Registry Construction for Perioperative Data in Patients Undergoing Cardiovascular Surgery

Study Overview
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Brief Summary
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The purpose of this registry is to obtain perioperative data in patients undergoing cardiac or thoracic aortic surgery and find out relations between the data and investigate several causes affecting postoperative complications.

Official Title
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Perioperative Clinical, Hemodynamic Data and Prognosis Assessment in Patients Who Undergo Cardiovascular Surgery; Registry Construction

Conditions
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Cardiac Surgery, Anesthesia

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients undergoing cardiac or thoracic aortic surgery Exclusion Criteria: refused to participate

Ages Eligible for Study
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Minimum Age: 20 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Baseline characteristics | Sex Age Height Weight Body mass index Underlying disease Family history Previous operation history Current medication Preoperative hemodialysis Preoperative cardiopulmonary resuscitation Preoperative mechanical ventilation Preoperative intra-aortic balloon pump Preoperative intravenous drug and dose Alcohol history, smoking history Drug allergy Functional capacity, ASA classification, NYHA class EuroSCORE, STS score, SOFA score | Before surgery | 
| Preoperative data | Vital sign including systolic blood pressure, diastolic blood pressure, mean blood pressure, pulse pressure, heart rate, SpO2, body temperature, consciousness, GCS (Glasgow Coma Scale), central venous pressure, pulmonary arterial pressure, and respiratory rate Laboratory data including CBC (Hb, Hct, WBC, platelet), Electrolyte (Na, K, Ca, Mg), coagulation (PT INR, aPTT, fibrinogen), ABGA (Hct, pH, pCO2, pO2, HCO3-, BE, SaO2), BUN/Creatinine, OT/PT, Total bilirubin, CRP, cardiac enzyme (Troponin I, CK, CK-MB), albumin, glucose, HbA1C, lactate, and creatinine clearance ABGA (Hct, pH, pCO2, pO2, HCO3-, BE, SaO2, Na, K, iCa, Glucose, Lactic acid) Imaging data including chest X-ray, chest CT, Brain MRI/A, coronary angiography, CT angiography, cardiac MRI, myocardiac SPECT, and abdomen CT ECG (rhythm, QTc interval), PFT, Echocardiography (Ejection fraction, RWMA, Pulmonary HTN, Valve abnormality), and esophagogastroduodenoscopy | Before surgery | 
| Intraoperative and postoperative data | Vital sign ECG analysis Stroke volume variation, pulse pressure variation Cardiac index, cardiac output, stroke volume, mixed venous oxygen saturation Airway and respiratory indicators Bispectral index Patient state index (PSi) Tissue oxygen saturation of brain and limbs Tissue oxygen saturation (StO2) during vascular occlusion test (VOT) Transcutaneous CO2 (PtcCO2), transcutaneous O2 (PtcO2) Sublingual SDF imaging (MicroScan; MicroVision Medical, Amsterdam, the Netherlands) Pupil reactivity assessment scale Coagulation: ROTEM, Multiplate Laboratory data ABGA Cardiac enzyme | During surgery and until 48 hours after surgery | 
| Operation data | Type of operation Emergency or elective Types and doses of anesthetics, anesthesia time, surgery time Location of arterial lines Infused fluid and dose, estimated blood loss, blood transfusion, and urine output Coronary artery bypass surgery: type of bypass artery, bypass time for each artery Cardiopulmonary bypass A. Cardiopulmonary bypass protocol B. Types and doses of used drug, rewarming time, duration of CPB, time of aortic clamping, transfusion dose Aortic arch surgery: total circulatory arrest, circulatory arrest duration, cerebral perfusion Intraoperative TEE finding Assist device including IABP, ECMO, LVAD, and RVAD Rescue drug usage and dose Tranexamic acid and vitamin K usage Drug reaction or specific event | During surgery | 
| Postoperative ICU data | Imaging data including chest X-ray, chest CT, Brain MR/CT, Echocardiography Mechanical ventilation duration ICU stay duration Hospital stay duration Postoperative pain control, sedatives Drug usage and dose (Epinephrine, norepinephrine, dobutamine, dopamine, milrinone, vasopressin, nitroglycerin, phenylephrine, calcium chloride, lidocaine, amiodarone, digoxin, diltiazem, bicarbonate, and adenosine) Assist device including IABP, ECMO, LVAD, and RVAD Infused fluid and dose (crystalloid, colloid), estimated blood loss, blood transfusion (RBC, FFP, Platelet, cryoprecipitate, self-blood salvage), urine output at ICU admission, 24 hours / 48 hours after ICU admission. | 1 year after surgery | 
| Complications | Cardiac complications Respiratory complications Neurologic complications Renal complications Infectious complications Gastrointestinal complications Adverse drug reaction Bleeding complications Thrombotic complications Postoperative multiorgan failure (SOFA score) Mortality including in hospital mortality Re-operation | 1 year after surgery |