Details

Autor(en) / Beteiligte

• Shi-Cheng, ZHOU
• Hong-Guang HAN
• Jin-Song, HAN
• Li-Sheng, XU
• JI, Fang
• Shi-Qi, WANG

Titel

Evaluation of predictive value of lactate and complex model for prolongation of mechanical ventilation after off-pump coronary bypass grafting

Ist Teil von

• Jie fang jun yi xue za zhi, 2022-01, Vol.47 (5), p.471

Ort / Verlag

Beijing: People's Military Medical Press

Erscheinungsjahr

2022

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• Objective　To investigate the predictive value of lactate (Lac) and complex model for the occurrence of prolonging mechanical ventilation (PMV) after off-pump coronary bypass grafting (OPCABG) based on dose-response analysis and decision curve analysis. Methods　A retrospective analysis was conducted on 683 patients who underwent OPCABG from January to December 2019 in the Department of Cardiovascular Surgery of the General Hospital of the Northern Theater Command. These patients were divided into PMV group (n=107) and non-PMV group (n=576) based on whether duration of prolonged mechanical ventilation was longer than 24 h. The arterial blood lactate at 0 h and 6 h after admission to the ICU of cardiovascular surgery, baseline data and other clinical indicators of the patients were recorded. Preoperative, intraoperative and postoperative risk factors affecting PMV time were analyzed by univariate analysis, and a prediction model was established by indicators selected by logistic regression. Restricted cubic spli