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http://hdl.handle.net/1942/37931
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DC Field | Value | Language |
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dc.contributor.author | Hendrikx, Jore | - |
dc.contributor.author | Timmers, Maxim | - |
dc.contributor.author | AlTmimi, Layth | - |
dc.contributor.author | Hoogma, Danny F. | - |
dc.contributor.author | De Coster, Johan | - |
dc.contributor.author | FIEUWS, Steffen | - |
dc.contributor.author | Herijgers, Paul | - |
dc.contributor.author | Rega, Filip | - |
dc.contributor.author | Verbrugghe, Peter | - |
dc.contributor.author | Rex, Steffen | - |
dc.date.accessioned | 2022-08-25T09:13:50Z | - |
dc.date.available | 2022-08-25T09:13:50Z | - |
dc.date.issued | 2022 | - |
dc.date.submitted | 2022-08-18T11:25:37Z | - |
dc.identifier.citation | JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 36 (8) , p. 2463 -2472 | - |
dc.identifier.uri | http://hdl.handle.net/1942/37931 | - |
dc.description.abstract | Objectives: An important cornerstone of the Enhanced Recovery After Cardiac Surgery initiative is a fast-track cardiac anesthesia management protocol. Fast-track failure has been described to have a detrimental impact on immediate postoperative outcomes. The authors here evaluated risk factors for short- and long-term effects of fast-track failure. Design: A retrospective cohort study. Setting: A single academic center. Participants: Adult cardiac surgery was performed on 7,064 patients between January 2013 and October 2019. Intervention: The inclusion criteria for the fast-track program at the postanesthesia care unit were met by 1,097 patients. Measurements and Main Results: Univariate and multivariate logistic regression analyses were used to identify independent risk factors. Fast-track failure occurred in 69 (6.3%) patients. These were associated with significant increases in the incidences of coronary revascularization, cadiac tamponade or bleeding requiring surgical intervention, new-onset atrial fibrillation, pneumonia, delirium, and sepsis. Likewise, the postoperative length of stay, and up to 5-year mortality, were significantly higher in the fast-track failure than the nonfailure group. The European System for Cardiac Operative Risk Evaluation II and transfusion of any blood product could be identified as independent risk factors for fast-track failure, with only limited discriminative ability (area under the curve = 0.676; 95% confidence interval, 0.611-0.741). Conclusion: Fast-track failure is associated with increases in morbidity and long-term mortality, but remains difficult to predict. (C) 2021 Elsevier Inc. All rights reserved. | - |
dc.language.iso | en | - |
dc.publisher | W B SAUNDERS CO-ELSEVIER INC | - |
dc.rights | 2021 Elsevier Inc. All rights reserved. | - |
dc.subject.other | Fast-track | - |
dc.subject.other | Enhanced recovery | - |
dc.subject.other | Cardiac surgery | - |
dc.title | Fast-Track Failure After Cardiac Surgery: Risk Factors and Outcome With Long-Term Follow-Up | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | 2472 | - |
dc.identifier.issue | 8 | - |
dc.identifier.spage | 2463 | - |
dc.identifier.volume | 36 | - |
local.format.pages | 10 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | Rex, S (corresponding author), Univ Hosp Leuven, Dept Anesthesiol, Herestr 49, B-3000 Leuven, Belgium. | - |
dc.description.notes | steffen.rex@uzleuven.be | - |
local.publisher.place | 1600 JOHN F KENNEDY BOULEVARD, STE 1800, PHILADELPHIA, PA 19103-2899 USA | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
local.bibliographicCitation.status | Early view | - |
dc.identifier.doi | 10.1053/j.jvca.2021.12.009 | - |
dc.identifier.isi | WOS:000833407500003 | - |
dc.contributor.orcid | Hoogma, Danny Feike/0000-0002-9224-8198; Herijgers, | - |
dc.contributor.orcid | Paul/0000-0003-0951-8132; Al tmimi, layth/0000-0002-0430-9844; | - |
dc.contributor.orcid | Verbrugghe, Peter/0000-0002-8390-1706 | - |
local.provider.type | wosris | - |
local.description.affiliation | [Hendrikx, Jore; Timmers, Maxim; AlTmimi, Layth; Hoogma, Danny F.; De Coster, Johan; Rex, Steffen] Univ Hosp Leuven, Dept Anesthesiol, Herestr 49, B-3000 Leuven, Belgium. | - |
local.description.affiliation | [AlTmimi, Layth; Hoogma, Danny F.; Herijgers, Paul; Rega, Filip; Verbrugghe, Peter; Rex, Steffen] Katholieke Univ Leuven, Dept Cardiovasc Sci, Leuven, Belgium. | - |
local.description.affiliation | [Fieuws, Steffen] Katholieke Univ Leuven, Interuniv Inst Biostat & Stat Bioinformat, Leuven, Belgium. | - |
local.description.affiliation | [Herijgers, Paul; Rega, Filip; Verbrugghe, Peter] Univ Hosp Leuven, Dept Cardiac Surg, Leuven, Belgium. | - |
local.uhasselt.international | no | - |
item.fulltext | With Fulltext | - |
item.fullcitation | Hendrikx, Jore; Timmers, Maxim; AlTmimi, Layth; Hoogma, Danny F.; De Coster, Johan; FIEUWS, Steffen; Herijgers, Paul; Rega, Filip; Verbrugghe, Peter & Rex, Steffen (2022) Fast-Track Failure After Cardiac Surgery: Risk Factors and Outcome With Long-Term Follow-Up. In: JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 36 (8) , p. 2463 -2472. | - |
item.contributor | Hendrikx, Jore | - |
item.contributor | Timmers, Maxim | - |
item.contributor | AlTmimi, Layth | - |
item.contributor | Hoogma, Danny F. | - |
item.contributor | De Coster, Johan | - |
item.contributor | FIEUWS, Steffen | - |
item.contributor | Herijgers, Paul | - |
item.contributor | Rega, Filip | - |
item.contributor | Verbrugghe, Peter | - |
item.contributor | Rex, Steffen | - |
item.accessRights | Restricted Access | - |
crisitem.journal.issn | 1053-0770 | - |
crisitem.journal.eissn | 1532-8422 | - |
Appears in Collections: | Research publications |
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1-s2.0-S1053077021010922-main.pdf Restricted Access | Published version | 957.1 kB | Adobe PDF | View/Open Request a copy |
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