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Title:

Factors influencing length of intensive care unit stay following a bidirectional cavopulmonary shunt.

Document type:
Journal Article
Author(s):
Kido, Takashi; Ono, Masamichi; Anderl, Lisa; Burri, Melchior; Strbad, Martina; Balling, Gunter; Cleuziou, Julie; Hager, Alfred; Ewert, Peter; Hörer, Jürgen
Abstract:
: OBJECTIVES: The goal of this study was to identify the risk factors for prolonged length of stay (LOS) in the intensive care unit (ICU) after a bidirectional cavopulmonary shunt (BCPS) procedure and its impact on the number of deaths. METHODS: In total, 556 patients who underwent BCPS between January 1998 and December 2019 were included in the study. RESULTS: Eighteen patients died while in the ICU, and 35 died after discharge from the ICU. Reduced ventricular function was significantly associated with death during the ICU stay (P = 0.002). In patients who were discharged alive from the ICU, LOS in the ICU [hazard ratio (HR) 1.04, 95% confidence interval (CI) 1.02-1.06; P < 0.001] and a dominant right ventricle (HR 2.41, 95% CI 1.03-6.63; P = 0.04) were independent risk factors for death. Receiver operating characteristic analysis identified a cut-off value for length of ICU stay of 19 days. Mean pulmonary artery pressure (HR 1.03, 95% CI 1.01-1.05; P = 0.04) was a significant risk factor for a prolonged ICU stay. CONCLUSIONS: Prolonged LOS in the ICU with a cut-off value of 19 days after BCPS was a significant risk factor for mortality. High pulmonary artery pressure at BCPS was a significant risk factor for a prolonged ICU stay.
Journal title abbreviation:
Interact Cardiovasc Thorac Surg
Year:
2021
Journal volume:
33
Journal issue:
1
Pages contribution:
124-130
Fulltext / DOI:
doi:10.1093/icvts/ivab061
Pubmed ID:
http://view.ncbi.nlm.nih.gov/pubmed/33738489
Print-ISSN:
1569-9293
TUM Institution:
Klinik für Herz- und Gefäßchirurgie (Prof. Lange); Klinik für Kinderkardiologie und angeborene Herzfehler (Prof. Hess)
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