Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Acute non-cardiovascular illness in the cardiac intensive care unit: a growing challenge to the cardiac intensivist
Session:
Posters 1 - Écran 02 - Cuidados Intensivos
Speaker:
Joana Cariano Fernandes de Lima
Congress:
CPC 2018
Topic:
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
Theme:
14. Acute Cardiac Care
Subtheme:
14.3 Acute Cardiac Care – CCU, Intensive, and Critical Cardiovascular Care
Session Type:
Posters
FP Number:
---
Authors:
JOANA LIMA; António Tralhão; Catarina Brízido; Francisco Fernandes Gama; Gustavo Sá Mendes; Cláudia Jesus Silva; Mariana Gonçalves; Carlos Aguiar; Jorge Santos Ferreira; Miguel Mendes
Abstract
<p><strong>Background and aim: </strong>increased prevalence of non-cardiovascular comorbid conditions has contributed to the paradigm shift of patient profile in the cardiac intensive care unit (CICU) in the last decades. We sought to determine the association of acute non-cardiovascular illnesses with in-hospital mortality.</p> <p><strong>Methods: </strong>we studied 215 consecutive admissions to the CICU in a 9-month period (between March 1, 2017 and November 30, 2017) at a tertiary-care medical cardiovascular center. We excluded patients admitted for monitoring after elective non-complicated percutaneous procedures. Cardiac and non-cardiac diagnoses were identified by systematic inspection of individual patient charts. Acute kidney injury (AKI) was defined according to KDIGO AKI classification. Acute respiratory failure was defined as the need for invasive mechanical ventilation. Sepsis was defined as infection plus signs of end-organ dysfunction. Multivariate analysis was performed to determine the association of acute non-cardiovascular illnesses with in-hospital mortality.</p> <p><strong>Results: </strong>mean age of patients was 65 ± 14 years and 71% were male. The most common primary diagnosis was acute coronary syndrome (67%, of which 86% were STEMIs), followed by acute heart failure (21%). AKI incidence was 15%, acute respiratory failure occurred in 13% and sepsis was diagnosed in 8.4% of patients. Median length of stay in the CICU was 3 (IQR 2-5) days and median length of hospital stay was 5 (IQR 4-10) days. In-hospital mortality was 5.1%. Age [adjusted OR 0.994 (CI 95% 0.934-1.052), p = 0.841], sepsis [adjusted OR 4.765 (CI 95% 0.513-44.3, p = 0.170), acute respiratory failure [adjusted OR 6.949 (CI 95% 0.811-59.6), p = 0.077] and AKI (adjusted OR 7.531 (CI 95% 1.16-48.9), p = 0.034] were associated with increased mortality. A model that progressively included these variables in order of increasing statistical significance showed very good discriminative power to detect in-hospital mortality (Figure).</p> <p><strong>Conclusions: </strong> acute non-cardiovascular illness in the CICU is frequent and is associated with increased in-hospital mortality. In the near future, specialized teams are likely to be required to handle this growing patient complexity.</p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site