Vásquez-Revilla HR, Revilla-Rodríguez E, Villanueva-Rustrián F, Terrazas-Luna V

Language: Spanish
References: 13
Page: 148-153
PDF size: 203.01 Kb.

ABSTRACT

Objective: To present the experience of the intensive care unit (ICU) of Hospital Regional de Alta Especialidad de Oaxaca (HRAEO) in the management of patients after cardiothoracic surgery January 1, 2006 to January 31, 2013.
Material and methods: A retrospective, observational, descriptive and analytical work was performed using as source the clinical records of patients. Demographic, clinical, laboratory data, comorbidities and EuroSCORE risk scale were taken.
Results: 229 cases were analyzed, 56.3% were male and 43.7% female, with an average ICU stay of 5.08 (± 4.5) days in men and 3.7 (± 2.8) in women and hospital stay of 14.1 (± 11.4) for men and 10.5 (± 9.9) for women. The most frequently performed procedures were valve replacement (51.9%), coronary revascularization (17.7%), closure of atrial septal defect (14.6%). Thirty five point eight percent had a postoperative complication, being the most frequent cardiogenic shock (16.5%), low output (6.9%) syndrome, major bleeding than usual (6.9), perioperative myocardial infarction (6.4%), septic shock (4.8%) and mediastinitis (2.4%). The ICU mortality was 16.2% in men vs. 18% of women (p = 0.73) and survival at 30 days was 79.8% in men versus 78% in women (p = 0.73). Kaplan-Meyer curve showed an increased mortality in patients at high risk according to the EuroSCORE.
Conclusions: Valvular disease and ischemic heart disease were the main causes of cardiothoracic surgery. Chronic heart failure and chronic renal failure were the most common comorbidities. Postoperative complications were similar to those reported in other studies. No significant differences in gender were observed.

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