So Paulo: Faculdade de Medicina, Universidade de. Moraes, Ricardo Casalino Sanches de. Ricardo Casalino Sanches de Moraes. A cirurgia cardaca, mas dada a sua simplicidade e objectividade tem sido usado. Professora Assistente da Disciplina de Cirurgia Cardaca. Euroscore aditivo um clculo ebook pdf mechanical engineering handbook matemtico simples e a forma logstica necessita.
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This article has been corrected. See Rev Bras Cir Cardiovasc. This article has been cited by other articles in PMC. Methods We retrospectively analyzed the charts of patients operated on and admitted to the intensive care unit postoperatively at the Royal Portuguese Hospital of Recife.
We included all patients with complete medical records, excluding those who died during surgery, underwent transplantation or correction of congenital heart disease. We evaluated the development of respiratory infection, cerebrovascular accident, and dialysis-dependent renal failure, and the EuroSCORE was compared in terms of the three complications using the Mann-Whitney test. The calibration model for predicting the morbidities being studied was evaluated using the test set of Homer-Lemeshow goodness.
Conclusion EuroSCORE proved to be a good predictor of major postoperative morbidity in cardiac surgery: respiratory and dialysis-dependent renal failure. Thus, several scores have been developed and applied to predict mortality in cardiac surgery [ 3 , 4 ]. Calculating surgical risk, i. However, studying causes of death is often a lot more complex as there are multiple variables, making it difficult to develop specific scores to predict mortality.
In cardiac surgery, when the following three major events are present, there is greater risk of death: onset of respiratory tract infection RTI , preoperative cerebrovascular accident CVA , and dialysis-dependent renal failure DDRF [ 6 - 9 ]. Besides being associated with higher mortality rates, those events are the leading cause of readmission to the intensive care unit, increasing hospital costs [ 10 ].
Even though it is known that those adverse events can definitely contribute to unfavorable results in cardiac surgeries, there are no specific scores derived from major studies capable of predicting the chances of developing such complications and, hence, capable of predicting morbidity.
This study sets out to evaluate the EuroSCORE as a predictor of morbidity, since it is simple and practical, has a reduced number of variables, and is widely used throughout the world, having been validated several times, including in our midst, with good results [ 11 , 12 ]. Medical records of out of patients operated on from July 1, to July 30, were analyzed.
Patients with complete medical records were included in the study and patients who died during surgery or who had undergone either cardiac transplant or correction of congenital heart disease were excluded. Data was collected from electronic medical records and inserted into an Excel spreadsheet containing all the variables included in the study.
A specific calculator was used to obtain the EuroSCORE, classifying patients into the following three risk groups, according to additive score values: high, medium, and low. RTI was diagnosed according to clinical and radiological criteria, and it was confirmed by quantitative culture of tracheal aspirate containing colony counts above one million.
Patients who developed the need to have compulsory renal replacement therapy after surgery were considered as having DDRF. Patients with CVA should have their diagnosis confirmed by recent findings of brain damage as evidenced by non-contrast computed tomography scan performed 72 hours after suspicion of the event.
Categorical variables were expressed as their relative and absolute frequencies. Accuracy was assessed by the area under the ROC curve receiver operating characteristic curve , built based on sensitivity correct prediction of death and 1 - specificity correct prediction of survival , which were calculated for every score value studied.
The Statistical Package for the Social Sciences
Correlation of the EuroSCORE with the onset of postoperative acute kidney injury in cardiac surgery
E-mail: moc. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. This article has been cited by other articles in PMC. Methods This retrospective study was conducted at a tertiary hospital on consecutive cardiac surgery patients e. Results One hundred patients were assessed.
STS ou Euroscore: qual o melhor escore de risco para revascularização miocárdica?
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