2003, Number 1
<< Back Next >>
Med Crit 2003; 17 (1)
Left ventricular ejection fraction: morbidity, mortality and use of resources in a cardiac intensive care unit
Sánchez VLD,Reyes SME, Carrillo RJA, Rincón SJJ, Medina VJC, Venegas AV, Moreno NM, Castro SL, Carpinteiro CA
Language: Spanish
References: 17
Page: 24-28
PDF size: 67.64 Kb.
ABSTRACT
Objective: Determine if ejection fraction (FE) has correlation with the morbidity and the use of resources in cardiac surgery.
Design: Cohort study.
Setting: Cardiac surgery ICU of a General Hospital, Mexico City.
Patients: Four hundred-seventeen patients (mean age 54.6 ± 13.7 yrs) admitted to the ICU after cardiac surgery during one year.
Interventions: None.
Measurements and main results: Demographic, status discharge, EF, morbidity and use of resources were evaluated. Statistical analysis was performed with ANOVA of two ways and χ2. An excellent correlation between EF and mortality, reoperations, acute renal failure, multiorganic dysfunction, cardiorrespiratory arrest, and the use of Swanz-Ganz catheter, intra-aortic ballon counterpulsation, mechanical ventilation, dialysis and blood products was observed.
Conclusion: EF is an useful isolated prognosis marker of morbidity, mortality and use of resources in cardiac surgery.
REFERENCES
Dirección General de Estadística e Informática de la Secretaría de Salud. Principales resultados de la estadística sobre mortalidad en México, 1999. Salud Pública de México 2001;43:67-73.
Baker DW, Jones R, Hodges J et al. Management of heart failure: The role of revascularization in the treatment of patients with moderate or severe left ventricular systolic dysfunction. JAMA 1994;272:1528-34.
Parsonnet V, Dean D, Bernstein A. A method of uniform stratification of risk for evaluating the results of surgery in acquired adult heart disease. Circulation 1989;79(Suppl I): I3-I12.
Hannan EL, Kilburn H, O’Donnell JF et al. Adult open heart surgery in New York State. An analysis of risk factors and hospital mortality rates. JAMA 1990;264:2768-74.
O’Connor GT, Plume SK, Olmstead EM et al. A regional prospective study of in-hospital mortality associated with coronary artery bypass grafting. JAMA 1991;266:803-9.
O’Connor GT, Plume SK, Olmstead EM, et al. Multivariate prediction of in-hospital mortality associated with coronary artery bypass graft surgery. Circulation 1992;85: 2110-8.
Tu JV, Jaglal SB, Naylor CD. Multicenter validation of a risk index for mortality, intensive care unit stay, and overall hospital length of stay after cardiac surgery. 1995;91:677-84.
Magovern, JA, Sakert T, Magovern GJ et al. A model that predicts morbidity and mortality after coronary artery bypass graft surgery. J Am Coll Cardiol 1996;28:1147-53.
Fortescue EB, Kahn K, Bates DW. Development and validation of a clinical prediction rule for major adverse outcomes in coronary bypass grafting. Am J Cardiol 2001;88: 1251-8.
Tuman KJ, McCarthy RJ, March RJ, et al. Morbidity and duration of ICU stay after cardiac surgery. A model for preoperative risk assessment. Chest 1992;102:36-44.
Higgins TL, Fawzy GE, Floyd DL et al. Stratification of morbidity and mortality outcome by preoperative risk factors in coronary artery bypass patients. JAMA 1992;267: 2344-8.
Charlson ME, Pompei P, Ales KL et al. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. J Chron Dis 1987;40:373-83.
Knaus WA, Draper EA, Wagner DP et al. APACHE II: A severity of disease classification. Crit Care Med 1985;13: 818-29.
Garner JS, Jarvis WR, Emori TG et al. CDC definitions for nosocomial infections, 1988. Am J Infect Control 1988, 16:128-140.
Bernard GR, Doig G, Hudson LD et al. Quantification of organ failure for clinical trials and clinical practice. Am J Respir Crit Care Med 1995;151:A323.
Bernard GR, Artigas A, Brigham KL et al. The American-European Consensus Conference on ARDS: Definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med 1994;149:818-24.
Miranda RD, Moreno R, Iapichino G. Nine equivalents of nursing manpower use score (NEMS). Intensive Care Med 1997;23:760-5.