Predictive Factors for ICU and Ward Stay After CABG
Background: To determine factors that predicts ICU and ward stay during hospitalization for coronary artery surgery. Methods: Data were collected retrospectively from 200 patients. ICU and ward stay time was divided into two groups and compared by X2 and t test and variables with a p value of less...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2006-07-01
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| Series: | Journal of Tehran University Heart Center |
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| Online Access: | https://jthc.tums.ac.ir/index.php/jthc/article/view/29 |
| _version_ | 1818835604495925248 |
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| author | Fereydoun Sabzi Abdolrasoul Moloudi |
| author_facet | Fereydoun Sabzi Abdolrasoul Moloudi |
| author_sort | Fereydoun Sabzi |
| collection | DOAJ |
| description | Background: To determine factors that predicts ICU and ward stay during hospitalization for coronary artery surgery.
Methods: Data were collected retrospectively from 200 patients. ICU and ward stay time was divided into two groups and compared by X2 and t test and variables with a p value of less than 0.1 were included in logistic regression model. Specificity and sensitivity of tests were examined by ROC curve.
Results: Mean time of ICU and ward stay (day) was 3.89 and 11.07 days respectively. The mean volume of transfused blood in group 1 (ICU stay≤3 day) was 694 ml and in group 2 (>3 day) was 1231 ml where the difference was significant (p<0/05) and this correlation between stay time and transfusion was not seen in ward stay. In univariate analysis, factors such as transfused volume, maximum flow, Chronic obstructive pulmonary disease (COPD), Ejection fraction (EF), Intra aorta pump (IABP) and drainage volume were different between two groups of ICU stay times and such factors in ward stay were transfused volume, minimum flow, COPD, reoperation due to bleeding, and amount of 24 hours bleeding. In logistic regression model variables such as age, pump time, transfused volume and COPD were predictors of ICU stay and only drainage volume was predictor of ward stay.
Conclusion: Transfusion of blood is associated with long ICU stay time. Mechanism of this increased time is depression of immune system and increased rate of infection. Volume of bleeding from chest tube in 24 hours is associated with long hospital stay, because chest tube dose not pull out until drainage volume reduced to 50 ml in 24 h. |
| first_indexed | 2024-12-19T02:53:21Z |
| format | Article |
| id | doaj.art-b22a024ee75b4e509dce46d8c22c4e5a |
| institution | Directory Open Access Journal |
| issn | 1735-8620 2008-2371 |
| language | English |
| last_indexed | 2024-12-19T02:53:21Z |
| publishDate | 2006-07-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Tehran University Heart Center |
| spelling | doaj.art-b22a024ee75b4e509dce46d8c22c4e5a2022-12-21T20:38:28ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712006-07-011327Predictive Factors for ICU and Ward Stay After CABGFereydoun Sabzi0Abdolrasoul Moloudi1Emam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran. Emam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran. Background: To determine factors that predicts ICU and ward stay during hospitalization for coronary artery surgery. Methods: Data were collected retrospectively from 200 patients. ICU and ward stay time was divided into two groups and compared by X2 and t test and variables with a p value of less than 0.1 were included in logistic regression model. Specificity and sensitivity of tests were examined by ROC curve. Results: Mean time of ICU and ward stay (day) was 3.89 and 11.07 days respectively. The mean volume of transfused blood in group 1 (ICU stay≤3 day) was 694 ml and in group 2 (>3 day) was 1231 ml where the difference was significant (p<0/05) and this correlation between stay time and transfusion was not seen in ward stay. In univariate analysis, factors such as transfused volume, maximum flow, Chronic obstructive pulmonary disease (COPD), Ejection fraction (EF), Intra aorta pump (IABP) and drainage volume were different between two groups of ICU stay times and such factors in ward stay were transfused volume, minimum flow, COPD, reoperation due to bleeding, and amount of 24 hours bleeding. In logistic regression model variables such as age, pump time, transfused volume and COPD were predictors of ICU stay and only drainage volume was predictor of ward stay. Conclusion: Transfusion of blood is associated with long ICU stay time. Mechanism of this increased time is depression of immune system and increased rate of infection. Volume of bleeding from chest tube in 24 hours is associated with long hospital stay, because chest tube dose not pull out until drainage volume reduced to 50 ml in 24 h.https://jthc.tums.ac.ir/index.php/jthc/article/view/29Ward stayICU stayCoronary artery risk factorsOpen heart surgery |
| spellingShingle | Fereydoun Sabzi Abdolrasoul Moloudi Predictive Factors for ICU and Ward Stay After CABG Journal of Tehran University Heart Center Ward stay ICU stay Coronary artery risk factors Open heart surgery |
| title | Predictive Factors for ICU and Ward Stay After CABG |
| title_full | Predictive Factors for ICU and Ward Stay After CABG |
| title_fullStr | Predictive Factors for ICU and Ward Stay After CABG |
| title_full_unstemmed | Predictive Factors for ICU and Ward Stay After CABG |
| title_short | Predictive Factors for ICU and Ward Stay After CABG |
| title_sort | predictive factors for icu and ward stay after cabg |
| topic | Ward stay ICU stay Coronary artery risk factors Open heart surgery |
| url | https://jthc.tums.ac.ir/index.php/jthc/article/view/29 |
| work_keys_str_mv | AT fereydounsabzi predictivefactorsforicuandwardstayaftercabg AT abdolrasoulmoloudi predictivefactorsforicuandwardstayaftercabg |