extubation post-coronary artery bypass graft and its relationship with length of stay and in-hospital mortality in Jordan.Acute and critical care · 2026Article
- Predicting Delayed Extubation After General Anesthesia in Postanesthesia Care Unit Patients Using Machine Learning: Model Development Study.JMIR medical informatics · 2025Article
- Preoperative systemic inflammation response index may predict postoperative delayed extubation for elderly patients with aSAH: a retrospective cohort study.BMC neurology · 2025Article
- Influence of socioeconomic status on postoperative outcomes in acute type A aortic dissection repair.JTCVS open · 2025Article
- Amiodarone use and prolonged mechanical ventilation after cardiac surgery: a single-center analysis.BMC cardiovascular disorders · 2025Article
- Risk factors of prolonged mechanical ventilation after acute type A aortic dissection surgery: a single-center retrospective study.Frontiers in cardiovascular medicine · 2025Article
- A Scoping Review of Factors Associated with Delayed Extubation in Post Cardiac Surgery Patients.Vascular health and risk management · 2025Article
- A novel nomogram for predicting prolonged mechanical ventilation after acute type A aortic dissection surgery: a retrospective study investigating the impact of ventilation duration on postoperative outcomes.Annals of medicine · 2024Article
- Construction of a nomogram risk prediction model for prolonged mechanical ventilation in patients following surgery for acute type A aortic dissection.Frontiers in cardiovascular medicine · 2024Article
- The prognosis of preoperative preemptive intubation for acute type A aortic dissection patients: a retrospective propensity score matching study.Journal of thoracic disease · 2023Article
- Time-of-day discrepancy for the long-term surgical outcome of patients with aortic dissection.Interdisciplinary cardiovascular and thoracic surgery · 2023Article
- Article
- Early identification of delayed extubation following cardiac surgery: Development and validation of a risk prediction model.Frontiers in cardiovascular medicine · 2022Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDelayed extubation after cardiac surgery is associated with high morbidity and mortality, increased intensive care unit length of stay, and healthcare cost. Acute type A aortic dissection (ATAAD) generally results in prolonged mechanical ventilation due to the complexity of surgical management and some postoperative complications. This study aimed to elucidate the perioperative risk factors for delayed extubation in patients undergoing ATAAD surgery.
methodsA retrospective cohort study including 239 patients who were diagnosed with ATAAD and underwent emergency surgery from October 2004 to January 2018 was performed. The potential perioperative risk factors for delayed extubation were collected. This study defined delayed extubation as the time to commence extubation being greater than 48 hours. The clinical data were analyzed with univariate and multivariate analyses to identify risk factors for delayed extubation following ATAAD surgery.
resultsThe incidence of delayed extubation was 48.5% (n=116). Multiple logistic regression analysis showed perioperative risk factors for delayed extubation included preoperative cardiac tamponade [odds ratio (OR) 3.94, 95% confidence interval (CI) 1.39-11.17, P=0.010], central arterial cannulation (ascending aorta and proximal aortic arch) for cardiopulmonary bypass (CPB) (OR 4.04, 95% CI: 1.03-15.91, P=0.046), postoperative stroke (OR 10.58, 95% CI: 2.65-42.25, P=0.001), postoperative renal dysfunction that required temporary hemodialysis (OR 6.60 95% CI: 1.97-22.11, P=0.002), and re-exploration to stop bleeding (OR 2.65, 95% CI: 1.00-6.99, P=0.050).
conclusionsPreoperative cardiac tamponade, central arterial cannulation for CPB, postoperative stroke, postoperative renal dysfunction that required temporary hemodialysis, and re-exploration to stop bleeding are perioperative risk factors for delayed extubation. Identification of the potential risk factors for delayed extubation may help optimize the perioperative management and improve postoperative outcomes of patients undergoing ATAAD surgery.
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