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Factors associated with delayed cardiac tamponade after cardiac surgery

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dc.creatorLeiva E.H.spa
dc.creatorCarreño M.spa
dc.creatorBucheli F.R.spa
dc.creatorBonfanti A.C.spa
dc.creatorUmaña J.P.spa
dc.creatorDennis Verano, Rodolfo Joséspa
dc.date.accessioned2020-05-25T23:55:56Z
dc.date.available2020-05-25T23:55:56Z
dc.date.created2018spa
dc.description.abstractContext: Cardiac tamponade (CT) following cardiac surgery is a potentially fatal complication and the cause of surgical reintervention in 0.1%-6% of cases. There are two types of CT: acute, occurring within the first 48 h postoperatively, and subacute or delayed, which occurs more than 48 h postoperatively. The latter does not show specific clinical signs, which makes it more difficult to diagnose. The factors associated with acute CT (aCT) are related to coagulopathy or surgical bleeding, while the variables associated with subacute tamponade have not been well defined. Aims: The primary objective of this study was to identify the factors associated with the development of subacute CT (sCT). Settings and Design: This report describes a case (n = 80) and control (n = 160) study nested in a historic cohort made up of adult patients who underwent any type of urgent or elective cardiac surgery in a tertiary cardiovascular hospital. Methods: The occurrence of sCT was defined as the presence of a compatible clinical picture, pericardial effusion and confirmation of cardiac tamponade during the required emergency intervention at any point between 48 hours and 30 days after surgery. All factors potentially related to the development of sCT were taken into account. Statistical Analysis Used: For the adjusted analysis, a logistical regression was constructed with 55 variables, including pre-, intra-, and post-operative data. Results: The mortality of patients with sCT was 11% versus 0% in the controls. Five variables were identified as independently and significantly associated with the outcome: pre-or post-operative anticoagulation, reintervention in the first 48 h, surgery other than coronary artery bypass graft, and red blood cell transfusion. Conclusions: Our study identified five variables associated with sCT and established that this complication has a high mortality rate. These findings may allow the implementation of standardized follow-up measures for patients identified as higher risk, leading to either early detection or prevention. © 2018 Annals of Cardiac Anaesthesiaeng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.4103/aca.ACA_147_17
dc.identifier.issn09745181
dc.identifier.issn09719784
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22267
dc.language.isoengspa
dc.publisherWolters Kluwer Medknow Publicationsspa
dc.relation.citationEndPage164
dc.relation.citationIssueNo. 2
dc.relation.citationStartPage158
dc.relation.citationTitleAnnals of Cardiac Anaesthesia
dc.relation.citationVolumeVol. 21
dc.relation.ispartofAnnals of Cardiac Anaesthesia, ISSN:09745181, 09719784, Vol.21, No.2 (2018); pp. 158-164spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85045637408&doi=10.4103%2faca.ACA_147_17&partnerID=40&md5=bae88bac8ae3ed8ab212753befa643b5spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAcetylsalicylic acidspa
dc.subject.keywordCreatininespa
dc.subject.keywordFresh frozen plasmaspa
dc.subject.keywordWarfarinspa
dc.subject.keywordAdultspa
dc.subject.keywordAgedspa
dc.subject.keywordAnticoagulationspa
dc.subject.keywordArticlespa
dc.subject.keywordCardiovascular mortalityspa
dc.subject.keywordCardiovascular riskspa
dc.subject.keywordCase control studyspa
dc.subject.keywordClinical effectivenessspa
dc.subject.keywordCohort analysisspa
dc.subject.keywordControlled studyspa
dc.subject.keywordCoronary artery bypass graftspa
dc.subject.keywordCreatinine blood levelspa
dc.subject.keywordDelayed cardiac tamponadespa
dc.subject.keywordDrug usespa
dc.subject.keywordElective surgeryspa
dc.subject.keywordErythrocyte transfusionspa
dc.subject.keywordHeart surgeryspa
dc.subject.keywordHeart tamponadespa
dc.subject.keywordHigh risk patientspa
dc.subject.keywordHumanspa
dc.subject.keywordMajor clinical studyspa
dc.subject.keywordMortality ratespa
dc.subject.keywordOutcome assessmentspa
dc.subject.keywordPredictive valuespa
dc.subject.keywordRisk assessmentspa
dc.subject.keywordRisk factorspa
dc.subject.keywordSurgical infectionspa
dc.subject.keywordTertiary care centerspa
dc.subject.keywordThorax drainagespa
dc.subject.keywordBlood clotting disorderspa
dc.subject.keywordComplicationspa
dc.subject.keywordFemalespa
dc.subject.keywordHeart surgeryspa
dc.subject.keywordHeart tamponadespa
dc.subject.keywordMalespa
dc.subject.keywordMortalityspa
dc.subject.keywordPericardial effusionspa
dc.subject.keywordPostoperative complicationspa
dc.subject.keywordPostoperative hemorrhagespa
dc.subject.keywordRetrospective studyspa
dc.subject.keywordAdultspa
dc.subject.keywordBlood coagulation disordersspa
dc.subject.keywordCardiac surgical proceduresspa
dc.subject.keywordCardiac tamponadespa
dc.subject.keywordCase-control studiesspa
dc.subject.keywordCoronary artery bypassspa
dc.subject.keywordFemalespa
dc.subject.keywordHumansspa
dc.subject.keywordMalespa
dc.subject.keywordPericardial effusionspa
dc.subject.keywordPostoperative complicationsspa
dc.subject.keywordPostoperative hemorrhagespa
dc.subject.keywordRetrospective studiesspa
dc.subject.keywordRisk assessmentspa
dc.subject.keywordCardiac surgeryspa
dc.subject.keywordDelayed cardiac tamponadespa
dc.subject.keywordPostoperative carespa
dc.titleFactors associated with delayed cardiac tamponade after cardiac surgeryspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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