Factors determining the duration of tracheal intubation in patients undergoing coronary artery bypass surgery: Perioperative risk analysis
Küçük Resim Yok
Tarih
2006
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Aim of our retrospective study was to identify perioperative risk factors of extubation times after coronary artery bypass greffing (CABG). One thousand one hundred and seventy one patients undergoing CABG in our hospital between September 2001 and December 2005 were included in this study. These patients were divided into 2 groups depending on whether mechanical ventilation time was shorter than 6 hours (Group I; n=332), or longer than 6 hours (Group II; n=849). Demographic, intraoperative and postoperative patient characteristics were compared, and multivariate logistic regression analysis was used to ideatify risk factors effecting extubation time after CABG. Multivariate logistic regression analysis of demographic variables identified, age, previous MI, hypertension, COPD, unstable angina and carotid artery disease as risk factors of extubation time after CABG. Multivariate logistic regression analysis of perioperative variables identified, mean number of distal anastomoses, mean cross-clamp time, inotropic support and incidence of postoperative atrial fibrillation as risk factors for extubation time after CABG. Mean intensive care unit and hospital stays of late extubated group were found as statistically longer than that of early extubated group. In this retrospective study; it was found that preoperative variables had more important effects on late extubation than that of perioperative variables. We concluded that by improving preoperative care quality and preventing perioperative limiting factors of early extubation, more patients would benefit from early extubation. In this manner, morbidity of CABG would be decreased.
Açıklama
Anahtar Kelimeler
Coronary artery bypass surgery, Extubation time, Risk factors
Kaynak
Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
12
Sayı
4
