RISK FACTORS FOR PROLONGED INTENSIVE CARE UNIT STAYS AFTER CARDIOPULMONARY BYPASS

Abstract

To provide the descriptive clinical information of those patients who experienced intensive care unit (ICU) stays after cardiopulmonary bypass (CPB) surgery. To identify predictive factors associated with mortality and length of stay (LOS) that the medical evidence base are potentially targeted for quality improvement. Methods: A retrospective review was performed using data from pre, intra-, and post-CPB factors undergoing open heart surgery in National Taiwan University Hospital during the year of 2003. All recorded factors using (the guideline you mentioned this morning) were evaluated for possible association with mortality and LOS. A total of 280 patients who had CPB during the study period. Possible predictive factors to the mortality and length of stay in ICU will be derived using logistic and linear regression data analysis. Results: The mortality rates for all study patients was 4.64%, while frequencies of the mortality for infant, child, and adult were 5/105 (4.76%); 3/85 (3.5%); and 5/90 (5.56%). Total hours in intensive care unit (ICU) for all alive patients were 271±2326 hours while there were 156±237.3, 121±166, and 543±4076 hours for infant, child and adult patients. Conclusion: At the time of ICU admission after CPB, clinical criteria are evident that highlight a patient’s risk of mortality and LOS. This study made accessible to quality control.