Algengi og áhættuþættir lengdrar dvalar á gjörgæsludeild eftir kransæðahjáveituaðgerð
Þakkir fá læknar á hjarta- og lungnaskurðdeild og gjörgæsludeild Landspítala. Rannsóknin var styrkt af Vísindasjóði Landspítala og Rannsóknasjóði Háskóla Íslands. Publisher Copyright: © 2020 Laeknafelag Islands. All rights reserved. Introduction: To maximize the use of intensive care unit (ICU) reso...
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ftopinvisindi:oai:opinvisindi.is:20.500.11815/3392 2024-02-11T10:05:16+01:00 Algengi og áhættuþættir lengdrar dvalar á gjörgæsludeild eftir kransæðahjáveituaðgerð Incidence and predictors of prolonged intensive care unit stay after coronary artery bypass in Iceland Gunnarsdóttir, Erla Liu Ting Gunnarsdóttir, Sunna Lu Xi Heimisdóttir, Alexandra Aldís Heiðarsdóttir, Sunna Rún Helgadóttir, Sólveig Guðbjartsson, Tómas Sigurðsson, Martin Ingi Læknadeild Hjarta- og æðaþjónusta Skurðstofur og gjörgæsla Landspítali 2020-03 7 932826 123-129 researchoutputwizard: hdl.handle.net/2336/621398 https://hdl.handle.net/20.500.11815/3392 https://doi.org/10.17992/lbl.2020.03.471 is ice Læknablaðið; 106(3) http://www.scopus.com/inward/record.url?scp=85081014294&partnerID=8YFLogxK https://www.laeknabladid.is/tolublod/2020/03/nr/7276 Gunnarsdóttir , E L T , Gunnarsdóttir , S L X , Heimisdóttir , A A , Heiðarsdóttir , S R , Helgadóttir , S , Guðbjartsson , T & Sigurðsson , M I 2020 , ' Algengi og áhættuþættir lengdrar dvalar á gjörgæsludeild eftir kransæðahjáveituaðgerð ' , Læknablaðið , bind. 106 , nr. 3 , bls. 123-129 . https://doi.org/10.17992/lbl.2020.03.471 0023-7213 42214801 8731d9b3-8594-4b70-ba05-79892f7aa7c4 85081014294 32124735 researchoutputwizard: hdl.handle.net/2336/621398 https://hdl.handle.net/20.500.11815/3392 doi:10.17992/lbl.2020.03.471 info:eu-repo/semantics/openAccess 30 day mortality CABG Complications Coronary artery bypass grafting Intensive care unit Length of stay Outcome Hjáveituaðgerðir Kransæðahjáveituaðgerðir Gjörgæsla Coronary Artery Bypass Intensive Care Units Læknisfræði (allt) /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article 2020 ftopinvisindi https://doi.org/20.500.11815/339210.17992/lbl.2020.03.471 2024-01-17T23:55:17Z Þakkir fá læknar á hjarta- og lungnaskurðdeild og gjörgæsludeild Landspítala. Rannsóknin var styrkt af Vísindasjóði Landspítala og Rannsóknasjóði Háskóla Íslands. Publisher Copyright: © 2020 Laeknafelag Islands. All rights reserved. Introduction: To maximize the use of intensive care unit (ICU) resources, it is important to estimate the prevalence and risk factors for prolonged ICU unit stay after coronary artery bypass grafting (CABG) surgery. Material and methods: This retrospective cohort study included all patients who underwent primary isolated CABG at Landspitali between 2001 and 2018. Patient information was collected from hospital charts and death registries. Patients who stayed in the ICU for the conventional one night postoperatively were compared with those who needed longer stays in the ICU. Survival rate was estimated with the Kaplan-Meier method. Predictors for prolonged ICU stay were calculated with logistic regression and the outcome used to create a calculator that estimates the probability of prolonged ICU stay. Results: Out of 2177 patients, 20% required prolonged ICU stay. Patients with prolonged stay were more frequently female (23% vs 16%, p=0.001), had a higher rate of cardiovascular risk factors and higher EuroSCORE II (4.7 vs. 1.9, p<0.001). They also had a higher rate of impaired renal function before surgery (14% vs. 4%, p<0.001) and emergent surgery (18% vs. 2%, p<0.001). Furthermore, these patients had higher rates of both short-term and long-term complications, and lower long-term survival (85% vs 68% five-year survival rate, p<0.0001). Independent risk factors for prolonged ICU stay were advanced age, female gender, EuroSCORE II, history of heart diseases, impaired renal function and emergent surgery. Conclusions: Every fifth patient had a prolonged ICU stay after CABG. Several risk factors predicted prolonged ICU stay after CABG, in particular patients' medical condition before surgery, EuroSCORE II and emergent surgery. A better understanding of the risk factors for ... Article in Journal/Newspaper Iceland Opin vísindi (Iceland) Hjarta ENVELOPE(13.784,13.784,66.771,66.771) Meier ENVELOPE(-45.900,-45.900,-60.633,-60.633) Læknablaðið 2020 03 123 129 |
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Open Polar |
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Opin vísindi (Iceland) |
op_collection_id |
ftopinvisindi |
language |
Icelandic |
topic |
30 day mortality CABG Complications Coronary artery bypass grafting Intensive care unit Length of stay Outcome Hjáveituaðgerðir Kransæðahjáveituaðgerðir Gjörgæsla Coronary Artery Bypass Intensive Care Units Læknisfræði (allt) |
spellingShingle |
30 day mortality CABG Complications Coronary artery bypass grafting Intensive care unit Length of stay Outcome Hjáveituaðgerðir Kransæðahjáveituaðgerðir Gjörgæsla Coronary Artery Bypass Intensive Care Units Læknisfræði (allt) Gunnarsdóttir, Erla Liu Ting Gunnarsdóttir, Sunna Lu Xi Heimisdóttir, Alexandra Aldís Heiðarsdóttir, Sunna Rún Helgadóttir, Sólveig Guðbjartsson, Tómas Sigurðsson, Martin Ingi Algengi og áhættuþættir lengdrar dvalar á gjörgæsludeild eftir kransæðahjáveituaðgerð |
topic_facet |
30 day mortality CABG Complications Coronary artery bypass grafting Intensive care unit Length of stay Outcome Hjáveituaðgerðir Kransæðahjáveituaðgerðir Gjörgæsla Coronary Artery Bypass Intensive Care Units Læknisfræði (allt) |
description |
Þakkir fá læknar á hjarta- og lungnaskurðdeild og gjörgæsludeild Landspítala. Rannsóknin var styrkt af Vísindasjóði Landspítala og Rannsóknasjóði Háskóla Íslands. Publisher Copyright: © 2020 Laeknafelag Islands. All rights reserved. Introduction: To maximize the use of intensive care unit (ICU) resources, it is important to estimate the prevalence and risk factors for prolonged ICU unit stay after coronary artery bypass grafting (CABG) surgery. Material and methods: This retrospective cohort study included all patients who underwent primary isolated CABG at Landspitali between 2001 and 2018. Patient information was collected from hospital charts and death registries. Patients who stayed in the ICU for the conventional one night postoperatively were compared with those who needed longer stays in the ICU. Survival rate was estimated with the Kaplan-Meier method. Predictors for prolonged ICU stay were calculated with logistic regression and the outcome used to create a calculator that estimates the probability of prolonged ICU stay. Results: Out of 2177 patients, 20% required prolonged ICU stay. Patients with