The risk factors for delayed recovery in patients with cardiopulmonary bypass: Why should we care?

摘要: ABSTRACT Cardiopulmonary bypass (CPB) is very commonly performed among the cardiovascular surgeries, and delayed recovery (DR) a kind of serious complications in patients with CPB. It necessary to assess risk factors for DR CPB, provide evidence into management CPB patients.Patients undergoing our hospital from January 2018 March 2020 were included. Cases that consciousness has not recovered 12 hours after anesthesia considered as DR. The preoperative intraoperative variables collected analyzed. Logistic regressions conducted analyze potential influencing factor.A total 756 included, incidence was 9.79%. There significant differences on age, aspartate aminotransferase (AST), glutamic pvruvic transaminase (ALT), blood urea nitrogen (BUN), serum creatinine (SCr) between without (all P   .05); there duration aortic cross clamp (ACC), surgery, minimum nasopharyngeal temperature, transfusion packed red cells P < .05). regression analysis indicated ≥132 minutes (odds ratio [OR] 4.12, 1.02-8.33), BUN ≥9 mmol/L (OR 4.05, 1.37-8.41), infusion cell suspension 3.93, 1.25-7.63), surgery ≥350 minutes 3.17, 1.24-5.20), age ≥6 3.01, 1.38-6.84) independent P < .05).Extra attention care are needed those ≥132 minutes, ≥9 mmol/L, suspension, ≥350 minutes, ≥60.