{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:03:36Z","timestamp":1753877016725,"version":"3.41.2"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T00:00:00Z","timestamp":1714348800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Postoperative organ dysfunction is common after cardiac surgery, particularly when cardiopulmonary bypass (CPB) is used. The Sequential Organ Failure Assessment (SOFA) score is validated to predict morbidity and mortality in cardiac surgery. However, the impact of CPB duration on postoperative SOFA remains unclear.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>This is a retrospective study. Categorical values are presented as percentages. The comparison of SOFA groups utilized the Kruskal\u2013Wallis chi-squared test, complemented by ad hoc Dunn\u2019s test with Bonferroni correction. Multinomial logistics regressions were employed to evaluate the relationship between CPB time and SOFA.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>A total of 1032 patients were included. CPB time was independently associated with higher postoperative SOFA scores at 24\u2009h. CPB time was significantly higher in patients with SOFA 4\u20135 (**P\u2009=\u20090.0022) or higher (***P\u2009&amp;lt;\u20090.001) when compared to SOFA 0\u20131. The percentage of patients with no\/mild dysfunction decreased with longer periods of CPB, down to 0% for CPB time &amp;gt;180min (50% of the patients with &amp;gt;180m in of CPB presented SOFA\u2009\u2265\u200910). The same trend is observed for each of the SOFA variables, with higher impact in the cardiovascular and renal systems. Severe dysfunction occurs especially &amp;gt;200 min of CPB (cardiovascular system &amp;gt;100 min; other systems mainly &amp;gt;200\u2009min).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>CPB time may predict the probability of postoperative SOFA categories. Patients with extended CPB durations exhibited higher SOFA scores (overall and for each variable) at 24\u2009h, with higher proportion of moderate and severe dysfunction with increasing times of CPB.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivae082","type":"journal-article","created":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T22:54:00Z","timestamp":1714431240000},"source":"Crossref","is-referenced-by-count":2,"title":["The impact of cardiopulmonary bypass time on the Sequential Organ Failure Assessment score after cardiac surgery"],"prefix":"10.1093","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0455-8189","authenticated-orcid":false,"given":"Tiago R","family":"Velho","sequence":"first","affiliation":[{"name":"Innate Immunity and Inflammation Laboratory, Instituto Gulbenkian de Ci\u00eancia , Oeiras, Portugal"},{"name":"Department of Cardiothoracic Surgery, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte , Lisbon, Portugal"},{"name":"Cardiothoracic Surgery Research Unit, Centro Cardiovascular da Universidade de Lisboa (CCUL@RISE), Faculdade de Medicina da Universidade de Lisboa , Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9604-1223","authenticated-orcid":false,"given":"Rafael Mani\u00e9s","family":"Pereira","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte , Lisbon, Portugal"},{"name":"Escola Superior Sa\u00fade da Cruz Vermelha Portuguesa , Lisbon, Portugal"}]},{"given":"Nuno Carvalho","family":"Guerra","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte , Lisbon, Portugal"}]},{"given":"Ricardo","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte , Lisbon, Portugal"},{"name":"Cardiothoracic Surgery Research Unit, Centro Cardiovascular da Universidade de Lisboa (CCUL@RISE), Faculdade de Medicina da Universidade de Lisboa , Lisbon, Portugal"}]},{"given":"Dora","family":"Pedroso","sequence":"additional","affiliation":[{"name":"Innate Immunity and Inflammation Laboratory, Instituto Gulbenkian de Ci\u00eancia , Oeiras, Portugal"}]},{"given":"Ana","family":"Neves-Costa","sequence":"additional","affiliation":[{"name":"Innate Immunity and Inflammation Laboratory, Instituto Gulbenkian de Ci\u00eancia , Oeiras, Portugal"}]},{"given":"\u00c2ngelo","family":"Nobre","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte , Lisbon, Portugal"},{"name":"Cardiothoracic Surgery Research Unit, Centro Cardiovascular da Universidade de Lisboa (CCUL@RISE), Faculdade de Medicina da Universidade de Lisboa , Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0707-315X","authenticated-orcid":false,"given":"Lu\u00eds Ferreira","family":"Moita","sequence":"additional","affiliation":[{"name":"Innate Immunity and Inflammation Laboratory, Instituto Gulbenkian de Ci\u00eancia , Oeiras, Portugal"},{"name":"Faculdade de Medicina da Universidade de Lisboa , Lisbon, Portugal"}]}],"member":"286","published-online":{"date-parts":[[2024,4,29]]},"reference":[{"key":"2024051603460105900_ivae082-B1","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/j.bja.2021.04.032","article-title":"Activation of the innate immune response and organ injury after cardiac surgery: a systematic review and meta-analysis of randomised trials and analysis of individual patient data from randomised and non-randomised studies","volume":"127","author":"Abbasciano","year":"2021","journal-title":"Br J 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