caa a22 4500 397495773 CHVBK 20180308164520.0 cr unu---uuuuu 161202e199508 xx s 000 0 eng 10.1016/S1010-7940(05)80077-6 doi (NATIONALLICENCE)oxford-10.1016/S1010-7940(05)80077-6 Survival and quality of life in patients with protracted recovery from cardiac surgery. Can we predict poor outcome? [Elektronische Daten] Of all the 2256 adult cardiac surgical patients operated upon during a12-month period from 1st February 1992 in three units, only 162 (7.2%)spent more than 48 h in the intensive care unit (ICU) (median 6 days, range3-90). There were 47 deaths in ICU, 7 more before hospital discharge, and afurther 10 before the study end-point of one year after surgery. All 981-year survivors were at home with 86 of them reporting their quality oflife, on formal evaluation, to be within the reference range which we haveestablished for a less complicated cohort of cardiac surgical patients.Prospectively collected physiological measurements were used in amathematical model to test how well we could predict which patients willdie and which of the survivors have a poor quality of life. The algorithmperforms well for cardiac surgery patients with a specificity of 98%. Iftreatment had been withdrawn when death or poor quality of life becamepredictable, the maximum number of ICU bed days that could be freed was ofthe order of 2%. The plight of these patients is distressing, but mostsurvive and do well and they are infrequent compared with the largemajority who survive to leave hospital after a short ICU stay. European Journal of Cardio-Thoracic Surgery Elsevier Science B.V. 9/8(1995-08), 426-431 1010-7940 9:8<426 1995 9 ejcts https://doi.org/10.1016/S1010-7940(05)80077-6 text/html Onlinezugriff via DOI 1 abstract jats NATIONALLICENCE 856 40 https://doi.org/10.1016/S1010-7940(05)80077-6 text/html Onlinezugriff via DOI NATIONALLICENCE 773 0- European Journal of Cardio-Thoracic Surgery Elsevier Science B.V 9/8(1995-08), 426-431 1010-7940 9:8<426 1995 9 ejcts Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford