Artikel Jurnal :: Kembali

Artikel Jurnal :: Kembali

Predicting mortality in patients admitted to the intensive care unit after open vascular surgery

Pedro Reis; Ana Isabel Lopes; Diana Leite; Moreira, Joao; Leonor Mendes; Sofia Ferraz; Tania Amaral; Fernando Abelha (Springer, 2019)

 Abstrak


ABSTRACT
Purposes
Vascular surgery (VS) has a higher perioperative mortality than other types of surgery. We compared different scores for predicting mortality in patients admitted to the intensive care unit (ICU) after open VS.
Methods
Patients admitted to the ICU after open VS from 2006 to 2013 were included. We calculated the Acute Physiology and Chronic Health Evaluation (APACHE), Simplified Acute Physiology Score (SAPS), Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity (POSSUM) and Preoperative Score to Predict Postoperative Mortality (POSPOM). We performed multivariate logistic regression to assess independent factors with the calculation of odds ratios (ORs) and 95% confidence intervals (CIs). We tested the predictive ability of the scores using the area under the receiver operating characteristics curve (AUROC).
Results
A total of 833 consecutive patients were included. Hospital mortality was 5,1% (1,3% after intermediate-risk and 8,4% after high-risk surgery). In the multivariate analysis, the age (OR 1,04, 95% CI 1,01-1,08, p = 0,013), smoking status (OR 2,46, 95% CI 1,16-5,21, p = 0,019), surgery risk (OR 2,92, 95% CI 1,058,08, p = 0,040), serum sodium level (OR 1,17, 95% CI 1,10-1,26, p < 0,001), urea (OR 1,01, 95% CI 1,01-1,02, p = 0,001) and leukocyte count (OR 1,05, 95% CI 1,01-1,10, p = 0,009) at admission were considered independent predictors. Hematocrit (0,86, 95% CI 0,80-0,93, p < 0.001) was considered an independent protective factor. The AUROC of our model was 0,860, compared to SAPS (0,752), APACHE (0,774), POSPOM (0,798) and POSSUM (0,829).
Conclusion
The observed mortality was within the predicted range (1-5% after intermediate-risk and > 5% after high-risk surgery). POSSUM and POSPOM had slightly better predictive capacity than SAPS or APACHE.

 Metadata

Jenis Koleksi : Artikel Jurnal
No. Panggil : 617 SUT 49:10 (2019)
Entri utama-Nama orang :
Entri tambahan-Nama orang :
Subjek :
Penerbitan : Tokyo: Springer, 2019
Sumber Pengatalogan : LibUI eng rda
ISSN : 09411291
Majalah/Jurnal : Surgery Today Official Journal of The Japan Surgical Society
Volume : Vol. 49 No. 10, October 2019: Hal. 836-842
Tipe Konten : text
Tipe Media : unmediated
Tipe Carrier : volume
Akses Elektronik : https://link.springer.com/article/10.1007/s00595-019-01805-w
Institusi Pemilik : Universitas Indonesia
Lokasi : Perpustakaan UI, Lantai 4, R. Koleksi Jurnal
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No. Panggil No. Barkod Ketersediaan
617 SUT 49:10 (2019) 03-20-550007140 TERSEDIA
Ulasan:
Tidak ada ulasan pada koleksi ini: 20503031
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