Perioperative Predictors and Clinical Outcome in Early and Late ICU Discharge after Off-Pump Coronary Artery Bypass Surgery

  • Seyed Khalil Forouzannia Cardiovascular Research Center, Afshar Hospital, Shahid Sadooghi University of Medical Sciences, Yazd, Iran.
  • Mohammad Hassan Abdollahi Cardiovascular Research Center, Afshar Hospital, Shahid Sadooghi University of Medical Sciences, Yazd, Iran.
  • Seyed Jalil Mirhosseini Cardiovascular Research Center, Afshar Hospital, Shahid Sadooghi University of Medical Sciences, Yazd, Iran.
  • Mehdi Hadadzadeh Cardiovascular Research Center, Afshar Hospital, Shahid Sadooghi University of Medical Sciences, Yazd, Iran.
  • Habibollah Hosseini Cardiovascular Research Center, Afshar Hospital, Shahid Sadooghi University of Medical Sciences, Yazd, Iran.
  • Seyed Hossein Moshtaghion Cardiovascular Research Center, Afshar Hospital, Shahid Sadooghi University of Medical Sciences, Yazd, Iran.
  • Naeimeh Naserzadeh Cardiovascular Research Center, Afshar Hospital, Shahid Sadooghi University of Medical Sciences, Yazd, Iran.
  • Seyed Mohammad Ghoraishian Cardiovascular Research Center, Afshar Hospital, Shahid Sadooghi University of Medical Sciences, Yazd, Iran.
Keywords: Coronary artery bypass, off-pump, Intensive care unit

Abstract

The duration of ICU (intensive care unit) stay in cardiac surgery patients has an important role in the rate of complications and costs. The aim of this study was to determine the role of perioperative risk factors in clinical outcome based on the time of ICU discharge. In this descriptive study, 219 patients undergoing off-pump coronary artery bypass (OPCAB) surgery in Afshar Hospital in Yazd, an Iranian city, were divided into early (≤24 hrs) and late (>24 hrs) ICU discharge groups according to the duration of ICU stay. The preoperative, intraoperative and postoperative risk factors, the complications and the outcome were evaluated. Age, sex, hyperlipidemia, diabetes mellitus, previous myocardial infarction, renal failure, cerebrovascular accident, and level of hematocrit and creatinine were not significantly different between the two groups. Patients with hemodynamic instability, respiratory dysfunction, ejection fraction24 hrs) compared to others (P value

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How to Cite
1.
Forouzannia SK, Abdollahi MH, Mirhosseini SJ, Hadadzadeh M, Hosseini H, Moshtaghion SH, Naserzadeh N, Ghoraishian SM. Perioperative Predictors and Clinical Outcome in Early and Late ICU Discharge after Off-Pump Coronary Artery Bypass Surgery. Acta Med Iran. 49(5):307-309.
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