Patient Data Management System Monitored Outcome After Intensive Care, Organdysfunction and Monitoring
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pleural Effusion
- Sponsor
- Charite University, Berlin, Germany
- Enrollment
- 6909
- Locations
- 1
- Primary Endpoint
- Blood pressure in range
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The objective of the explorative registry study is to investigate outcome parameters in the routine treatment of patients who are monitored after heart surgery for either short or long-term treatment in the intensive care unit for close monitoring of blood pressure.
Detailed Description
The close monitoring of patients after cardiac surgery is regarded as standard. However, little is currently known about the influence on patient-related outcome parameters. Recently it has already been shown that intraoperative variability of blood pressure during heart surgery has a postoperative effect on 30-day mortality. The aim of this retrospective study is to investigate the effects of different hemodynamic measurements and management after cardiac surgery on patient-specific outcome parameters.
Investigators
Felix Balzer
PD Dr. med. Dr. rer. nat., MSC
Charite University, Berlin, Germany
Eligibility Criteria
Inclusion Criteria
- •In-patients of the Charité Universitätsmedizin Berlin
- •at least 18 years old
- •female or male sex
- •cardiosurgical intervention (OPS 5.35 and 5.36) between 01/06 and 12/
- •post-operative monitoring of anesthesiological intensive care unit
Exclusion Criteria
- •previous cardiosurgical interventions during the same hospital stay.
- •incomplete documentation
Outcomes
Primary Outcomes
Blood pressure in range
Time Frame: Intensive Care stay, an average of 10 days
Percentage of RR (Blood Pressure) measurements taken by each patient in the target range as a percentage of the total number of measurements taken by that patient.
Blood pressure over range
Time Frame: Intensive Care stay, an average of 10 days
Percentage of RR measurements of each patient above the target range in relation to the total of all measurements taken by that patient.
Blood pressure below range
Time Frame: Intensive Care stay, an average of 10 days
Percentage of RR measurements taken by each patient below the target range in relation to the total number of measurements taken by that patient.
Secondary Outcomes
- Drainage loss(intensive care unit stay, an average of 5 days)
- ICU stay(an average of 5 days)
- Renal insufficiency - 2(intensive care unit stay, an average of 5 days)
- transfusions(hospital length of stay, an average of 13 days)
- mortality rate-1(90 days)
- Renal insufficiency - 1(intensive care unit stay, an average of 5 days)
- mortality rate-2(180 days)
- Pleural effusion(hospital length of stay, an average of 13 days)
- Hospital stay(an average of 13 days)
- Stroke(hospital length of stay, an average of 13 days)
- mortality rate-4(1 year)
- Case cost(hospital length of stay, an average of 13 days)
- mortality rate-3(5 years)
- ICU readmission(an average of 30 days)
- Renal insufficiency - 3(intensive care unit stay, an average of 5 days)
- Pulse Contour Cardiac Output(intensive care unit stay, an average of 5 days)
- Central venous pressure(intensive care unit stay, an average of 5 days)