Cardiothoracic & vascular anesthesia

Prolonged Systemic Inflammatory Response Syndrome After Cardiac Surgery

J Cardiothorac Vasc AnesthPublished Prospective observational cohort study

Authors' conclusion

Nerve growth factor and interleukin 5 can be used to predict prolonged systemic inflammatory response, which is associated with POAF, stroke, and mortality.

Study context

Population
Volunteer patients undergoing cardiac surgery with CPB, followed up to 90 daysvolunteer cohort
Participants
261 patients
Exposure
Prolonged systemic inflammatory response syndrome (SIRS) vs no prolonged SIRS after cardiac surgery
  • Prolonged SIRSn = 17
Outcome
Prolonged SIRS as predictor of postoperative outcomes
Methodological detailssingle-centre, prospectively enrolled
  • Single-centre
  • Prospectively enrolled

Main finding

As reported in the abstract

Prolonged SIRS

6.4%

17

Prolonged SIRS vs No prolonged SIRSOdds ratio (95% CI)
POAF
4.5(1.2–17.3)
90-day stroke
4.5(1.1–18.0)
Mortality
10.7(1.7–68.8)
Postoperative atrial fibrillation (POAF) during hospitalisation, all patients
42.2%
Stroke and transient ischemic attack during hospitalisation, all patients
3.8%

Observational data: associations, not effects.

Further findings

Preoperative biomarkers associated with prolonged SIRS

OR (95% CI)
Nerve growth factor5.6 (1.4–23.2)
Interleukin 50.7 (0.4–1.0)

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

Original publication

Prolonged Systemic Inflammatory Response Syndrome After Cardiac Surgery. J Cardiothorac Vasc Anesth. Published 18 December 2023. doi:10.1053/j.jvca.2023.12.017

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.