gms | German Medical Science

131. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

25.03. - 28.03.2014, Berlin

Outcome of Cardiac Surgical Patients after Postoperative Cardiopulmonary Resuscitation

Meeting Abstract

  • Sems Tugtekin - Herzzentrum Dresden, Herzchirurgie, Dresden
  • Klaus Matschke - Herzzentrum Dresden, Herzchirurgie, Dresden
  • Manuel Wilbring - Herzzentrum Dresden, Herzchirurgie, Dresden
  • Antonia Schüssler - Herzzentrum Dresden, Herzchirurgie, Dresden
  • Christian Georgi - Herzzentrum Dresden, Herzchirurgie, Dresden

Deutsche Gesellschaft für Chirurgie. 131. Kongress der Deutschen Gesellschaft für Chirurgie. Berlin, 25.-28.03.2014. Düsseldorf: German Medical Science GMS Publishing House; 2014. Doc14dgch154

doi: 10.3205/14dgch154, urn:nbn:de:0183-14dgch1547

Published: March 21, 2014

© 2014 Tugtekin et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Background: Only little information exists concerning outcome of patients needing cardiopulmonary resuscitation (CPR) after cardiac surgery. We evaluated corresponding patients and their outcomes during hospital stay and further follow-up.

Patients and Methods: In 2007 and 2008 a total of 4.021 patients underwent cardiac surgery. Out of these, 129 patients (3.2%) needed CPR during their primary hospital stay. Hospital and post-hospital outcome of the CPR-patients was retrospectively analyzed. The patients were predominantly male (61.5%) with an age averaging 70.9±9.9 years. Mean follow-up was 56.0±149.2 days, ranging from 0 to 878 days.

Results: Cardiac surgery consisted of isolated aortic valve replacement (35.0%, AVR), isolated coronary artery bypass grafting (31.3%, CABG) and AV-valve surgery (30.0%). Less frequent procedures were combined AVR/CABG (2.5%) and VSD-closure (1.3%). CPR took place after a median of 3.5 days after surgery with a mean duration of 21.1±19.3 min. Neuroprotective hypothermia (32°C for 24h) was established in 22.2%. Reasons for CPR were supposed to be rhythm-associated (67.1%), low cardiac output (27.5%) and respiratory failure (5.4%). CPR was primary successful in 69.5% (n=90), but subsequently further 53 patients died, which equals a final mortality of 71.3% (n=92). Morbidity after CPR consisted of neurologic deficit (12.2%), airway infection (28.1%), impaired wound healing (13.3%) and renal failure (41.8%). Mean ventilation time and ICU-stay after CPR were 68.8 ± 192.4 hours and 2.5 ± 7.2 days, respectively.

Conclusion: Patients needing CPR post-cardiac surgery, are affected from discouraging high mortality and morbidity with a significant consumption of hospital resources. All endeavor must be made in preventing CPR.