Increased heart rate on first day in Intensive Care Unitis associated with increased mortality

Duygu Kara, Seda Banu Akinci, Gulcin Babaoglu, Ulku Aypar

Abstract


Objective: To investigate the association of maximum HR during the first day of intensive care unit (ICU) and mortality.

Methods: Data of 850 patients over 45 years of age, who were  hospitalized in ICU, was retrospectively analyzed. They were divided into two groups; Group-I, patients with maximum HR<100/min Group-II, patients with maximum HR≥100/min on first day. The groups were compared regarding age, sex, use of beta-blockers, use of inotropic and vasopressor drugs, hemodynamic parameters, anemia, mechanical ventilation, length of hospitalization (ICU and total), mortality (ICU and total), and CHARLSON & APACHE-II scores.

Results: The mean age of patients was 63±12 years and 86% were after non-cardiac surgery. Maximum HR was 83±11 in Group-I and 115±14/min in Group-II (p=0.002). Group-II patients had more frequent vasopressor and inotropic drugs usage, (p<0.001), anemia, mechanical ventilation (p<0.005), higher CHARLSON & APACHE-II scores, stayed longer in ICU and hospital, and had higher ICU and hospital mortality compared to group-I (p<0.05). APACHE-II scores and maximum HR<100/min were independent variables predicting ICU mortality in multivariate logistic regression analysis whereas usage of beta-blockers was not.

Conclusions: Our study showed that maximum HR less than100/minute during the first day of ICU is associated with decreased mortality in Intensive Care Unit.

doi: https://doi.org/10.12669/pjms.326.11507

How to cite this:Kara D, Akinci SB, Babaoglu G, Aypar U. Increased heart rate on first  day in Intensive Care Unit is associated with increased mortality. Pak J Med Sci. 2016;32(6):1402-1407.   doi: https://doi.org/10.12669/pjms.326.11507

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Full Text: PDF

Refbacks

  • There are currently no refbacks.
sejuta manfaat artikel unik sejarah kerajaan

omron-nebulizer_1358