Preoperative and intraoperative risk factors for prolonged mechanical ventilation among cardiac surgery patients

dc.contributor.author	Γιακουμιδάκης, Κωνσταντίνος	el
dc.contributor.author	Ελθένη, Ροκεία	el
dc.contributor.author	Μπροκαλάκη, Ηρώ	el
dc.contributor.author	Γαλάνης, Πέτρος	el
dc.contributor.author	Νενεκίδης, Ιωάννης	el
dc.contributor.author	Φιλντίσης, Γεώργιος Α.	el
dc.date.accessioned	2014-07-15T12:39:35Z
dc.date.available	2014-07-15T12:39:35Z
dc.date.issued	2014-07-15
dc.identifier.uri	http://hdl.handle.net/11400/1319
dc.rights	Αναφορά Δημιουργού-Μη Εμπορική Χρήση-Όχι Παράγωγα Έργα 3.0 Ηνωμένες Πολιτείες	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/us/	*
dc.source	www.hsj.gr	en
dc.subject	Heart--Surgery
dc.subject	Heart--Surgery--Risk factors
dc.subject	Εγχείριση καρδιάς
dc.subject	Παράγοντες κινδύνου
dc.subject	Αερισμός
dc.subject	Ventilation
dc.title	Preoperative and intraoperative risk factors for prolonged mechanical ventilation among cardiac surgery patients	en
heal.type	journalArticle
heal.classification	Surgery--Nursing
heal.classification	Internal medicine
heal.classification	Ιατρική
heal.classification	Χειρουργική
heal.classificationURI	http://id.loc.gov/authorities/subjects/sh2001008966
heal.classificationURI	http://id.loc.gov/authorities/subjects/sh85067347
heal.classificationURI	N/A-Ιατρική
heal.classificationURI	N/A-Χειρουργική
heal.keywordURI	http://id.loc.gov/authorities/subjects/sh85059711
heal.keywordURI	http://id.loc.gov/authorities/subjects/sh91001406
heal.language	en
heal.access	free
heal.recordProvider	Τεχνολογικό Εκπαιδευτικό Ίδρυμα Αθήνας.Σχολή Επαγγελμάτων Υγείας και Πρόνοιας. Τμήμα Νοσηλευτικής	el
heal.publicationDate	2011-12
heal.bibliographicCitation	Giakoumidakis, K., Eltheni, R., Brokalaki, H., Galanis, P., Nenekidis, I., Fildissis, G.. (2011). Preoperative and intraoperative risk factors for prolonged mechanical ventilation among cardiac surgery patients. Health Science Journal". 5 (4), 297-305.	en
heal.abstract	Background: The prolonged mechanical ventilation among cardiac surgery patients has been correlated with negative clinical outcome and increased healthcare resources utilization. The aim of this study was to identify the risk preoperative and intraoperative factors for increased ventilation among cardiac operated patients. Method and Material: An observational cohort study was carried out during a three-month period (from October 2010 to December 2010) among 48 consecutive patients who were admitted to the cardiac surgery intensive care unit of a general, tertiary hospital of Athens-Greece. A short questionnaire on basic socio-demographic characteristics and clinical patient data was attended. All patients had the same anesthetic and postoperative management. Statistical analysis was performed with SPSS version 16.0, using bivariate and multivariate linear regression. The p-value of ≤ 0.05 was considered as statistically significant. Results: The mean patient age was 64.7 (±13.7) years old, while the mean duration of intubation was 939 (±545) minutes. 67% of the sample was male. Multivariate linear regression analysis revealed that the older age [β coefficient 13.5, 95% confidence interval (CI) 2.7-24.2, p=0.015] and the increased duration of surgery (β coefficient 1.5, 95% CI 0.01-3.1, p=0.05) were the main risk factors for prolonged mechanical patient ventilation. Conclusions: The increased age and the prolonged duration of the surgery seem to be strongly associated with delayed tracheal extubation contributing to the early prediction of high risk patients for prolonged ventilation, a fact that could contribute to more effective allocation of the limited healthcare resources and better planning of the operative list.	en
heal.publisher	Μαρβάκη, Χριστίνα	el
heal.journalName	Health Science Journal	en
heal.journalType	peer-reviewed
heal.fullTextAvailability	true
heal.dateCreated	2011-10