Abstract
Background : Factors indicated length of intensive care unit and hospital might be useful for improving ICU management. Objective : To identify factors that influence ICU and hospital stays after open heart surgery with cardiopulmonary bypass at King Chulalongkorn Memorial Hospital. Design : Retrospective descriptive study. Methods : Adult patients who underwent elective open heart surgery with cardiopulmonary bypass in 2009 were recruited population. Medical records were reviewed in terms of pre-operative conditions (patient characteristics, underlying diseases and laboratory data) and intraoperative events (type of operation, anesthetic technique, cardiopulmonary bypass time and aortic cross-clamp time). Multiple regressions were analyzed for identifying possible influenced factors. Results : In total of 217 patients, the mean lengths of ICU and hospital stays were 3.94 ± 7.93 days and 20.06 ± 17.52 days respectively. The significant factors influenced the length of ICU stay were age > 70 years and pre-operative WBC count > 10,000 cells/cm3. The length of hospital stay was found to be influenced only by pre-operative WBC counts > 10,000 cells/cm3. Discussion : The factor that significantly influenced to the lengths of ICU and hospital stays was the preoperative WBC level > 10,000 cell/mm3, in which these findings might imply significance of SIRS. Another significant factor that was age > 70 years (more than 30% of patients) should be noticed in order to plan for future ICU management. Conclusion : Two significant factors influenced ICU and hospital stays were preoperative WBC level > 10,000 cell/mm3 and patient age > 70 years.
DOI
10.58837/CHULA.CMJ.56.1.2
First Page
7
Last Page
16
Recommended Citation
Thaweechaiyapak, P; Pulsawat, P; and Sindhvananda, W.
(2012)
"Preliminary study of factors that influence the length of stays in intensive care unit and hospital after open heart surgery with cardiopulmonary bypass at King Chulalongkorn Memorial Hospital,"
Chulalongkorn Medical Journal: Vol. 56:
Iss.
1, Article 2.
DOI: https://doi.org/10.58837/CHULA.CMJ.56.1.2
Available at:
https://digital.car.chula.ac.th/clmjournal/vol56/iss1/2