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Impact of respiratory infection in the results of cardiac surgery in a tertiary hospital in Brazil.

Andrade IN, Araújo DT, Moraes Neto FR - Rev Bras Cir Cardiovasc (2015 Jul-Sep)

Bottom Line: The outcome variables assessed were mortality, length of hospital stay and length of stay in intensive care unit.The means of quantitative variables were compared using the Wilcoxon and student t-test.The presence of respiratory tract infection was associated with the development of other complications such as renal failure dialysis and stroke P<0.00001 and P=0.002 respectively.

View Article: PubMed Central - PubMed

Affiliation: Universidade Federal de Pernambuco, Recife, PE, BR.

ABSTRACT

Objective: To assess the impact of respiratory tract infection in the postoperative period of cardiac surgery in relation to mortality and to identify patients at higher risk of developing this complication.

Methods: Cross-sectional observational study conducted at the Recovery of Cardiothoracic Surgery, using information from a database consisting of a total of 900 patients operated on in this hospital during the period from 01/07/2008 to 1/07/2009. We included patients whose medical records contained all the information required and undergoing elective surgery, totaling 109 patients with two excluded. Patients were divided into two groups, WITH and WITHOUT respiratory tract infection, as the development or respiratory tract infection in hospital, with patients in the group without respiratory tract infection, the result of randomization, using for the pairing of the groups the type of surgery performed. The outcome variables assessed were mortality, length of hospital stay and length of stay in intensive care unit. The means of quantitative variables were compared using the Wilcoxon and student t-test.

Results: The groups were similar (average age P=0.17; sex P=0.94; surgery performed P=0.85-1.00) Mortality in the WITH respiratory tract infection group was significantly higher (P<0.0001). The times of hospitalization and intensive care unit were significantly higher in respiratory tract infection (P<0.0001). The presence of respiratory tract infection was associated with the development of other complications such as renal failure dialysis and stroke P<0.00001 and P=0.002 respectively.

Conclusion: The development of respiratory tract infection postoperative cardiac surgery is related to higher mortality, longer periods of hospitalization and intensive care unit stay.

No MeSH data available.


Related in: MedlinePlus

Hospitalar stay in the two groups.
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f01: Hospitalar stay in the two groups.

Mentions: The length of hospital stays and ICU length stay was significantly higher in the groupWITH RTI compared to the control group (P<0.0001 andP=0.002 respectively), as Figures1 and 2 show.


Impact of respiratory infection in the results of cardiac surgery in a tertiary hospital in Brazil.

Andrade IN, Araújo DT, Moraes Neto FR - Rev Bras Cir Cardiovasc (2015 Jul-Sep)

Hospitalar stay in the two groups.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4541783&req=5

f01: Hospitalar stay in the two groups.
Mentions: The length of hospital stays and ICU length stay was significantly higher in the groupWITH RTI compared to the control group (P<0.0001 andP=0.002 respectively), as Figures1 and 2 show.

Bottom Line: The outcome variables assessed were mortality, length of hospital stay and length of stay in intensive care unit.The means of quantitative variables were compared using the Wilcoxon and student t-test.The presence of respiratory tract infection was associated with the development of other complications such as renal failure dialysis and stroke P<0.00001 and P=0.002 respectively.

View Article: PubMed Central - PubMed

Affiliation: Universidade Federal de Pernambuco, Recife, PE, BR.

ABSTRACT

Objective: To assess the impact of respiratory tract infection in the postoperative period of cardiac surgery in relation to mortality and to identify patients at higher risk of developing this complication.

Methods: Cross-sectional observational study conducted at the Recovery of Cardiothoracic Surgery, using information from a database consisting of a total of 900 patients operated on in this hospital during the period from 01/07/2008 to 1/07/2009. We included patients whose medical records contained all the information required and undergoing elective surgery, totaling 109 patients with two excluded. Patients were divided into two groups, WITH and WITHOUT respiratory tract infection, as the development or respiratory tract infection in hospital, with patients in the group without respiratory tract infection, the result of randomization, using for the pairing of the groups the type of surgery performed. The outcome variables assessed were mortality, length of hospital stay and length of stay in intensive care unit. The means of quantitative variables were compared using the Wilcoxon and student t-test.

Results: The groups were similar (average age P=0.17; sex P=0.94; surgery performed P=0.85-1.00) Mortality in the WITH respiratory tract infection group was significantly higher (P<0.0001). The times of hospitalization and intensive care unit were significantly higher in respiratory tract infection (P<0.0001). The presence of respiratory tract infection was associated with the development of other complications such as renal failure dialysis and stroke P<0.00001 and P=0.002 respectively.

Conclusion: The development of respiratory tract infection postoperative cardiac surgery is related to higher mortality, longer periods of hospitalization and intensive care unit stay.

No MeSH data available.


Related in: MedlinePlus