Comparison between Sequential Organ Failure Assessment Score (SOFA) and Cardiac Surgery Score (CASUS) for Mortality Prediction after Cardiac Surgery

Badreldin, Akmal M.A.; Doerr, Fabian; Ismail, Mohamed; Heldwein, M.; Bayer, Ole; Doenst, Torsten; Hekmat, Khosro

doi:10.1055/s-0030-1270943

Cited by 31 publications

(32 citation statements)

References 12 publications

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“…Various investigations have identified a clear relationship between organ dysfunction and mortality [24], [25]. In our patients, an elevated SOFA score was associated with unfavorable outcomes.…”

Section: Discussionsupporting

confidence: 47%

Prevalence of Acute Kidney Injury and Prognostic Significance in Patients with Acute Myocarditis

Yang

et al. 2012

PLoS ONE

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ObjectiveMyocarditis is an inflammation of the myocardium. The condition is commonly associated with rapid disease progression and often results in profound shock. Impaired renal function is the result of impairment in end-organ perfusion and is highly prevalent among critically ill patients. The aim of this study was to evaluate the incidence of acute kidney injury (AKI) and identify the relationship between AKI and the prognosis of patients with acute myocarditis.Design, Measurements and Main ResultsThis retrospective study reviewed the medical records of 101 patients suffering from acute myocarditis between 1996 and 2011. Sixty of these patients (59%) developed AKI within 48 hours of being hospitalized. AKI defined as AKIN stage 3 (p = 0.007) and SOFA score (p = 0.03) were identified as predictors of in-hospital mortality in multivariate analysis. The conditional effect plot of the estimated risk against SOFA score upon admission categorized according to the AKIN stages showed that the risk of in-hospital mortality was highest among patients in AKIN stage 3 with a high SOFA score.ConclusionsAmong patients with acute myocarditis, AKI defined as AKIN stage 3 and elevated SOFA score were associated with unfavorable outcomes. AKIN classification is a simple, reproducible, and easily applied evaluation tool capable of providing objective information related to the clinical prognosis of patients with acute myocarditis.

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Section: Discussionsupporting

confidence: 47%

Prevalence of Acute Kidney Injury and Prognostic Significance in Patients with Acute Myocarditis

Yang

et al. 2012

PLoS ONE

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“…Although these scoring systems were not designed for the specific features of open heart surgery, and they had excluded these patients from their initial development studies, the main and most commonly used scoring systems in the field of intensive care, such as the APACHE II, SAPS II, and SOFA, have been evaluated in this specific subset of patients. 1,3,9,[16][17][18][19][20] In our sample, SOFA exhibited the least satisfactory performance in relation to the prediction of 30-day mortality, something not unforeseen, because the model was originally designed over time to describe the changing severity in the process of organ failure in ICU patients with sepsis 12 ; thus, it was designated more as an indicator of morbidity. In 2003, Ceriani et al 18 examined the use of SOFA scores to predict postoperative morbidity in cardiac surgery patients.…”

Section: Operationmentioning

confidence: 99%

Scoring Systems for Outcome Prediction in a Cardiac Surgical Intensive Care Unit: A Comparative Study

Exarchopoulos

Charitidou

Dedeilias

et al. 2015

American Journal of Critical Care

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A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:1. Compare and contrast 5 scoring systems and their ability to predict morbidity and mortality in the cardiac patient population. 2. Identify preoperative, intraoperative, and postoperative variables when using a prospective study. 3. Describe the performance of each scoring system. Methods Consecutive patients admitted to a cardiac surgical intensive care unit (CSICU) were prospectively studied. Data on the preoperative condition, intraoperative parameters, and postoperative course were collected. EuroSCORE II, CASUS, and scores from 3 general severityscoring systems (APACHE II, SAPS II, and SOFA) were calculated on the first postoperative day. Clinical outcome was defined as 30-day mortality and in-hospital morbidity. Results A total of 150 patients were included. Thirty-day mortality was 6%. CASUS was superior in outcome prediction, both in relation to discrimination (area under curve, 0.89) and calibration (Brier score = 0.043, c 2 = 2.2, P = .89), followed by EuroSCORE II for 30-day mortality (area under curve, 0.87) and SOFA for morbidity (Spearman ρ = 0.37 and 0.35 for the CSICU length of stay and duration of mechanical ventilation, respectively; Wilcoxon W = 367.5, P = .03 for probability of readmission to CSICU). Conclusions CASUS can be recommended as the most reliable and beneficial option for benchmarking and risk stratification in cardiac surgery patients.

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“…This was confirmed by a UK study, which also demonstrated the ICNARC model was a significantly superior predictor of outcome and performed in line with EuroSCORE‐2, the widely used pre‐operative risk‐prediction scoring system . Other studies from Canada and Germany have evaluated alternative postoperative cardiac surgery predictive scores, however their validation is limited by the smaller selection of variables and the fact they are based on data analysis from a single centre .…”

Section: Whose Outcome Is It Anyway?mentioning

confidence: 66%

Climate change in cardiothoracic intensive care

Fletcher

2016

Anaesthesia

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Comparison between Sequential Organ Failure Assessment Score (SOFA) and Cardiac Surgery Score (CASUS) for Mortality Prediction after Cardiac Surgery

Abstract: Both CASUS and SOFA are reliable mortality prediction tools after cardiac surgery. However, CASUS was more accurate in predicting the individual patient's risk of mortality. Thus, use of the CASUS in cardiac surgery intensive care units is recommended.

Cited by 31 publications

References 12 publications

Prevalence of Acute Kidney Injury and Prognostic Significance in Patients with Acute Myocarditis

Prevalence of Acute Kidney Injury and Prognostic Significance in Patients with Acute Myocarditis

Scoring Systems for Outcome Prediction in a Cardiac Surgical Intensive Care Unit: A Comparative Study

Climate change in cardiothoracic intensive care

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