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Abstract:
PURPOSE:Postoperative intensive care unit (ICU) stay after cardiac surgeries has been extensively studied, but little attention has been given to ICU stay following transcatheter aortic valve replacement (TAVR). This study examined ICU stay after TAVR. METHODS:Two hundred and forty-five patients who underwent TAVR between April 2010 and October 2016 were studied retrospectively. We investigated the status of ICU stay, the predictors of prolonged ICU stay (PICUS), and its impact on short- and long-term outcomes. Prolonged ICU stay was defined as post-TAVR ICU stay longer than 2 days (day of TAVR + 1 day). RESULTS:Length of ICU stay was 2.6 ± 4.9 days, and PICUS was identified in 14.7% of the patients. The predominant reason for PICUS was congestive heart failure or circulatory failure (41.7%). Pulmonary dysfunction and nontransfemoral approach were independent predictors of PICUS (pulmonary dysfunction: odds ratio = 2.64, 95% confidence interval [CI]: 1.05-7.35; nontransfemoral approach: odds ratio = 2.81, 95% CI: 1.15-6.89). Prolonged ICU stay was associated with higher rate of 30-day combined end point (PICUS vs non-PICUS: 44.4% vs 3.3%, P < .0001), longer postoperative hospital stay (49.9 ± 141.9 days vs 12.0 ± 6.0 days, P < .0001), and lower rate of discharge home (77.8% vs 95.2%, P = .0002). Patients with PICUS had worse long-term survival (P < .0001), and PICUS was a predictor of mortality (hazard ratio: 4.21, 95% CI: 2.09-8.22). CONCLUSION:Prolonged ICU stay following TAVR was found in 14.7%, and pulmonary dysfunction and nontransfemoral approach were associated with PICUS. Short- and long-term prognoses were worse in patients with PICUS than those without.
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最新影响因子:2.889 | 期刊ISSN:0885-0666 | CiteScore:2.0 |
出版周期: | 是否OA:YES | 出版年份:0 |
期刊官方网址:http://jic.sagepub.com/
期刊投稿地址:https://us.sagepub.com/en-us/nam/journal-of-intensive-care-medicine/journal201630#submission-guideli
自引率:1.70% | 研究方向:CRITICAL CARE MEDICINE- |
出版地区:UNITED STATES |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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The practice of intensive care medicine crosses many medical specialties and disciplines - anesthesiology, cardiology, endocrinology, gastroenterology, hematology, immunology, infectious disease, neonatology, nephrology, neurology, nursing, pediatrics, pharmacology, psychiatry, pulmonology, radiology, rheumatology, surgery, toxicology, transplantation, and trauma - and presents many complex and difficult challenges. The Journal of Intensive Care Medicine is the only journal that offers all medical and surgical clinicians in adult and pediatric intensive care state-of-the-art, broad-based analytic reviews and updates, original articles, reports of large clinical series, techniques and procedures, topic-specific electronic resources, book reviews, and editorials on all aspects of intensive/ critical/ coronary care. Superbly edited, Journal of Intensive Care Medicine includes authoritative, peer-reviewed reviews of: Disease progression and treatment in intensive care; Common diagnostic and therapeutic procedures and techniques for a variety of organ systems; New and experimental approaches to disease treatment; Patient evaluation and management; End of life issues. The Journal of Intensive Care Medicine also discusses the essential principles, protocols, clinical presentations, guidelines, indications, contraindications, complications, necessary equipment, priorities, ethno-legal issues, changes, and recommendations for ongoing care for every aspect of ICU patient care.
重症监护医学的实践跨越了许多医学专业和学科——麻醉学、心脏病学、内分泌学、消化病学、血液学、免疫学、传染病、新生儿学、肾脏学、神经学、护理学、儿科、药理学、精神病学、肺病、放射学、风湿病、外科、毒理学、移植和创伤——并提出了许多复杂和困难的挑战。重症监护医学杂志》是唯一的杂志,提供所有的医疗和外科医生在成人和儿科重症监护的,广泛的分析评论和更新,原创文章,大型临床系列的报告,技术和程序,特定主题的电子资源,书评,社论的方方面面密集/重要/冠心病监护。编辑精良,《重症监护医学杂志》包括权威的,同行评审的评论:疾病进展和重症监护治疗;各种器官系统的常见诊断和治疗程序和技术;新的和实验性的疾病治疗方法;病人评估及管理;生命终结的问题。《重症监护医学杂志》还讨论了ICU病人护理的基本原则、协议、临床表现、指南、适应症、禁忌症、并发症、必要的设备、优先事项、种族法律问题、变化以及对ICU病人护理各个方面进行持续护理的建议。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
CRITICAL CARE MEDICINE (危重病医学) 4区 |
18/33 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
78 | 48 | 30 |
引文计数(2018)
文献(2015-2017)
405次引用
203篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Critical Care and Intensive Care Medicine
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研究方向:医药科学 急重症医学
审稿时间: 1个月内
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