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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cardiac surgery patients | Patients undergoing cardiac surgery at Charité Campus Mitte |
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| Measure | Description | Time Frame |
|---|---|---|
| Blood pressure in range | 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. | Intensive Care stay, an average of 10 days |
| Blood pressure over range | Percentage of RR measurements of each patient above the target range in relation to the total of all measurements taken by that patient. | Intensive Care stay, an average of 10 days |
| Blood pressure below range | Percentage of RR measurements taken by each patient below the target range in relation to the total number of measurements taken by that patient. | Intensive Care stay, an average of 10 days |
| Measure | Description | Time Frame |
|---|---|---|
| Hospital stay | Length of hospital stay | an average of 13 days |
| ICU stay | Intensive care unit length of stay | an average of 5 days |
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Inclusion Criteria:
Exclusion Criteria:
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All adult male and female patients who have undergone cardiac surgery in the period 01/06-12/13 at Campus Mitte in the Charité, approx. 7000 patients.
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| Name | Affiliation | Role |
|---|---|---|
| Felix Balzer, MD; PhD | Charite University, Berlin, Germany | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Charité Universitätsmedizin Berlin | Berlin | 10115 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20577643 | Background | Carl M, Alms A, Braun J, Dongas A, Erb J, Goetz A, Goepfert M, Gogarten W, Grosse J, Heller AR, Heringlake M, Kastrup M, Kroener A, Loer SA, Marggraf G, Markewitz A, Reuter D, Schmitt DV, Schirmer U, Wiesenack C, Zwissler B, Spies C. S3 guidelines for intensive care in cardiac surgery patients: hemodynamic monitoring and cardiocirculary system. Ger Med Sci. 2010 Jun 15;8:Doc12. doi: 10.3205/000101. | |
| 20571360 |
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| ID | Term |
|---|---|
| D010996 | Pleural Effusion |
| ID | Term |
|---|---|
| D010995 | Pleural Diseases |
| D012140 | Respiratory Tract Diseases |
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| ICU readmission | Amount of hospital readmissions | an average of 30 days |
| Renal insufficiency - 1 | Incidence of renal insufficiency | intensive care unit stay, an average of 5 days |
| Renal insufficiency - 2 | dialysis duration | intensive care unit stay, an average of 5 days |
| Renal insufficiency - 3 | Urine production | intensive care unit stay, an average of 5 days |
| Stroke | incidence of strokes | hospital length of stay, an average of 13 days |
| Drainage loss | Amount of postoperative drainage loss | intensive care unit stay, an average of 5 days |
| transfusions | number of transfusions needed | hospital length of stay, an average of 13 days |
| mortality rate-1 | mortality rate after 90 days | 90 days |
| mortality rate-2 | mortality rate after 180 days | 180 days |
| Pulse Contour Cardiac Output | data received from Pulse Contour Cardiac Output analyses | intensive care unit stay, an average of 5 days |
| mortality rate-3 | mortality rate after 5 years | 5 years |
| mortality rate-4 | mortality rate after 1 year | 1 year |
| Central venous pressure | central venous pressure on intensive care unit | intensive care unit stay, an average of 5 days |
| Pleural effusion | In-hospital incidence of pleural effusions postoperatively | hospital length of stay, an average of 13 days |
| Case cost | Case cost in Euro | hospital length of stay, an average of 13 days |
| Background |
| Aronson S, Stafford-Smith M, Phillips-Bute B, Shaw A, Gaca J, Newman M; Cardiothoracic Anesthesiology Research Endeavors. Intraoperative systolic blood pressure variability predicts 30-day mortality in aortocoronary bypass surgery patients. Anesthesiology. 2010 Aug;113(2):305-12. doi: 10.1097/ALN.0b013e3181e07ee9. |
| 21346163 | Background | Aronson S, Dyke CM, Levy JH, Cheung AT, Lumb PD, Avery EG, Hu MY, Newman MF. Does perioperative systolic blood pressure variability predict mortality after cardiac surgery? An exploratory analysis of the ECLIPSE trials. Anesth Analg. 2011 Jul;113(1):19-30. doi: 10.1213/ANE.0b013e31820f9231. Epub 2011 Feb 23. |