Predictors of multiple organ failure after cardiac surgery

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OBJECTIVE

To identify the earliest predictors of multiple organ failure (MOF) after cardiac surgery.

MATERIAL AND METHODS

The study included 70 patients without baseline infectious process or end-stage chronic disease who underwent elective cardiac surgery. We analyzed clinical (EuroSCORE II, SOFA, CPB time, ICU-stay, duration of postoperative mechanical ventilation) and laboratory (procalcitonin, troponin T, transaminases, creatinine, lactate, P(va)CO2/C(av)O2) parameters in perioperative period. Statistical analysis was carried out using the Excel applications (Data Analysis and AtteStat).

RESULTS

The earliest predictor of postoperative MOF was preoperative P(v-a)CO2/C(a-v)O2.

CONCLUSION

Perhaps, data on the earliest (P(v-a)CO2/C(a-v)O2) predictor of postoperative MOF will allow timely prevention of this event.

Keywords:

P(v-a)CO2/C(a-v)O2

multiple organ failure

Authors:

Petrishchev Yu.I.

Sverdlovsk Regional Clinical Hospital No. 1

RSCI AuthorID: 554885
Scopus AuthorID: 57194025815
ORCID: 0000-0002-8750-8426

Levit A.L.

Sverdlovsk Regional Clinical Hospital No. 1

RSCI AuthorID: 366248
Scopus AuthorID: 7003646056
ORCID: 0000-0002-9112-1259

Received:

16.01.2021

Accepted:

26.12.2021

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