Pleura; Effusion
Conditions
Brief summary
Pleural effusions occur commonly in patients recovering from cardiac surgery, however, the impact on outcomes is not well characterized. The purpose of this study is to characterize the outcomes of cardiac surgery patients with pleural effusions. All patients undergoing cardiac surgery between 2006 and 2019 were included in this observational, cross-sectional analysis using propensity matching.
Detailed description
Pleural effusions are common in patients recovering from cardiac surgery. Symptomatic patients with pleural effusions complain of shortness of breath, cough, chest pain and are more hypoxic and tachypneic. Clinically significant effusions can slow recovery in the hospital and beyond, and are a critical source of hospital readmissions after discharge. It is not well characterized how this impacts hospital outcomes. Further it is unknown if the effusions themselves are associated with impaired outcomes, or if pleural effusions simply arise in more complicated, older patients, thus suggesting the impaired outcomes are the result of coexisting morbidities. To better understand the impact of this complication and to address the question mentioned before, this study was carried out to determine the clinical and economic outcomes of pleural effusions in propensity-matched patients during early recovery from cardiac surgery. To compare patient groups with and without pleural effusion, the following baseline characteristics were used: e.g. age, sex, body-mass-index, priority of surgery, type of surgery, duration of surgery, APACHE II Score of patients on admission in the ICU.
Interventions
None listed
Sponsors
Charite University, Berlin, Germany
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* In-patients of the Charité Universitätsmedizin Berlin * at least 18 years old * female or male sex * cardiosurgical intervention (OPS 5.35 and 5.36) between 01/06 and 12/19 * post-operative monitoring in the intensive care unit
Exclusion criteria
* previous cardiosurgical interventions during the same hospital stay * incomplete documentation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| mortality | an average of 30 days | In-Hospital mortality |
| hospital stay | an average of 30 days | Length of hospital stay |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| renal replacement | an average of 30 days | incidence of renal replacement therapy |
| Need of drainage | an average of 30 days | Incidence of drainage in patients with pleural effusions |
| ICU stay | an average of 15 days | Length of Intensive Care Unit (ICU) stay |
| transfusions | an average of 30 days | number of transfusions needed |
| extubation | an average of 15 hours | time to extubation |
Countries
Germany
Outcome results
None listed