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Role of Surgeon in Length of Stay in ICU after Cardiac Bypass Surgery

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Author(s): Mahdi Najafi | Hamidreza Goodarzynejad | Mahmood Sheikhfathollahi | Hossein Adibi

Journal: Journal of Tehran University Heart Center
ISSN 1735-8620

Volume: 5;
Issue: 1;
Start page: 9;
Date: 2010;
Original page

Keywords: Intensive care units | Length of stay | Coronary artery bypass

ABSTRACT
"nBackground: We presumed that the surgeon himself has an impact on the results after coronary artery bypass grafting (CABG) as there is no unique protocol for the discharge of post-operative cardiac patients at our institution. Therefore, we examined whether the surgeon himself has an impact on the intensive care unit (ICU) stay of isolated CABG patients. "nMethods: We prospectively studied a total of 570 consecutive patients undergoing elective CABG. Length of stay in the ICU was defined as the number of days in the ICU unit post-operatively. Seven operating surgeons were classified in 3 categories on the basis of the mean hospital stay of their patients (1, 2 and 3 if the mean total patients' stay in hospital was 48 hours) and examined the role of surgeon in this regard. "nResults: Incidence of post-operative arrhythmia and length of ICU stay were higher in the patients of surgeon category 3 than those of surgeon categories 1 and 2. Surgeon category 3 also operated on patients with higher EuroSCOREs than did surgeon categories 1 and 2. With the aid of a multivariable stepwise analysis, three variables were identified as independent predictors significantly associated with ICU length of stay: age, history of cerebrovascular accident, and surgeon category. "nConclusion: Surgeon category may independently predict a prolonged length of stay in the ICU. We suggest that a unique discharge protocol for post-CABG patients be considered to restrict the role of surgeon in the ICU stay of these patients.

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