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Yasushi Sato
Yasuo Morishita
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Asian Cardiovasc Thorac Ann 2004;12:250-253
© 2004 Asia Publishing EXchange Ltd

ORIGINAL CONTRIBUTION

What Influences the Results in Critical Patients After Cardiovascular Surgery?

Susumu Ishikawa, MD, Tetsuya Koyano, MD, Toru Takahashi, MD, Yasushi Sato, MD, Yutaka Hasegawa, MD, Satoshi Ohki, MD, Kiyohiro Oshima, MD, Shigeru Oki, MD, Fumio Kunimoto, MD1, Yasuo Morishita, MD

Second Department of Surgery
1 Intensive Care Unit, Gunma University Hospital, Maebashi, Japan

For reprint information contact: Susumu Ishikawa, MD Tel: 81 27 220 8245 Fax: 81 27 220 8255 Email: skyishikawa{at}cronos.ocn.ne.jp Second Department of Surgery, Gunma University Faculty of Medicine, 1905–3 Showa-machi, Maebashi, Gunma 371–8511, Japan.

The predictive factors of surgical outcome were evaluated in compromised patients following cardiovascular surgery. Of 608 patients undergoing cardiovascular surgery between 1991 and 1999, 55 stayed in the intensive care unit for 2 weeks or longer. The mean age of these 55 patients was 56 years. There were 35 survivors and 20 nonsurvivors. Postoperative respiratory failure and gastrointestinal complications were significantly more frequent in those who died. The survival rate was significantly higher in patients who had enteral feeding compared to those who did not (88% versus 43%). Serum cholinesterase and total cholesterol concentrations were higher in the survivors. It was concluded that postoperative respiratory and gastrointestinal conditions influenced the surgical outcome, and serum cholinesterase and total cholesterol concentrations were valuable predictors of survival.






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