Cardiothoracic & vascular anesthesia

Indexed Delivery of Oxygen Predicts In-hospital Mortality and Morbidity in Reoperative Adult Cardiac Surgery Patients: A Retrospective Cohort Study

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

Reduced intraoperative DO₂i was independently associated with increased risk of mortality and major morbidity following reoperative cardiac surgery.

Study context

Population
Adults undergoing reoperative cardiac surgery with cardiopulmonary bypass (CPB) at a tertiary academic centre, January 2011 to January 2021
Participants
343 adults
Exposure
Low vs high intraoperative DO₂i during CPB
Outcome
In-hospital mortality
Methodological detailssingle-centre, inverse-probability-of-treatment weighting
  • Single-centre
  • Inverse-probability-of-treatment weighting

Main finding

As reported in the abstract

Odds ratio (95% CI)
DO₂i below the thresholdfourfold higher mortality risk
4.12(1.18–9.49)
Each 1 mL/min/m² decrease in DO₂imultivariable analysis; mortality risk +1.6%
1.016(1.007–1.024)

Each 1 mL/min/m² decrease in DO₂i, as printed

Overall in-hospital mortality
14.6%
Median DO₂i <289.4 mL/min/m² predicted mortality: AUC
0.756
Sensitivity
78%
Specificity
64%

Observational data: associations, not effects.

Further findings

Cardiac morbidity · after IPTW

P < 0.001

Prolonged ventilation · after IPTW

P = 0.015

OutcomeP value
AKIHigher in Low DO₂i; after IPTWP = 0.042

DO₂i during CPB

Median DO₂i (as printed, ± 52.3)
300.8 mL/min/m²

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Indexed Delivery of Oxygen Predicts In-hospital Mortality and Morbidity in Reoperative Adult Cardiac Surgery Patients: A Retrospective Cohort Study. J Cardiothorac Vasc Anesth. Published 3 January 2026. doi:10.1053/j.jvca.2026.01.002

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