Long-term survival and quality of life in cardiac surgical patients with prolonged intensive care unit length of stay

作者: Mathew R Williams , Rachel B Wellner , Elizabeth A Hartnett , Barbara Thornton , Minoo N Kavarana

DOI: 10.1016/S0003-4975(02)03464-1

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摘要: Abstract Background . Patients with prolonged intensive care unit (ICU) stays after cardiac operations are labor and expensive. We sought to determine whether exhaustive ICU efforts result in survival or quality-of-life benefits outcome could be predicted. Methods retrospectively analyzed all adult surgical patients 1998 for more than 14 days. Data were create multiple organ dysfunction scores (MODS, range 0 24) hospital charges. Follow-up was conducted 1 2 years apart evaluation. Results Forty-nine remained the days, comprising 3.8% of our but 28% total bed time. This population had a 28.5% mortality, which greater those less days (5.3%, p Conclusions remaining suffer higher mortality at expense. A MODS day may help predict who will not enjoy long-term thus aid decision terminate care.

参考文章(17)
J. C. Marshall, Multiple Organ Dysfunction Syndrome (MODS) Springer Berlin Heidelberg. pp. 122- 138 ,(1995) , 10.1007/978-3-642-79224-3_8
John C. Marshall, Deborah J. Cook, Nicolas V. Christou, Gordon R. Bernard, Charles L. Sprung, William J. Sibbald, Multiple Organ Dysfunction Score Critical Care Medicine. ,vol. 24, pp. 1272- ,(1996) , 10.1097/00003246-199607000-00037
Milo Engoren, Nancy Fenn Buderer, Anoar Zacharias, Long-term survival and health status after prolonged mechanical ventilation after cardiac surgery. Critical Care Medicine. ,vol. 28, pp. 2742- 2749 ,(2000) , 10.1097/00003246-200008000-00010
Mohamed Y. Rady, Thomas Ryan, Norman J. Starr, Perioperative determinants of morbidity and mortality in elderly patients undergoing cardiac surgery Critical Care Medicine. ,vol. 26, pp. 225- 235 ,(1998) , 10.1097/00003246-199802000-00016
RICHARD PACHER, HEINZ REDL, MICHAEL FRASS, DIETMAR H PETZL, ERNST SCHUSTER, WOLFGANG WOLOSZCZUK, Relationship between neopterin and granulocyte elastase plasma levels and the severity of multiple organ failure Critical Care Medicine. ,vol. 17, pp. 221- 226 ,(1989) , 10.1097/00003246-198903000-00004
J. Martínez-Alario, I. D. Tuesta, E. Plasencia, M. Santana, M. L. Mora, Mortality prediction in cardiac surgery patients: comparative performance of Parsonnet and general severity systems. Circulation. ,vol. 99, pp. 2378- 2382 ,(1999) , 10.1161/01.CIR.99.18.2378
David T. Wong, Manuel Gomez, Glenn P. McGuire, Brian Kavanagh, Utilization of intensive care unit days in a Canadian medical-surgical intensive care unit. Critical Care Medicine. ,vol. 27, pp. 1319- 1324 ,(1999) , 10.1097/00003246-199907000-00020