| Adverse outcomes(n = 283) | Control(n = 573) | P value |
---|---|---|---|
Intraoperative variables | |||
 Type of cardiac surgery (n, %) |  |  | 0.442 |
  AVR | 94 (33.2) | 205 (35.8) |  |
  MVR | 83 (29.3) | 164 (28.6) |  |
  DVR | 45 (15.9) | 66 (11.5) |  |
  CABG + valvular surgery | 13 (4.6) | 28 (4.9) |  |
  Valvular + other aortic surgery | 48 (17.0) | 110 (19.2) |  |
  ASA Classification > 3 (n,%) | 249 (88.0) | 477 (83.2) | 0.069 |
  Operation time( minutes) | 295 (250–360) | 270 (230–325) |  < 0.001 |
  CPB( minutes) | 150 (119–188) | 134 (107–163) |  < 0.001 |
  ACC(minutes) | 110 (85–144) | 98 (79–126) |  < 0.001 |
  Intraoperative bleeding(ml) | 800 (600–1200) | 800 (600–1100) | 0.005 |
Intraoperative RBC | |||
 transfusion(ml) | 450 (0–1050) | 350 (0–904) | 0.135 |
 Urine volume(ml) | 800 (500–1300) | 800 (500–1400) | 0.544 |
Maximum HR(bpm) | |||
 Preoperative | 65 (55–80) | 68 (59–80) | 0.544 |
 End of surgery | 93 (85–101) | 90 (80–98) |  < 0.001 |
Maximum MAP(mmHg) | |||
 Preoperative | 80 (73–86) | 80 (73–87) | 0.175 |
 End of surgery | 73 (67–79) | 74 (68–80) | 0.058 |
Intraoperative drugs | |||
 Dextrmetomidine(n,%) | 212(74.9) | 482(84.1) | 0.001 |
 Milrinone(mg) | 2.7 (2.1–3.8) | 2.6 (2.1–3.2) | 0.023 |
 Norepinephrine(mg) | 1.4 (1.1–1.9) | 1.3 (1.1–1.7) | 0.206 |
 Dopamine(mg) | 45.0 (35.1–62.7) | 42.2 (34.0–53.6) | 0.007 |
Postoperative variables | |||
 Blood gas analysis within 24 h | |||
  Sp02(%) | 99 (98–100) | 99 (98–100) | 0.956 |
  PH | 7.40 (7.38–7.43) | 7.40 (7.38–7.42) | 0.048 |
  PaCO2(mmHg) | 38.6 (35.0–41.7) | 39.6 (37.3–42.0) | 0.002 |
  PaO2(mmHg) | 108.1(89.6–142.9) | 107 (90.6–126.85) | 0.641 |
  Hb(mmol/L) | 10.2 (9.2–11.0) | 10.4 (9.6–11.3) | 0.001 |
  K + (mmol/L) | 4.4 (4.2–4.7) | 4.5 (4.2–4.7) | 0.377 |
  Lac(mmol/L) | 1.7 (1.3–2.5) | 1.6 (1.2–2.3) | 0.212 |
  Mechanical ventilation time (hours) | 13 (7–20) | 7 (5–14) |  < 0.001 |
  CICU time (days) | 4 (3–6) | 3 (3–4) |  < 0.001 |
  Cardiac arrest(n, %) | 3 (1.1) | 0 (0) | 0.014 |
  Atrial fibrillation (n, %) | 118 (41.7) | 0 (0) |  < 0.001 |
  Myocardial injury/infarction(n, %) | 121 (42.8) | 0 (0) |  < 0.001 |
  Heart failure(n, %) | 126 (44.5) | 0 (0) |  < 0.001 |