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Are there accurate predictors of long-term vital and functional outcomes in cardiac surgical patients requiring prolonged intensive care?
Author(s) -
P Gersbach,
Hendriks Tevaearai,
JeanPierre Revelly,
Pierre Bize,
René Chiolero,
Ludwig Karl von Segesser
Publication year - 2006
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1016/j.ejcts.2005.12.040
Subject(s) - medicine , intensive care unit , intensive care , logistic regression , quality of life (healthcare) , intensive care medicine , multivariate analysis , cardiac surgery , dialysis , psychological intervention , emergency medicine , nursing , psychiatry
The decision to maintain intensive treatment in cardiac surgical patients with poor initial outcome is mostly based on individual experience. The risk scoring systems used in cardiac surgery have no prognostic value for individuals. This study aims to assess (a) factors possibly related to poor survival and functional outcomes in cardiac surgery patients requiring prolonged (> or = 5 days) intensive care unit (ICU) treatment, (b) conditions in which treatment withdrawal might be justified, and (c) the patient's perception of the benefits and drawbacks of long intensive treatments.

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