[Central venous pressure, rewarming time, and total fluid replacement volume are predictors of mortality and complications after cardiac surgery].
OBJECTIVE
To analyze the influence of early (first day) postoperative factors on postoperative course in patients who have undergone heart surgery.


METHODS
A cross-sectional study of consecutively enrolled heart surgery patients was designed. We recorded central venous pressure, time required for rewarming to a core temperature of 35.5degrees C, and total fluids administered in 24 hours. We then analyzed their influence on mortality and cardiac, pulmonary, and renal complications.


RESULTS
Two hundred thirty-six patients were included. Central venous pressure over 18 mm Hg, time to rewarming over 6 hours, and administration of more than 5 L of fluids in the first 24 hours were factors associated with increased mortality and the development of cardiovascular, pulmonary, and renal complications.


CONCLUSIONS
Central venous pressure, rewarming time, and fluid replacement volume required on the first day are predictors of postoperative course.
Rodríguez
R
R
Servicio de Anestesiología y Reanimación, Hospital Clinico Universitario, Valladolid. rimatesa@terra.es
Tamayo
E
E
Alvarez
F J
FJ
Castrodeza
J
J
Lajo
C
C
Flórez
S
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001831:Body Temperature; D006348:Cardiac Surgical Procedures / Q000401:mortality; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000209:etiology; D002496:Central Venous Pressure; D003430:Cross-Sectional Studies; D005260:Female; D005440:Fluid Therapy / Q000009:adverse effects; D006801:Humans; D007035:Hypothermia / Q000453:epidemiology / Q000517:prevention & control; D007674:Kidney Diseases / Q000453:epidemiology / Q000209:etiology; D008171:Lung Diseases / Q000453:epidemiology / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D011184:Postoperative Period; D011446:Prospective Studies; D017694:Rewarming; D012307:Risk Factors