Mortality Risk After Cardiac Surgery: Application of Inscor in a University Hospital in Brazil's Northeast.

Autor:	Fortes JV; Hospital Universitário da Universidade Federal do Maranhão (HUUFMA), São Luís, MA, Brazil., Barbosa e Silva MG; Hospital Universitário da Universidade Federal do Maranhão (HUUFMA), São Luís, MA, Brazil., Baldez TE; Hospital Universitário da Universidade Federal do Maranhão (HUUFMA), São Luís, MA, Brazil., Costa MA; Hospital Universitário da Universidade Federal do Maranhão (HUUFMA), São Luís, MA, Brazil., da Silva LN; Hospital Universitário da Universidade Federal do Maranhão (HUUFMA), São Luís, MA, Brazil., Pinheiro RS; Hospital Universitário da Universidade Federal do Maranhão (HUUFMA), São Luís, MA, Brazil., Fecks ZS; Universidade Federal do Piauí (UFPI), Teresina, PI, Brazil., Borges DL; Hospital Universitário da Universidade Federal do Maranhão (HUUFMA), São Luís, MA, Brazil.
Jazyk:	angličtina
Zdroj:	Brazilian journal of cardiovascular surgery [Braz J Cardiovasc Surg] 2016 Sep-Oct; Vol. 31 (5), pp. 396-399.
DOI:	10.5935/1678-9741.20160080
Abstrakt:	Objective: To apply the InsCor in patients undergoing cardiac surgery in a university hospital in Brazil's northeast. Methods: It is a retrospective, quantitative and analytical study, carried out at the University Hospital of the Federal University of Maranhão. InsCor is a remodeling of two risk score models. It evaluates the prediction of mortality through variables such as gender, age, type of surgery or reoperation, exams, and preoperative events. Data from January to December 2015 were collected, using a Physical Therapy Evaluation Form and medical records. Quantitative variables were expressed as mean and standard deviation and qualitative variables as absolute and relative frequencies. Fisher's exact and Kruskal-Wallis tests were applied, considering significant differences when P value was < 0.05. Calibration was performed by Hosmer-Lemeshow test. Results: One hundred and forty-eight patients were included. Thirty-six percent were female, with mean age of 54.7±15.8 years and mean body mass index (BMI) equal to 25.6 kg/m(2). The most frequent surgery was coronary artery bypass grafting (51.3%). According to InsCor, 73.6% of the patients had low risk, 20.3% medium risk, and only 6.1% high risk. In this sample, 11 (7.4%) patients died. The percentage of death in patients classified as low, medium and high risk was 6.3, 7.1% and 11.1%, respectively. Conclusion: InsCor presented easy applicability due to the reduced number of variables analyzed and it showed satisfactory prediction of mortality in this sample of cardiac surgery patients. Competing Interests: No conflict of interest.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu