G47.3
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Consecutive patients undergoing elective coronary artery bypass graft surgery.
Exclusion criteria
Exclusion criteria: •Global respiratory failure •Heart failure (NYHA III-IV) •Acute myocardial infarction •Immune suppression for any reason (for example AIDS,leukaemia, chemotherapy) •Alcoholic disease •Progressive cancer disease •Renal failure requiring dialysis •Pretreated OSA (CPAP-therapy) •Hepatic failure (Child-Pugh C)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Composite end point of postoperative cardiac (reanimation, cardiogenic shock, myocardial ischemia, implantation of a permanent pacemaker), respiratory (acute respiratory failure, reintubation, tracheostomy, prolonged mechanical ventilation >24 hours), neurological (stroke), surgical (reoperation), renal (acute renal failure requiring dialysis), infectious (sepsis, deep wound infection, pneumonia) complications, occurring within 7 days or death within 30 days after coronary artery bypass graft surgery in relation to preexisting OSA. | — |
Secondary
| Measure | Time frame |
|---|---|
| •Hospital length of stay (days) •Length of postoperative stay on ICU (hours) •ICU transferral (events) •Postoperative cardiac complications and interventions •Postoperative respiratory complications and interventions •Postoperative neurological complications •Postoperative surgical complications and interventions • Postoperative acute renal failure, requiring dialysis • Postoperative infectious complications •Postoperative SIRS, Sepsis and septic shock •Length of postoperative mechanical ventilation •Reanimation •Mortality at discharge from hospital and within 30 days after surgery •Predispositional factors for infectious complications in OSA such as autonomic, endothelial dysfunction, proinflammatory state and hypercoagulability | — |
Countries
Germany
Contacts
Center for Sepsis Control and Care (CSCC), University Hospital Jena