Factors influencing length of intensive care unit stay following a bidirectional cavopulmonary shunt

Takashi Kido, Masamichi Ono, Lisa Anderl, Melchior Burri, Martina Strbad, Gunter Balling, Julie Cleuziou, Alfred Hager, Peter Ewert, Jürgen Hörer

Publikation: Beitrag in FachzeitschriftArtikelBegutachtung

3 Zitate (Scopus)

Abstract

OBJECTIVES: 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. METHODS: In total, 556 patients who underwent BCPS between January 1998 and December 2019 were included in the study. RESULTS: 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. CONCLUSIONS: 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.

OriginalspracheEnglisch
Seiten (von - bis)124-130
Seitenumfang7
FachzeitschriftInteractive Cardiovascular and Thoracic Surgery
Jahrgang33
Ausgabenummer1
DOIs
PublikationsstatusVeröffentlicht - 1 Juli 2021

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