Can J Anesth/J Can Anesth (2018) 65:973–978 https://doi.org/10.1007/s12630-018-1160-9 EDITORIALS The hidden consequences of the changing cardiac surgical population Angela Jerath, BSc, MD, MSc, FRCPC, FANZCA Duminda N. Wijeysundera, MD, PhD, FRCPC Received: 29 March 2018 / Accepted: 4 April 2018 / Published online: 31 May 2018 Canadian Anesthesiologists’ Society 2018 The characteristics of adults presenting for cardiac surgery illness was classiﬁed as short (B two days), moderate have changed dramatically over the last 20 years. With (three to nine days), or prolonged (C ten days). The rising life expectancy, these individuals are now older, investigators then performed a risk-adjusted analysis to 1,2 frailer, and burdened with chronic illness. Furthermore, determine the association of ICU length of stay with one- advancements in interventional cardiology and year mortality and healthcare resource utilization (i.e., percutaneous interventions have meant that open cardiac costs, discharge to an institutional facility, hospital surgical procedures increasingly consist of higher-risk readmissions). Perhaps unsurprisingly, patients who procedures, such as multi-valve or aortic replacement experienced moderate or prolonged durations of ICU stay 1,2 procedures. Although improvements in perioperative were generally older and sicker. For example, patients with care have kept the overall mortality risk low (1-3%) prolonged ICU stays (C
Canadian Journal of Anesthesia/Journal canadien d'anesthésie – Springer Journals
Published: May 31, 2018
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