ICU Admission Score for Predicting Morbidity and Mortality Risk After Coronary Artery Bypass Grafting

作者: Thomas L Higgins , Fawzy G Estafanous , Floyd D Loop , Gerald J Beck , Jar-Chi Lee

DOI: 10.1016/S0003-4975(97)00553-5

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摘要: Abstract Background . This study was performed to develop an intensive care unit (ICU) admission risk score based on preoperative condition and intraoperative events. provides a tool with which judge the effects of ICU quality outcome. Methods Data were collected prospectively 4,918 patients (study group n=2,793 validation data set n=2,125) undergoing coronary artery bypass grafting alone or combined valve carotid procedure between January 1, 1993, March 31, 1995. analyzed by univariate multiple logistic regression end points hospital mortality serious morbidity (stroke, low cardiac output, myocardial infarction, prolonged ventilation, infection, renal failure, death). Results Eight factors predicted at admission, these five others morbidity. A clinical score, weighted equally for mortality, developed. All models fit according Hosmer-Lemeshow goodness-of-fit test. applies well isolated grafting. Conclusions model is complementary our previously reported model, allowing process be measured independent operative care. Sequential scoring also allows updated prognoses different in continuum

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