Factors influencing length of intensive care unit stay following a bidirectional cavopulmonary shunt.
Bidirectional cavopulmonary shunt
Length of ICU stay
Long-term follow-up
Mortality
Pulmonary artery pressure
Risk factors
Single ventricle
Univentricular heart
Journal
Interactive cardiovascular and thoracic surgery
ISSN: 1569-9285
Titre abrégé: Interact Cardiovasc Thorac Surg
Pays: England
ID NLM: 101158399
Informations de publication
Date de publication:
28 06 2021
28 06 2021
Historique:
received:
14
09
2020
revised:
15
12
2020
accepted:
10
01
2021
pubmed:
20
3
2021
medline:
25
11
2021
entrez:
19
3
2021
Statut:
ppublish
Résumé
The goal of this study was to identify the risk factors for prolonged length of stay (LOS) in the intensive care unit (ICU) after a bidirectional cavopulmonary shunt (BCPS) procedure and its impact on the number of deaths. In total, 556 patients who underwent BCPS between January 1998 and December 2019 were included in the study. Eighteen patients died while in the ICU, and 35 died after discharge from the ICU. Reduced ventricular function was significantly associated with death during the ICU stay (P = 0.002). In patients who were discharged alive from the ICU, LOS in the ICU [hazard ratio (HR) 1.04, 95% confidence interval (CI) 1.02-1.06; P < 0.001] and a dominant right ventricle (HR 2.41, 95% CI 1.03-6.63; P = 0.04) were independent risk factors for death. Receiver operating characteristic analysis identified a cut-off value for length of ICU stay of 19 days. Mean pulmonary artery pressure (HR 1.03, 95% CI 1.01-1.05; P = 0.04) was a significant risk factor for a prolonged ICU stay. Prolonged LOS in the ICU with a cut-off value of 19 days after BCPS was a significant risk factor for mortality. High pulmonary artery pressure at BCPS was a significant risk factor for a prolonged ICU stay.
Identifiants
pubmed: 33738489
pii: 6178544
doi: 10.1093/icvts/ivab061
pmc: PMC8691560
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
124-130Informations de copyright
© The Author(s) 2021. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
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