“FACTORES DE RIESGO PARA EL DESARROLLO DEL SÍNDROME DE BAJO GASTO POST CIRUGÍA CARDIACA EN PACIENTES INGRESADOS A LA TERAPIA INTENSIVA DEL HOSPITAL ALCÍVAR EN EL PERIODO JULIO 2016 A JUNIO 2017”.

Abstract

The low cardiac output syndrome (LCOS) at the postoperative of a cardiac surgery is a potential complication for the intervened patients of cardiac surgery. It is associated to the rise of morbimortality, which is the extension of the stay in in the intensive care room, and as well it increments the use of the resources, for which we try to identify the risk factors that imply the LCOS as the patients are taken into the intensive therapy unit (ITU) at Alcivar Hospital. METHODS. A total of 88 consecutive patients were included who were submitted to some type of cardiac surgery between July 2016 and June 2017. For 18 and older patients we used the multivariable analysis to identify LCOS forecasters. RESULTS. By analyzing the data, we can tell which prediction of the low cardiac output syndrome is related to: IRC (OR: 3.61, IC 95%: 1.43 to 9.11, P: 0.0064), the valvular surgery (OR: 2.5, IC 95%:1.03 to 6.45, P: 0.04), maintaining the circulation pump above 120 minutes (OR: 9.42, IC95%: 1.86 to 47.5, P: 0.0066). The laboratory tests that were related at the entry to the intensive therapy unit: older leukocytes to 10500 (OR: 5.4, IC95%: 1.47 to 20.39, p: 0.01); the PH <7.35(OR: 3.6, IC95%: 1.43 to 9.11, p: 0.0064); the BNP> 385 (OR: 13.86, IC95%: 4.24 to 45.26, p: < 0.0001). Mortality relation was evidenced in patients that developed low cardiac output syndrome with: OR: 17, IC95%: 3.54 to 81.4, p: 0.0004