Increased Chest Tube Drainage Is Independently Associated With Adverse Outcome After Cardiac Surgery
作者： Michael C. Christensen , Frank Dziewior , Angela Kempel , Christian von Heymann
DOI: 10.1053/J.JVCA.2011.09.021
关键词:
摘要: Objective To investigate the clinical relevance of specific volume criteria for hemorrhage in a patient population undergoing cardiac surgery with cardiopulmonary bypass (CPB). Design A retrospective analysis; postoperative was defined by fixed set ≥200 mL/h any 1 hour or part thereof, (2) ≥2 mL/kg/h 2 consecutive hours first 6 after surgery. Classification and regression tree (CART) analysis were used to validate results criteria. Multivariate applied association outcomes. Setting university hospital. Participants All adult patients CPB at authors' center 2006. Interventions None. Measurements Main Results total 1,188 underwent surgery, 76 (6.4%) experienced according blood loss. Blood loss as measured these associated higher 30-day mortality (odds ratio [OR] = 2.9, p 72 (OR 1.3, 24 3.4, 0.0002). The is supported CART analysis. Conclusions Postoperative (drainage loss) exceeding 200 mL/kg occurring within other complications. Further research needed results.
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