Dergiler / Turkish Journal of Anaesthesiology and Reanimation / 2019 / Cilt: 47 - Sayı: 1

The APACHE II Score as a Predictor of Mortality After Open Heart Surgery

Sayfa
41–47
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Conclusion: The APACHE II model can be used to predict mortality in a Turkish population of patients who have undergone cardiac surgery.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: The Acute Physiology and Chronic Health Evaluation (APACHE) severity of disease classification system, which is one of the most widely used scoring systems to predict mortality, is used for intensive care units (ICU) patients.
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Temel Bulgular & Veri:Methods: This study involved retrospective data collection of all adult patients who were admitted to Ordu State Hospital cardiovascular surgery ICU following cardiac surgery from August 2013 to December 2015.
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Sonuç & Katkı:Conclusion: The APACHE II model can be used to predict mortality in a Turkish population of patients who have undergone cardiac surgery.
🔬Tür:Modelleme & Sayısal Simülasyon
📍Kapsam:2013 Verileri
⚙️Değişkenler:Alan Parametreleri

Özet

Objective: The Acute Physiology and Chronic Health Evaluation (APACHE) severity of disease classification system, which is one of the most widely used scoring systems to predict mortality, is used for intensive care units (ICU) patients. This study aimed to evaluate the predictive ability of APACHE II for mortality in patients after undergoing cardiac surgery. We studied if APACHE II could successfully predict the outcome in post-cardiac surgery patients. Methods: This study involved retrospective data collection of all adult patients who were admitted to Ordu State Hospital cardiovascular surgery ICU following cardiac surgery from August 2013 to December 2015. Area under the receiver operating characteristic (ROC) curve (AUC) values were calculated for the APACHE II model. Results: During the two years of data collection, we included 600 patients with a mean age of 64.77±10.148 years. Of these, 180 (30.0%) were females. The ICU mortality rate was 8.33%, and the mean length of ICU stay was 4.210±6.913 days. The mean pre-operative EuroSCORE was 3.890±2.565, and the mean pre-operative APACHE II score was 6.790±3.617. The AUC values for APACHE II and EuroSCORE were 0.743 and 0.767, respectively. Conclusion: The APACHE II model can be used to predict mortality in a Turkish population of patients who have undergone cardiac surgery.

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Bu Makaleye Atıf Yap

YALÇIN, M., GÖDEKMERDAN, E., TAYFUR, K. D., YAZMAN, S., ÜRKMEZ, M., ATA, Y. (2019). The APACHE II Score as a Predictor of Mortality After Open Heart Surgery. Turkish Journal of Anaesthesiology and Reanimation, Cilt: 47 - Sayı: 1, 41–47. https://ajindex.com/articles/370144

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Kaynakça (13)

  1. Hekmat K, Kroener A, Stuetzer H, Schwinger RH, Kampe S, Bennink GB, et al. Daily assessment of organ dysfunction and survival in intensive care unit cardiac surgical patients. Ann Thorac Surg 2005; 79: 1555-62
  2. Parsonnet V, Dean D, Bernstein AD. A method of uniform stratification of risk factor evaluating the results of surgery in acquired adult heart disease. Circulation 1989; 79: 3-12
  3. Roques F, Nashef SA, Michel P, Gauducheau E, de Vincentiis C, Baudet E, et al. Risk factors and outcome in European cardiac surgery: analysis of the EuroSCORE multinational database of 19030 patients. Eur J Cardiothorac Surg 1999; 15: 816-22
  4. Kunt AG, Kurtcephe M, Hidiroglu M, Cetin L, Kucuker A, Bakuy V, et al. Comparison of original EuroSCORE, EuroSCORE II and STS risk models in a Turkish cardiac surgical cohort. Interact Cardiovasc Thorac Surg 2013; 16: 625-9
  5. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Crit Care Med 1985; 13: 818-29
  6. Vincent JL, Moreno R, Takala J, Willatts S, De Mendonça A, Bruining H, et al. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working group on Sepsis-related problems of the European Society of Intensive Care Medicine. Intensive Care Med 1996; 22: 707-10
  7. Geissler HJ, Hölzl P, Marohl S, Kuhn-Régnie RF, Mehlhorn U, Südkamp M, et al. Risk stratification in heart surgery: comparison of six score systems. Eur J Cardiothorac Surg 2000; 17: 400-6
  8. Nashef SA, Roques F, Michel P, Gauducheau E, Lemeshow S, Salamon R. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg 1999; 16: 9-13
  9. Tsaousi G, Pitsis AA, Ioannidis GD, Pourzitaki CK, Giannacou- Peftoulidou MN, Vasilakos DJ. Implementation of EuroSCORE II as an adjunct to APACHE II model and SOFA score, for refining the prognostic accuracy in cardiac surgical patients. J Cardiovasc Surg 2015; 56: 919-27
  10. Roques F, Michel P, Goldstone AR, Nashef SA. The logistic EuroSCORE. Eur Heart J 2003; 24: 882-3
  11. Nashef SA, Roques F, Hammill BG, Peterson ED, Michel P, Grover FL, et al. Validation of European System for Cardiac Operative Risk Evaluation (EuroSCORE) in North American cardiac surgery. Eur J Cardiothorac Surg 2002; 22: 101-5
  12. Nilsson J, Algotsson L, Hoglund P, Luhrs C, Brandt J. Comparison of 19 pre-operative risk stratification models in open-heart surgery. Eur Heart J 2006; 27: 867-74
  13. Niewiński