Risk Factors for Prolonged Mechanical Ventilation Post Cardiac Surgery in Al Thawra Hospital, Sana'a, Yemen

Introduction: Prolonged mechanical ventilation among cardiac surgery patient has been found to be correlated with negative clinical outcome and increased healthcare resources utilization. Prolonged mechanical ventilation(PMV) was defined as the accumulative duration of 24 hours or more of postopera...

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Main Authors: Abdulrahman Al Aizary,, Faiz Daud,
Format: Article
Language:English
Published: Universiti Kebangsaan Malaysia 2016
Online Access:http://journalarticle.ukm.my/9701/1/vol_6_no_1_2016_91.pdf
http://journalarticle.ukm.my/9701/
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spelling my-ukm.journal.97012016-12-14T06:50:35Z http://journalarticle.ukm.my/9701/ Risk Factors for Prolonged Mechanical Ventilation Post Cardiac Surgery in Al Thawra Hospital, Sana'a, Yemen Abdulrahman Al Aizary, Faiz Daud, Introduction: Prolonged mechanical ventilation among cardiac surgery patient has been found to be correlated with negative clinical outcome and increased healthcare resources utilization. Prolonged mechanical ventilation(PMV) was defined as the accumulative duration of 24 hours or more of postoperative endotracheal intubation starting from transfer of the patient to cardiac ICU. This study is aimed to identify the risk factors preoperative, intra operative and postoperative for prolonged ventilation among cardiac patients in AL-Thawra Modern General Hospital(TMGH). Methods: Observational study design was conducted during a two-month period (from 1 August 2014 to 30 September 2014). It was among 70 patients who were admitted to cardiac surgery intensive care unit in Al-Thawra Modern General Hospital and selected by convenient sampling. The soci-demographic characteristic and clinical patient data were collected using short questionnaire developed by researcher. All patients had the same anesthetic and postoperative management. Statistical analysis was performed with SPSS version 20 and using bivariate analysis and multivariate logistic regression. The p-value of < 0.05 was found to be statistically significant. Results: Incidence of prolonged mechanical ventilator post cardiac surgery was 37.1% (26/70) through bivariate analysis, multivariate logistic regression. Low Ejection fraction of Left Ventricle was inversely related to mechanical ventilation time (AOR= 0.872) with 95% confidence interval [0.790 - 0.963], hemodynamic instability were associated with prolonged mechanical ventilation time (AOR=16.35) with 95% confidence interval [2.558 - 104.556]. Conclusion: Low ejection fraction of Left Ventricle and Hemodynamic Instability post operation were identified risk factors for prolonged mechanical ventilation post cardiac surgery. Universiti Kebangsaan Malaysia 2016-04-18 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/9701/1/vol_6_no_1_2016_91.pdf Abdulrahman Al Aizary, and Faiz Daud, (2016) Risk Factors for Prolonged Mechanical Ventilation Post Cardiac Surgery in Al Thawra Hospital, Sana'a, Yemen. International Journal of Public Health Research, 6 (1). pp. 700-706. ISSN 2232-0245 www.ijphr.ukm.my
institution Universiti Kebangsaan Malaysia
building Perpustakaan Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
description Introduction: Prolonged mechanical ventilation among cardiac surgery patient has been found to be correlated with negative clinical outcome and increased healthcare resources utilization. Prolonged mechanical ventilation(PMV) was defined as the accumulative duration of 24 hours or more of postoperative endotracheal intubation starting from transfer of the patient to cardiac ICU. This study is aimed to identify the risk factors preoperative, intra operative and postoperative for prolonged ventilation among cardiac patients in AL-Thawra Modern General Hospital(TMGH). Methods: Observational study design was conducted during a two-month period (from 1 August 2014 to 30 September 2014). It was among 70 patients who were admitted to cardiac surgery intensive care unit in Al-Thawra Modern General Hospital and selected by convenient sampling. The soci-demographic characteristic and clinical patient data were collected using short questionnaire developed by researcher. All patients had the same anesthetic and postoperative management. Statistical analysis was performed with SPSS version 20 and using bivariate analysis and multivariate logistic regression. The p-value of < 0.05 was found to be statistically significant. Results: Incidence of prolonged mechanical ventilator post cardiac surgery was 37.1% (26/70) through bivariate analysis, multivariate logistic regression. Low Ejection fraction of Left Ventricle was inversely related to mechanical ventilation time (AOR= 0.872) with 95% confidence interval [0.790 - 0.963], hemodynamic instability were associated with prolonged mechanical ventilation time (AOR=16.35) with 95% confidence interval [2.558 - 104.556]. Conclusion: Low ejection fraction of Left Ventricle and Hemodynamic Instability post operation were identified risk factors for prolonged mechanical ventilation post cardiac surgery.
format Article
author Abdulrahman Al Aizary,
Faiz Daud,
spellingShingle Abdulrahman Al Aizary,
Faiz Daud,
Risk Factors for Prolonged Mechanical Ventilation Post Cardiac Surgery in Al Thawra Hospital, Sana'a, Yemen
author_facet Abdulrahman Al Aizary,
Faiz Daud,
author_sort Abdulrahman Al Aizary,
title Risk Factors for Prolonged Mechanical Ventilation Post Cardiac Surgery in Al Thawra Hospital, Sana'a, Yemen
title_short Risk Factors for Prolonged Mechanical Ventilation Post Cardiac Surgery in Al Thawra Hospital, Sana'a, Yemen
title_full Risk Factors for Prolonged Mechanical Ventilation Post Cardiac Surgery in Al Thawra Hospital, Sana'a, Yemen
title_fullStr Risk Factors for Prolonged Mechanical Ventilation Post Cardiac Surgery in Al Thawra Hospital, Sana'a, Yemen
title_full_unstemmed Risk Factors for Prolonged Mechanical Ventilation Post Cardiac Surgery in Al Thawra Hospital, Sana'a, Yemen
title_sort risk factors for prolonged mechanical ventilation post cardiac surgery in al thawra hospital, sana'a, yemen
publisher Universiti Kebangsaan Malaysia
publishDate 2016
url http://journalarticle.ukm.my/9701/1/vol_6_no_1_2016_91.pdf
http://journalarticle.ukm.my/9701/
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score 13.211869