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Factors predicts tracheostomy after open heart surgery
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Fereidoun Sabzi   , Hassan Teymori1 |
| 1- , Hassan30090@Yahoo.com |
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Abstract: (18904 Views) |
| Abstract
Background & Aim: One of the important complication of open heart surgery due to effects of cardiopulmonary
bypass on the organs and the lung is respiratory failure and this patients dependent to ventilators for long times and
some of them need to tracheostomy and this patients will be at risk of tracheostomy complications such as tracheal
steno sis, hemorrhage, infections, and hypoxia.
Materials and methods: During a 2.5 years period of time, 1200 patients were studied. In this study logistic
regression models, tracheostomy entered as depended variable and also p- value less than 5% considered as significant
and odd ratio of them determinate.
Findings: In this study variables with p-value less than 5% were observed which including high dose inotropic
drug using, pump time ,intra aortic balloon pump using, heart failure, COPD and diabetes with odd ratio of 15.1,
12.1, 13.5, 21, 11, 16, respectively. Consequently from 25 tracheostomised patients, 18 of them patients weaned from
ventilator and 6 patients died due to its complications.
Conclusion: With respect to mentioned complications, diagnosis and knowledge of predicting factors of
tracheostomy for preventing its mortality, is important. |
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| Keywords: Cardiac Surgery, Respiratory Failure, Tracheostomy |
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Full-Text [PDF 1212 kb]
(3660 Downloads)
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Type of Article: Research Article |
Received: 2008/08/30 | Accepted: 2018/03/29 | ePublished: 2018/03/29
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