Advertisement

 

 

Sequential organ failure assessment score predicts mortality after coronary artery bypass grafting.

Sequential organ failure assessment score predicts mortality after coronary artery bypass grafting.
Author Information (click to view)

Chang CH, Chen SW, Fan PC, Lee CC, Yang HY, Chang SW, Pan HC, Tsai FC, Yang CW, Chen YC,


Chang CH, Chen SW, Fan PC, Lee CC, Yang HY, Chang SW, Pan HC, Tsai FC, Yang CW, Chen YC, (click to view)

Chang CH, Chen SW, Fan PC, Lee CC, Yang HY, Chang SW, Pan HC, Tsai FC, Yang CW, Chen YC,

Advertisement

BMC surgery 2017 03 0617(1) 22 doi 10.1186/s12893-017-0219-9
Abstract
BACKGROUND
Mortality after coronary artery bypass grafting (CABG) is generally associated with underlying disease and surgical factors overlooked in preoperative prognostic models. Sequential Organ Failure Assessment (SOFA) and Acute Physiology and Chronic Health Evaluation (APACHE II) scores are widely used in intensive care units for outcome prediction. This study investigated the accuracy of these models in predicting mortality.

METHODS
Between January 2010 and April 2013, 483 patients who underwent isolated CABG were enrolled. The clinical characteristics, outcomes, and prognostic model scores of the patients were collected. Discrimination was assessed using the area under the curve approach.

RESULTS
Both SOFA and APACHE II scores were effective for predicting in-hospital mortality. Among the organ systems examined in the SOFA, the cardiac and renal systems were the strongest predictors of CABG mortality. Multivariate analysis identified only the SOFA score as being an independent risk factor for mortality.

CONCLUSION
In summary, the SOFA score can be used to accurately identify mortality after isolated CABG.

Submit a Comment

Your email address will not be published. Required fields are marked *

six − 4 =

[ HIDE/SHOW ]