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A significant number of elderly patients experience a complication after cardiac surgery. This study aims to determine if postoperative remote monitoring of vital signs can be used to identify medicatie risk factors for vital sign deterioration in older cardiac surgery patients.
Cardiac surgery in elderly patients aims to improve functional capacity and overall survival but may also precipitate major morbidity and mortality. Despite major improvements in the safety of anesthesia and surgery a significant number of elderly patients experience a complication after cardiac surgery.
To determine if postoperative remote monitoring of vital signs can be used to identify medication risk factors for vital sign deterioration in older cardiac surgery patients..
The study population includes 100 patients ≥70 years undergoing elective cardiac surgery.
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| Measure | Description | Time Frame |
|---|---|---|
| Hypoxemia | Duration of sPO2 <80%, <85%, <90% and <95% in minutes per hour | Three consecutive days after ICU discharge |
| Respiratory deterioration | Duration of respiratory rate <10 min-1, >20 min-1, >25 min-1, >30 min-1 in minutes per hour | Three consecutive days after ICU discharge |
| Arrythmia | Duration of pulse rate <50 min-1, >100 min-1, >110 min-1, >120 min-1 in minutes per hour | Three consecutive days after ICU discharge |
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Inclusion Criteria:
Exclusion Criteria:
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The study population includes 100 patients ≥70 years undergoing elective cardiac surgery.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St Antonius hospital | Nieuwegein | Utrecht | 3435 CM | Netherlands |
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| ID | Term |
|---|---|
| D000860 | Hypoxia |
| D012131 | Respiratory Insufficiency |
| D001145 | Arrhythmias, Cardiac |
| ID | Term |
|---|---|
| D012818 | Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012120 | Respiration Disorders |
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| D012140 | Respiratory Tract Diseases |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |