OUTCOME OF SEPSIS IN POST OPERATIVE ADULTPATIENTS OF CARDIAC SURGICAL INTENSIVE CARE UNIT

Abstract

Objective:To determine the frequency of sepsis and to evaluate the morbidity and mortality of patients subjected
to cardiac surgery that developed sepsis during the in-hospital postoperative period.
Study Design: Descriptive cross sectional study.
Place and Duration of Study:Armed Forces Institute of Cardiology, Intensive Care Unit of Rawalpindi, from
Oct2016 to Dec2016.
Material and Methods:Three hundred and twenty eight patients were included who underwent elective open
heart surgery at intensive care unit of AFIC/NIHD. All the patients who were above 18 years of age and
underwent elective coronary artery bypass graft (CABG) surgery during the specified study period were
included. Patients with any infection and with infective endocarditis were excluded. Non-probability consecutive
sampling technique was used.
Results: The frequency of immediate post surgical sepsis was found to be 55(17.0%). The mean age of patients
was found to be 55 (53±14) years. Among these patients, 29(9.0%) were males and 26(8.0%) were females. 38
(12.0%) had coronary artery bypass graft (CABG) and 17 (5.0%) underwent valve replacement. Mean ICU stay
was found to be 14.5 ± 10.1 days in males & 17.3 ± 12.4 days in females, surgical site infection rate 8 (2.3%), cardiac
support 19 (34.5%), likewise mechanical cardiac support in males 10 (18.0%) and in females 2 (4.0%), mean
mechanical ventilation timewas found to be (5.1±1.3 hours), post-op acute renal failure in males 6 (11.0%) and

Conclusion:Sepsis that occurs in the cardiac surgery post-operative period significantly contributes to patients’
high morbidity and mortality. Moreover, fu.....