Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/343511
Type: Artigo
Title: Predictive factors of long-term stay in the ICU after cardiac surgery: logistic CASUS score, serum bilirubin dosage and extracorporeal circulation time
Author: Pimentel, Marcio Fernandes
Soares, Marcelo José Ferreira
Murad Junior, Jamil Alli
Oliveira, Marcos Aurelio Barboza de
Faria, Fernanda Luiza
Faveri, Vinicius Zani
Iano, Yuzo
Guido, Rodrigo Capobianco
Abstract: To test the capacity of the Logistic CASUS Score on the second postoperative day, the total serum bilirubin dosage on the second postoperative day and the extracorporeal circulation time, as possible predictive factors of long-term stay in Intensive Care Unit after cardiac surgery. Eight-two patients submitted to cardiac surgery with extracorporeal circulation were selected. The Logistic CASUS Score on the second postoperative day was calculated and bilirubin dosage on the second postoperative day was measured. The extracorporeal circulation time was also registered. Patients were divided into two groups: Group A, those who were discharged up to the second day of postoperative care; Group B, those who were discharged after the second day of postoperative care. Results: In this study, 40 cases were listed in Group A and 42 cases in Group B. The mean extracorporeal circulation time was 83.9±29.4 min in Group A and 95.8±29.31 min in Group B. Extracorporeal circulation time was not significant in this study (P=0.0735). The level of P significance of bilirubin dosage on the second postoperative day was 0.0003 and an area under the ROC curve of 0.708 with a cut-off point at 0.51 mg/dl was registered. The level of P significance of Logistic CASUS Score on the second postoperative day was 0.0001 and an area under the ROC curve of 0.723 with a cut-off point at 0.40% was registered. The Logistic CASUS Score on the second postoperative day has shown to be better than the bilirubin dosage on the second postoperative day as a predictive tool for calculating the length of stay in intensive care unit during the postoperative care period of patients. Notwithstanding, extracorporeal circulation time has failed to prove itself as an efficient tool to predict an extended length of stay in intensive care unit.
Subject: Unidades de terapia intensiva
Country: Brasil
Editor: Sociedade Brasileira de Cirurgia Cardiovascular
Rights: Aberto
Identifier DOI: 10.21470/1678-9741-2016-0072
Address: https://www.scielo.br/scielo.php?pid=S0102-76382017000500367&script=sci_abstract
Date Issue: 2017
Appears in Collections:FEEC - Artigos e Outros Documentos

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