Volume 39, Issue 4 , Pages 275-282, July 2010
Risk factors for late extubation after coronary artery bypass grafting
Objective
To evaluate the independent risk factors for late extubation after coronary artery bypass grafting (CABG).
Methods
Preoperative, intraoperative, and postoperative characteristics of patients undergoing isolated CABG between June 2005 and June 2008 at the Tongji Hospital were retrospectively analyzed. Elapsed time between CABG and extubation of more than 8
hours was defined as late extubation.
Results
The incidence of late extubation after CABG was 69.23% (288/416). Through univariate and logistic regression analysis, the independent risk factors for late extubation after CABG were older age (odds ratio [OR]
=
4.804), duration of cardiopulmonary bypass (OR
=
2.426), perioperative use of intra-aortic balloon pump (OR
=
1.451), preoperative arterial oxygen partial pressure (OR
=
.204), and postoperative hemoglobin level (OR
=
.793).
Conclusion
Older age, prolonged cardiopulmonary bypass time, perioperative intra-aortic balloon pump requirement, low preoperative arterial oxygen partial pressure, and low postoperative hemoglobin level were identified as the 5 independent risk factors for late extubation after CABG.
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PII: S0147-9563(09)00232-5
doi:10.1016/j.hrtlng.2009.09.002
Crown Copyright © 2010. Published by Elsevier Inc. All rights reserved.
Volume 39, Issue 4 , Pages 275-282, July 2010
