Blood Pressure, Pleural Effusion
Conditions
Brief summary
The objective of the explorative registry study is to investigate outcome parameters in the routine treatment of patients who are monitored after heart surgery for either short or long-term treatment in the intensive care unit for close monitoring of blood pressure.
Detailed description
The close monitoring of patients after cardiac surgery is regarded as standard. However, little is currently known about the influence on patient-related outcome parameters. Recently it has already been shown that intraoperative variability of blood pressure during heart surgery has a postoperative effect on 30-day mortality. The aim of this retrospective study is to investigate the effects of different hemodynamic measurements and management after cardiac surgery on patient-specific outcome parameters.
Interventions
None listed
Sponsors
Charite University, Berlin, Germany
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
1. In-patients of the Charité Universitätsmedizin Berlin 2. at least 18 years old 3. female or male sex 4. cardiosurgical intervention (OPS 5.35 and 5.36) between 01/06 and 12/13. 5. post-operative monitoring of anesthesiological intensive care unit
Exclusion criteria
1. previous cardiosurgical interventions during the same hospital stay. 2. incomplete documentation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Blood pressure in range | Intensive Care stay, an average of 10 days | Percentage of RR (Blood Pressure) measurements taken by each patient in the target range as a percentage of the total number of measurements taken by that patient. |
| Blood pressure over range | Intensive Care stay, an average of 10 days | Percentage of RR measurements of each patient above the target range in relation to the total of all measurements taken by that patient. |
| Blood pressure below range | Intensive Care stay, an average of 10 days | Percentage of RR measurements taken by each patient below the target range in relation to the total number of measurements taken by that patient. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ICU readmission | an average of 30 days | Amount of hospital readmissions |
| Renal insufficiency - 1 | intensive care unit stay, an average of 5 days | Incidence of renal insufficiency |
| Renal insufficiency - 2 | intensive care unit stay, an average of 5 days | dialysis duration |
| Renal insufficiency - 3 | intensive care unit stay, an average of 5 days | Urine production |
| Stroke | hospital length of stay, an average of 13 days | incidence of strokes |
| Drainage loss | intensive care unit stay, an average of 5 days | Amount of postoperative drainage loss |
| transfusions | hospital length of stay, an average of 13 days | number of transfusions needed |
| Case cost | hospital length of stay, an average of 13 days | Case cost in Euro |
| mortality rate-2 | 180 days | mortality rate after 180 days |
| Pulse Contour Cardiac Output | intensive care unit stay, an average of 5 days | data received from Pulse Contour Cardiac Output analyses |
| mortality rate-3 | 5 years | mortality rate after 5 years |
| mortality rate-4 | 1 year | mortality rate after 1 year |
| Central venous pressure | intensive care unit stay, an average of 5 days | central venous pressure on intensive care unit |
| Pleural effusion | hospital length of stay, an average of 13 days | In-hospital incidence of pleural effusions postoperatively |
| mortality rate-1 | 90 days | mortality rate after 90 days |
| Hospital stay | an average of 13 days | Length of hospital stay |
| ICU stay | an average of 5 days | Intensive care unit length of stay |
Countries
Germany
Outcome results
None listed