prolonged stay were more frequently female (23% vs 16%, p=0.001), had a higher rate of cardiovascular risk factors and higher EuroSCORE II (4.7 vs. 1.9, p<0.001). They also had a higher rate of impaired renal function before surgery (14% vs. 4%, p<0.001) and emergent surgery (18% vs. 2%, p<0.001). Furthermore, these patients had higher rates of both short-term and long-term complications, and lower long-term survival (85% vs 68% five-year survival rate, p<0.0001). Independent risk factors for prolonged ICU stay were advanced age, female gender, EuroSCORE II, history of heart diseases, impaired renal function and emergent surgery. Conclusions: Every fifth patient had a prolonged ICU stay after CABG. Several risk factors predicted prolonged ICU stay after CABG, in particular patients' medical condition before surgery, EuroSCORE II and emergent surgery. A better understanding of the risk factors for ... |
author2 |
Læknadeild Hjarta- og æðaþjónusta Skurðstofur og gjörgæsla Landspítali |
format |
Article in Journal/Newspaper |
author |
Gunnarsdóttir, Erla Liu Ting Gunnarsdóttir, Sunna Lu Xi Heimisdóttir, Alexandra Aldís Heiðarsdóttir, Sunna Rún Helgadóttir, Sólveig Guðbjartsson, Tómas Sigurðsson, Martin Ingi |
author_facet |
Gunnarsdóttir, Erla Liu Ting Gunnarsdóttir, Sunna Lu Xi Heimisdóttir, Alexandra Aldís Heiðarsdóttir, Sunna Rún Helgadóttir, Sólveig Guðbjartsson, Tómas Sigurðsson, Martin Ingi |
author_sort |
Gunnarsdóttir, Erla Liu Ting |
title |
Algengi og áhættuþættir lengdrar dvalar á gjörgæsludeild eftir kransæðahjáveituaðgerð |
title_short |
Algengi og áhættuþættir lengdrar dvalar á gjörgæsludeild eftir kransæðahjáveituaðgerð |
title_full |
Algengi og áhættuþættir lengdrar dvalar á gjörgæsludeild eftir kransæðahjáveituaðgerð |
title_fullStr |
Algengi og áhættuþættir lengdrar dvalar á gjörgæsludeild eftir kransæðahjáveituaðgerð |
title_full_unstemmed |
Algengi og áhættuþættir lengdrar dvalar á gjörgæsludeild eftir kransæðahjáveituaðgerð |
title_sort |
algengi og áhættuþættir lengdrar dvalar á gjörgæsludeild eftir kransæðahjáveituaðgerð |
publishDate |
2020 |
url |
https://hdl.handle.net/20.500.11815/3392 https://doi.org/10.17992/lbl.2020.03.471 |
long_lat |
ENVELOPE(13.784,13.784,66.771,66.771) ENVELOPE(-45.900,-45.900,-60.633,-60.633) |
geographic |
Hjarta Meier |
geographic_facet |
Hjarta Meier |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
Læknablaðið; 106(3) http://www.scopus.com/inward/record.url?scp=85081014294&partnerID=8YFLogxK https://www.laeknabladid.is/tolublod/2020/03/nr/7276 Gunnarsdóttir , E L T , Gunnarsdóttir , S L X , Heimisdóttir , A A , Heiðarsdóttir , S R , Helgadóttir , S , Guðbjartsson , T & Sigurðsson , M I 2020 , ' Algengi og áhættuþættir lengdrar dvalar á gjörgæsludeild eftir kransæðahjáveituaðgerð ' , Læknablaðið , bind. 106 , nr. 3 , bls. 123-129 . https://doi.org/10.17992/lbl.2020.03.471 0023-7213 42214801 8731d9b3-8594-4b70-ba05-79892f7aa7c4 85081014294 32124735 researchoutputwizard: hdl.handle.net/2336/621398 https://hdl.handle.net/20.500.11815/3392 doi:10.17992/lbl.2020.03.471 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/20.500.11815/339210.17992/lbl.2020.03.471 |
container_title |
Læknablaðið |
container_volume |
2020 |
container_issue |
03 |
container_start_page |
123 |
op_container_end_page |
129 |
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1790602201513590784 |