|
Definition of Post Operative Events |
|
| Outcome |
Definition |
|
|
|
| Mortality |
Autopsy result. |
| Arrythmias |
Episodes requiring administration of iv anti arrythmics or electric choc. Atrio-ventricular conduction disturbances defined as requiring temporary or definitive pace maker. |
| Reoperation |
Reoperation or recatheterisation for myocardial ischemia. |
| Myocardial Infarction |
New Q wave or increase in CK-MB > 5xULN.or troponin T > or = 1 ng/ml. |
| CK-MB and troponin T |
Mean values at 6, 12 and 24 hours post operatively. |
| Cardiac Faillure |
Cardiac resuscitation manoeuvres or intra aortic balloon pump. Level of inotropic support. |
| Neurologic Events |
Coma (Glasgow score), stroke (focal neurologic deficit > 24 hours), transient ischemic attack (focal neurologic deficit < 24 hours), delirium. |
| Respiratory Complications |
ARDS, ventilation > 24 hours, pneumonia, thoracic effusion or pneumothorax requiring drainage and PaO2 at discharge from ICU. |
| Renal Complications |
Renal dialysis, ultra filtration, need for continuous iv diuretics, serum creatinin increase between base line and ICU discharge. |
| Bleeding Complications |
Reoperation for bleeding, blood products administration, total blood drainage. |
| Infectious Complications |
Sternal infection (deep and superficial); septicaemia. |
| Gastro Intestinal Complications |
Cholecystitis, Pancreatitis, Mesenteric Ischaemia, GI perforation, GI bleeding, Intestinal Occlusion. |
| Ressource utilisation |
Readmision to ICU; ICU and hospital length of stay. |
Uva et al. Trials 2008 9:44 doi:10.1186/1745-6215-9-44 |
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