Cardiac Anaesthesia
Conditions
Keywords
Cardiac Diseases, Biosignal data, Cardiac Surgical Procedures, Cardiovascular Surgical Procedures, Heart Valve Prosthesis Implantation
Brief summary
The purpose of this study is to establish a registry database for patients undergoing anesthesia for cardiovascular surgery or procedures in our operating or hybrid room. The following information will be collected: 1. Preoperative patient assessment 2. All monitored perioperative biosignal data 3. Intraoperative and immediate postoperative hemodynamic information, input/output balance, and medication usage 4. Short- and long-term prognosis from electronic medical records This database will be used to develop a vigilant monitoring system that integrates multiple biosignal data simultaneously, contributing to the improvement of anesthesia care.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Adults age 19 and older 2. Patients scheduled for anesthesia at a cardiovascular hospital for cardiovascular surgery or procedures
Exclusion criteria
1\) Emergency (surgery/procedure room transfer within 1 hour of visit) where there is insufficient time for the subject (adult 19 years of age or older) or his/her representative (adult incapable of consent) to decide whether to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| all cause mortality | one year after surgery | All-cause mortality within one year after surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Acute kidney injury | within 7days after surgery | The definition of AKI refers to the Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group's KDIGO Clinical Practice Guideline for Acute Kidney Injury. |
| surgical re-exploration | within 30 days (±3 days) after surgery | require a return to the operating room for bleeding with or without tamponade, graft occlusion, valve dysfunction, or other cardiac reason |
| deep sternal wound infection | within 30 days (±3 days) after surgery | infection involving muscle, bone, or mediastinum requiring operative intervention |
| Postprocedural myocardial infarction | within 2days after surgery | Defined by an increase in CK-MB or cardiac troponin (cTn) levels. |
| stroke/cerebrovascular accident | within 30 days (±3 days) after surgery | Confirmed neurological deficit caused by a blood supply disturbance to the brain lasting more than 24 hours |
| Readmission rate | within 30days of the date of discharge from the index cardiac surgery hospitalization | readmission to an acute care hospital within 30 days of discharge from the cardiac surgery hospitalization |
| prolonged mechanical ventilation | within 30 days (±3 days) after surgery | intubation required for more than 24 hours |
Countries
South Korea