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PDMS Outcome After Intensive Care, Organdysfunction and Monitoring

Completed
Conditions
Pleural Effusion
Blood Pressure
Registration Number
NCT03379688
Lead Sponsor
Charite University, Berlin, Germany
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.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
6909
Inclusion Criteria
  1. In-patients of the Charité Universitätsmedizin Berlin
  2. at least 18 years old
  3. female or male sex
  4. cardiosurgical intervention (OPS 5.35 and 5.36) between 01/06 and 12/13.
  5. post-operative monitoring of anesthesiological intensive care unit
Exclusion Criteria
  1. previous cardiosurgical interventions during the same hospital stay.
  2. incomplete documentation

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Blood pressure in rangeIntensive 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 rangeIntensive 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 rangeIntensive 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 Outcome Measures
NameTimeMethod
ICU stayan average of 5 days

Intensive care unit length of stay

Renal insufficiency - 2intensive care unit stay, an average of 5 days

dialysis duration

transfusionshospital length of stay, an average of 13 days

number of transfusions needed

mortality rate-190 days

mortality rate after 90 days

Renal insufficiency - 1intensive care unit stay, an average of 5 days

Incidence of renal insufficiency

mortality rate-2180 days

mortality rate after 180 days

Pleural effusionhospital length of stay, an average of 13 days

In-hospital incidence of pleural effusions postoperatively

Hospital stayan average of 13 days

Length of hospital stay

Strokehospital length of stay, an average of 13 days

incidence of strokes

mortality rate-41 year

mortality rate after 1 year

mortality rate-35 years

mortality rate after 5 years

Case costhospital length of stay, an average of 13 days

Case cost in Euro

Pulse Contour Cardiac Outputintensive care unit stay, an average of 5 days

data received from Pulse Contour Cardiac Output analyses

ICU readmissionan average of 30 days

Amount of hospital readmissions

Renal insufficiency - 3intensive care unit stay, an average of 5 days

Urine production

Drainage lossintensive care unit stay, an average of 5 days

Amount of postoperative drainage loss

Central venous pressureintensive care unit stay, an average of 5 days

central venous pressure on intensive care unit

Trial Locations

Locations (1)

Charité Universitätsmedizin Berlin

🇩🇪

Berlin, Germany

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