Predictors, prognosis and costs of prolonged intensive care unit stay after surgery for type A aortic dissection

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F24%3A43927334" target="_blank" >RIV/00064173:_____/24:43927334 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11120/24:43927334

Result on the web

<a href="https://doi.org/10.23736/S0375-9393.24.18210-7" target="_blank" >https://doi.org/10.23736/S0375-9393.24.18210-7</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.23736/S0375-9393.24.18210-7" target="_blank" >10.23736/S0375-9393.24.18210-7</a>

Result language

angličtina

Original language name

Predictors, prognosis and costs of prolonged intensive care unit stay after surgery for type A aortic dissection

Original language description

BACKGROUND: The outcomes after prolonged treatment in the intensive care unit (ICU) after surgery for Stanford type A aortic dissection (TAAD) have not been previously investigated. METHODS: This analysis included 3538 patients from a multicenter study who underwent surgery for acute TAAD and were admitted to the cardiac surgical ICU. RESULTS: The mean length of stay in the cardiac surgical ICU was 9.9+-9.5 days. The mean overall costs of treatment in the cardiac surgical ICU 24086+-32084 EUR. In-hospital mortality was 14.8% and 5-year mortality was 30.5%. Adjusted analyses showed that prolonged ICU stay was associated with significantly lower risk of in-hospital mortality (adjusted OR 0.971, 95%CI 0.959-0.982), and of five-year mortality (adjusted OR 0.970, 95%CI 0.962-0.977), respectively. Propensity score matching analysis yielded 870 pairs of patients with short ICU stay (2-5 days) and long ICU stay (&gt;5 days) with balanced baseline, operative and postoperative variables. Patients with prolonged ICU stay (&gt;5 days) had significantly lower in-hospital mortality (8.9% vs. 17.4%, &lt;0.001) and 5-year mortality (28.2% vs. 30.7%, P=0.007) compared to patients with short ICU-stay (2-5 days). CONCLUSIONS: Prolonged ICU stay was common after surgery for acute TAAD. However, when adjusted for multiple baseline and operative variables as well as adverse postoperative events and the cluster effect of hospitals, it was associated with favorable survival up to 5 years after surgery.

Czech name

—

Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30201 - Cardiac and Cardiovascular systems

Project

—

Continuities

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Publication year

2024

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Minerva Anestesiologica

ISSN

0375-9393

e-ISSN

1827-1596

Volume of the periodical

90

Issue of the periodical within the volume

7-8

Country of publishing house

IT - ITALY

Number of pages

8

Pages from-to

654-661

UT code for WoS article

001319898700012

EID of the result in the Scopus database

2-s2.0-85199127468