Cardiothoracic & vascular anesthesia
Extubation in the Operating Room After Coronary Artery Bypass Graft Surgery Reduces Hospital Stay
Authors' conclusion
In the REPLICCAR II database, extubation performed in the OR was associated with a reduced length of postoperative and total hospital stays compared to extubation in the ICU.
Study context
- Population
- Adults (≥18 years) undergoing primary and isolated coronary artery bypass grafting (CABG), 10 cardiac referral hospitals in Latin America (REPLICCAR II)402 analysed after propensity score matching (PSM)
- Participants
- 4,015 adults
- Exposure
- Extubation in the OR vs in the intensive care unit (ICU) after CABG
- Outcome
- ICU and hospital LOS, need for reintubation, morbidity and mortality
Methodological detailspropensity-score matched, multicentre registry
- Propensity-score matched
- Multicentre registry
Main finding
As reported in the abstract
Postoperative stay
P < 0.001
Observational data: associations, not effects.
Further findings
Ventilation time
P < 0.001
| Outcome | OR | ICU | P value |
|---|---|---|---|
| Total hospitalization time | 10.36 ± 5.72 | 11.49 ± 5.70 days | P = 0.013 |
Safety
Reintubation, morbidity, mortality
- No significant difference between groups
Original publication
Extubation in the Operating Room After Coronary Artery Bypass Graft Surgery Reduces Hospital Stay. J Cardiothorac Vasc Anesth. Published 17 June 2023. doi:10.
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