Correlation between EuroSCORE and intensive care unit length of stay after coronary surgery

Abstract

During the last several years many authors have found that the European System for Cardiac Operative Risk Evaluation is useful in the prediction of not only postoperative mortality but also of the length of stay in the intensive care unit, complication rate and overall treatment expenses. This study included 329 patients who had undergone isolated surgical myocardial revascularization at our Department during the period from January 1st to June 6th, 2008. For the operative risk evaluation, the additive European System for Cardiac Operative Risk Evaluaion was used. In group I (low risk 0-2%) there were 144 patients (43.7%), whereas group II (medium risk 3-5%) and group III (high risk > or = 6%) included 141 (42.8%) and 44 (13.4%) patients, respectively. The length of stay in the intensive care unit was 25.56, 32.43 and 49.59 hours for groups I, II and III, respectively. The difference in the mean length of stay in the intensive care unit between the groups was highly statistically significant (p < 0.001) with a positive correlation (R = 0.193; p < 0.001). There is a positive correlation in patients who had undergone surgical myocardial revascularization in terms of operative risk expressed by the additive European System for Cardiac Operative Risk Evaluation and length of stay in the intensive care unit, total intubation period and development of early postoperative complications.

Data mining approach for in-hospital treatment outcome in patients with acute coronary syndrome

“…The application of data mining when solving the issue of predicting in-hospital outcome in ACS has not been explored extensively in the literature [11][12][13][14]. This study includes ACS patients after an invasive strategy (primary PCI for STEMI/urgent PCI for NSTEMI and UA) and focuses on in-hospital mortality.…”

Locally derived system for cardiac operative risk evaluation

“…Due to the known constraints of ready-made models and somewhat limited results in our population published in the previous papers [2,7,8,10], we have decided to create a local model. This endeavor has been implemented through support of the Provincial Secretariat for Science and Technological Development of the Autonomous Province of Vojvodina (Serbia) (Grant number 114-451-2131/2011).…”

Vojvodinascore - local system for cardiac operative risk evaluation

“…In our previous studies [8][9][10][11], we analyzed the predictive value of the EuroSCORE model in coronary surgery, as well as trends of risk factors included in the EuroSCORE model. It was observed that the profile of coronary patients undergoing surgery in one of the cardiac surgery centres is drastically changing primarily due to the significantly advanced percutaneous techniques for myocardial revascularization.…”