Multiple Organ Dysfunction After Cardiosurgical Interventions
Objective: to study the clinical efficiency of introducing an algorithm for organ-protective intensive care. Materials and methods. 3278 case histories of patients admitted to the clinic in 2000—2009 for surgical treatment (under extracorporeal circulation) for coronary heart disease (CHD) and acqui...
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| Format: | Article |
| Language: | English |
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Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
2010-10-01
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| Series: | Общая реаниматология |
| Online Access: | https://www.reanimatology.com/rmt/article/view/388 |
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| author | L. S. Barbarash Ye. V. Grigoryev G. P. Plotnikov B. L, Hayes G. V. Moiseyenkov D. L. Shukevich S. V. Ivanov Yu. N. Odarenko |
| author_facet | L. S. Barbarash Ye. V. Grigoryev G. P. Plotnikov B. L, Hayes G. V. Moiseyenkov D. L. Shukevich S. V. Ivanov Yu. N. Odarenko |
| author_sort | L. S. Barbarash |
| collection | DOAJ |
| description | Objective: to study the clinical efficiency of introducing an algorithm for organ-protective intensive care. Materials and methods. 3278 case histories of patients admitted to the clinic in 2000—2009 for surgical treatment (under extracorporeal circulation) for coronary heart disease (CHD) and acquired heart defects (AHD) were retrospectively analyzed. Throughout the analyzed period, the patients operated on for CHD and AHD were 2068 (63.1%) and 1210 (36.9%), respectively; the postoperative incidence of multiple organ dysfunction (MOD) among all the patients was 11.8% (378 patients); mortality in MOD was 3.75% (n=123) of the operated patients (included into the study) or 32.5% of all the patients with MOD. Conclusion. The incidence of MOD is in proportion to the number of surgical interventions and depends on their specific features (recurrence, baseline severity, comorbidity, or multifocal atherosclerosis). Preventive intensive therapy for MOD reduced mortality and altered its syndromic pattern towards a preponderance of pyoseptic complications. Key words: cardiosurgery, extracorporeal circulation, multiple organ dysfunction. |
| format | Article |
| id | doaj-art-32cd2a72c124495b8c2c1abbf3ebab14 |
| institution | DOAJ |
| issn | 1813-9779 2411-7110 |
| language | English |
| publishDate | 2010-10-01 |
| publisher | Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia |
| record_format | Article |
| series | Общая реаниматология |
| spelling | doaj-art-32cd2a72c124495b8c2c1abbf3ebab142025-08-20T03:18:50ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102010-10-016510.15360/1813-9779-2010-5-31388Multiple Organ Dysfunction After Cardiosurgical InterventionsL. S. BarbarashYe. V. GrigoryevG. P. PlotnikovB. L, HayesG. V. MoiseyenkovD. L. ShukevichS. V. IvanovYu. N. OdarenkoObjective: to study the clinical efficiency of introducing an algorithm for organ-protective intensive care. Materials and methods. 3278 case histories of patients admitted to the clinic in 2000—2009 for surgical treatment (under extracorporeal circulation) for coronary heart disease (CHD) and acquired heart defects (AHD) were retrospectively analyzed. Throughout the analyzed period, the patients operated on for CHD and AHD were 2068 (63.1%) and 1210 (36.9%), respectively; the postoperative incidence of multiple organ dysfunction (MOD) among all the patients was 11.8% (378 patients); mortality in MOD was 3.75% (n=123) of the operated patients (included into the study) or 32.5% of all the patients with MOD. Conclusion. The incidence of MOD is in proportion to the number of surgical interventions and depends on their specific features (recurrence, baseline severity, comorbidity, or multifocal atherosclerosis). Preventive intensive therapy for MOD reduced mortality and altered its syndromic pattern towards a preponderance of pyoseptic complications. Key words: cardiosurgery, extracorporeal circulation, multiple organ dysfunction.https://www.reanimatology.com/rmt/article/view/388 |
| spellingShingle | L. S. Barbarash Ye. V. Grigoryev G. P. Plotnikov B. L, Hayes G. V. Moiseyenkov D. L. Shukevich S. V. Ivanov Yu. N. Odarenko Multiple Organ Dysfunction After Cardiosurgical Interventions Общая реаниматология |
| title | Multiple Organ Dysfunction After Cardiosurgical Interventions |
| title_full | Multiple Organ Dysfunction After Cardiosurgical Interventions |
| title_fullStr | Multiple Organ Dysfunction After Cardiosurgical Interventions |
| title_full_unstemmed | Multiple Organ Dysfunction After Cardiosurgical Interventions |
| title_short | Multiple Organ Dysfunction After Cardiosurgical Interventions |
| title_sort | multiple organ dysfunction after cardiosurgical interventions |
| url | https://www.reanimatology.com/rmt/article/view/388 |
| work_keys_str_mv | AT lsbarbarash multipleorgandysfunctionaftercardiosurgicalinterventions AT yevgrigoryev multipleorgandysfunctionaftercardiosurgicalinterventions AT gpplotnikov multipleorgandysfunctionaftercardiosurgicalinterventions AT blhayes multipleorgandysfunctionaftercardiosurgicalinterventions AT gvmoiseyenkov multipleorgandysfunctionaftercardiosurgicalinterventions AT dlshukevich multipleorgandysfunctionaftercardiosurgicalinterventions AT svivanov multipleorgandysfunctionaftercardiosurgicalinterventions AT yunodarenko multipleorgandysfunctionaftercardiosurgicalinterventions |