BACKGROUND: @entity8770 is relatively common in the cardiac surgical @entity1 and is usually considered a marker of illness severity. The frequency and impact of severe @entity8770 after elective cardiac surgery has not been described, and prognosis may be different compared with that for other surgical or medical critically ill @entity1 populations. METHODS: We conducted a retrospective study to evaluate the hospital course and outcomes of @entity1 who developed @entity86 ( @entity86 ; lactate >10  mmol/L) after elective cardiac surgery, from January 1, 2008 to December 31, 2012, at a large, academic, tertiary referral center. RESULTS: Of 9580 cardiac surgical @entity1 who met inclusion criteria, 121 (1.26%) developed @entity86 . The most common cause was @entity1455 (53.8%). In-hospital mortality was 40.5% but varied widely based on the cause of the @entity86 . All @entity1 with definite @entity5327 (n  =  5) or extremity @entity2054 (n  =  6) at the time of @entity86 died in the hospital. Forty @entity1 (33.1%) were discharged to home, whereas 32 (26.4%) were discharge to a skilled-care facility. CONCLUSIONS: Severe @entity86 is rare after elective cardiac surgery. Although this phenomenon continues to be associated with mortality, >50% of @entity1 survived to hospital discharge, a more favorable prognosis, compared with other @entity1 populations based on @entity880 levels alone. Important exceptions were @entity1 who had extremity @entity2054 or @entity5327 , which were associated with in-hospital death in all cases. In all other etiologic groups, a substantial proportion of @entity1 were discharged to home.

Frequency and outcomes of severe XXXX after elective cardiac surgery.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity8770 :: ('MESH:D065906', 'Disease') :: ['hyperlactatemia', 'Hyperlactatemia'] @entity2054 :: ('MESH:D003161', 'Disease') :: ['compartment syndrome'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative hyperlactatemia', 'severe postoperative hyperlactatemia', 'SPHL'] @entity880 :: ('MESH:D019344', 'Chemical') :: ['lactate'] @entity1455 :: ('MESH:D012770', 'Disease') :: ['cardiogenic shock'] @entity5327 :: ('MESH:D065666', 'Disease') :: ['mesenteric ischemia']
@entity8770 :: (MESH:D065906,Disease) :: ['hyperlactatemia']
