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Adult Respiratory Distress Syndrome Following Cardiac Surgery
Author(s) -
Kogan A.,
Preisman S.,
Levin S.,
Raanani E.,
Sternik L.
Publication year - 2014
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12264
Subject(s) - medicine , ards , cardiac surgery , incidence (geometry) , complication , surgery , respiratory distress , acute respiratory distress , lung , physics , optics
Abstract Background Severe lung injury with the development of acute respiratory distress syndrome (ARDS) is a serious complication of cardiac surgery. The aim of this study was to determine the incidence, risk factors, and mortality of ARDS following cardiac surgery. Methods We retrospectively analyze data in the period between January 2005 and March 2013. Results Of 6069 patients who underwent cardiac surgery during the study period, 37 patients developed ARDS during the postoperative period. The incidence of ARDS was 0.61%, with a mortality of 40.5% (15 patients). Multivariate regression analysis identified previous cardiac surgery, complex cardiac surgery, and more than three transfusions with packed red blood cells (PRBC) were independent predictors for developing ARDS. Conclusions ARDS remains a serious, but very rare complication associated with significant mortality. In our study, previous cardiac surgery, complex cardiac surgery, and more than three transfusions of PRBC were independent predictors for the development of ARDS. doi: 10.1111/jocs.12264 (J Card Surg 2014;29:41‐46)