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BACKGROUND Hypotension is a frequent complication in the intensive care unit(ICU)after adult cardiac surgery.AIM To describe frequency of hypotension in the ICU following adult cardiac surgery and its relation to the hospital outcomes.METHODS A retrospective study of post-cardiac adult surgical patients at a tertiary academic medical center in a two-year period.We abstracted baseline demographics,comorbidities,and all pertinent clinical variables.The primary predictor variable was the development of hypotension within the first 30 min upon arrival to the ICU from the operating room(OR).The primary outcome was hospital mortality,and other outcomes included duration of mechanical ventilation(MV)in hours,and ICU and hospital length of stay in days.RESULTS Of 417 patients,more than half(54%)experienced hypotension within 30 min upon arrival to the ICU.Presence of OR hypotension immediately prior to ICU transfer was significantly associated with ICU hypotension(odds ratio=1.9;95%confidence interval:1.21-2.98;P<0.006).ICU hypotensive patients had longer MV,5(interquartile ranges 3,15)vs 4 h(interquartile ranges 3,6),P=0.012.The patients who received vasopressor boluses(n=212)were more likely to experience ICU drop-off hypotension(odds ratio=1.45,95%confidence interval:0.98-2.13;P=0.062),and they experienced longer MV,ICU and hospital length of stay(P<0.001,for all).CONCLUSION Hypotension upon anesthesia-to-ICU drop-off is more frequent than previously reported and may be associated with adverse clinical outcomes.
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篇名 Hypotension after intensive care unit drop-off in adult cardiac surgery patients
来源期刊 世界重症医学杂志 学科 医学
关键词 HYPOTENSION Cardiac surgery Intensive care Postoperative care Care transfer Drop-off
年,卷(期) 2020,(2) 所属期刊栏目
研究方向 页码范围 20-30
页数 11页 分类号 R47
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HYPOTENSION
Cardiac
surgery
Intensive
care
Postoperative
care
Care
transfer
Drop-off
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研究分支
研究去脉
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期刊影响力
世界重症医学杂志
不定期
2220-3141
北京市朝阳区东四环中路62号楼远洋国际中
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