Admission to an intensive care unit after transvenous implantable cardioverter defibrillator implantation: analysis of risk factors

Admission to an intensive care unit after transvenous implantable cardioverter defibrillator implantation: analysis of risk factors

A retrospective review was undertaken of 90 patients admitted to the cardiothoracic intensive care unit and who comprised 47% of all transvenous implantable cardioverter defibrillator operations performed between March 1991 and August 1995. The review aimed to evaluate the necessity for routine post...

Full description

Saved in:
Bibliographic Details
Published in:Cardiovascular surgery (London, England) Vol. 5; no. 2; p. 216
Main Authors: Chalabi, K G, Rastan, A, Herse, B, Dalichau, H
Format: Journal Article
Language:English
Published: England 01-04-1997
Subjects:
Adolescent
Adult
Aged
APACHE
Child
Comorbidity
Coronary Care Units - utilization
Death, Sudden, Cardiac - epidemiology
Death, Sudden, Cardiac - prevention & control
Defibrillators, Implantable - statistics & numerical data
Female
Germany - epidemiology
Humans
Male
Middle Aged
Patient Admission - statistics & numerical data
Retrospective Studies
Risk Factors
Tachycardia, Ventricular - epidemiology
Tachycardia, Ventricular - therapy
Germany
Online Access:Get more information
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A retrospective review was undertaken of 90 patients admitted to the cardiothoracic intensive care unit and who comprised 47% of all transvenous implantable cardioverter defibrillator operations performed between March 1991 and August 1995. The review aimed to evaluate the necessity for routine postoperative intensive care unit (ICU) admission after implantable cardioverter defibrillator operation. Pre-, intra- and postoperative data were analysed. Eight of 90 patients (9%) subsequently required care unique to the ICU. None of the variables examined, including the Acute Physiology Score (APACHE II system), was helpful in identifying patients who required unique ICU services. Patients undergoing transvenous implantable cardioverter defibrillator surgery are identified as a low risk group requiring in over 90% of cases monitoring services rather than active therapy in an ICU. As no reliable predictors seem to exist to identify the necessity for postoperative ICU admission, cardioverter defibrillator implantations should only be performed in hospitals where adequate facilities are readily available.
ISSN:0967-2109
DOI:10.1016/S0967-2109(96)00075-0