Research Article
The Influence of Preoperative Neurological Complications on Outcomes after Surgery for Infective Endocarditis
Table 3
Postoperative data and outcomes.
| | | All patients (n = 438) | No neurological complications preoperative (n = 349, 79.7%) | Neurological complications preoperative (n = 89, 20.3%) | value |
| | AKI KDIGO stages | 3 (1; 3) | 3 (1; 3) | 3 (1; 3) | 0.686 | | 1 | 46 (38.0%) | 39 (38.6%) | 7 (35.0%) | | | 2 | 8 (6.6%) | 7 (6.9%) | 1 (5.0%) | | | 3 | 67 (55.4%) | 55 (54.5%) | 12 (60.0%) | | | 24 h-drainage loss (ml) | 650 (350; 1166) | 600 (300; 1166) | 650 (363; 1250) | 0.090 | | Re-thoracotomy due to bleeding/tamponade | 52 (12.1%) | 42 (12.3%) | 10 (11.2%) | 0.781 | | 24 h-number of packed red blood cells, unit | 2 (0–27) | 2 (0–27) | 2 (0–21) | 0.540 | | 24 h-number of fresh frozen plasma, unit | 0 (0–29) | 0 (0–29) | 0 (0–10) | 0.958 | | 24 h-number of platelets, unit | 0 (0–8) | 0 (0–8) | 0 (0–5) | 0.420 | | Reintubation | 51 (12.0%) | 39 (11.5%) | 12 (13.8%) | 0.557 | | Tracheotomy | 59 (14.1%) | 47 (14.2%) | 12 (14.1%) | 0.993 | | ICU time (d) | 3 (1; 7) | 3 (1; 7) | 3 (1; 7) | 0.331 | | Postoperative days | 10 (7; 16) | 10 (7; 16) | 8 (5; 16) | 0.034 | | Readmission to the intensive care unit | 35 (8.3%) | 27 (8.0%) | 8 (9.3%) | 0.693 | | Postoperative day of readmission | 10 (5; 16) | 9 (5; 15) | 14 (4; 17) | 0.851 | | Postoperative delirium | 68 (16.1%) | 58 (17.2%) | 10 (11.8%) | 0.226 | | Neurological deficit | 27 (6.4%) | 24 (7.1%) | 3 (3.6%) | 0.237 | | CPR | 23 (5.4%) | 21 (6.2%) | 2 (2.3%) | 0.190 | | Atrial fibrillation (postoperative new) | 18 (4.9%) | 16 (5.4%) | 2 (2.8%) | 0.544 | | Pacemaker patient new post-op | 51 (11.6%) | 39 (11.2%) | 12 (13.5%) | 0.544 | | Postoperative myocardial infarction | 5 (1.2%) | 4 (1.2%) | 1 (1.2%) | 1.000 | | Bronchopulmonary infection | 44 (10.2%) | 35 (10.2%) | 9 (10.3%) | 0.969 | | Sepsis | 56 (13.0%) | 44 (12.8%) | 12 (13.8%) | 0.804 | | Sternal wound infection | 10 (2.5%) | 8 (2.5%) | 2 (2.6%) | 1.000 | | Hospital mortality | 72 (16.5%) | 55 (15.9%) | 17 (19.1%) | 0.461 | | Cardiac death | 11 (15.3%) | 9 (16.4%) | 2 (11.8%) | 1.000 | | Cerebral death | 1 (1.4%) | 1 (1.8%) | 0 (0.0%) | 1.000 | | Sepsis | 10 (13.9%) | 8 (14.5%) | 2 (11.8%) | 1.000 | | MOF | 50 (69.4%) | 37 (67.3%) | 13 (76.5%) | 0.472 | | 7 d-mortality | 52 (11.9%) | 40 (11.5%) | 12 (13.5%) | 0.599 | | 30-day mortality | 76 (17.4%) | 55 (15.8%) | 21 (23.6%) | 0.081 | | Survival/FU-time (years) | 2.8 (0.1; 7.0) | 2.9 (0.2; 7.0) | 1.5 (0.1; 6.9) | 0.225 |
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AKI, acute kidney injury; KDIGO, Kidney Disease: Improving Global Outcomes; ICU, intensive care unit; CPR, cardiopulmonary resuscitation; MOF, multiple organ failure.
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