The Mayo Cardiac Intensive Care Unit Admission Risk Score is Associated with Medical Resource Utilization During Hospitalization
| Autor: | Thomas J. Breen, Courtney Bennett, Sean van Diepen, Jacob C. Jentzer, Nandan S. Anavekar, Malcolm R. Bell, Joseph G. Murphy, Jason N. Katz, Gregory W. Barsness |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Acute coronary syndrome
medicine.medical_specialty CS cardiogenic shock Medicine (General) BUN blood urea nitrogen CVC central venous catheter medicine.medical_treatment M-CARS Mayo Cardiac Intensive Care Unit Admission Risk Score HF heart failure law.invention PAC pulmonary arterial catheter R5-920 law medicine CRRT continuous renal replacement therapy Dialysis SOFA Sequential Organ Failure Assessment Mechanical ventilation PCI percutaneous coronary intervention Framingham Risk Score CCI Charlson Comorbidity Index business.industry CCCTN Critical Care Cardiology Trials Network RBC red blood cell medicine.disease Triage Intensive care unit IABP intra-aortic balloon pump ICU intensive care unit APACHE Acute Physiology and Chronic Health Evaluation CICU cardiac intensive care unit CA cardiac arrest Emergency medicine Cohort Coronary care unit Original Article ACS acute coronary syndrome VF ventricular fibrillation business ECMO extracorporeal membrane oxygenation IMCU intermediate care unit human activities RDW red blood cell distribution width LOS length of stay |
| Zdroj: | Mayo Clinic Proceedings: Innovations, Quality & Outcomes, Vol 5, Iss 5, Pp 839-850 (2021) Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
| ISSN: | 2542-4548 |
| Popis: | Objective To determine whether the Mayo Cardiac Intensive Care Unit (CICU) Admission Risk Score (M-CARS) is associated with CICU resource utilization. Patients and Methods Adult patients admitted to our CICU from 2007 to 2018 were retrospectively reviewed, and M-CARS was calculated from admission data. Groups were compared using Wilcoxon test for continuous variables and χ2 test for categorical variables. Results We included 12,428 patients with a mean age of 67±15 years (37% female patients). The mean M-CARS was 2.1±2.1, including 5890 (47.4%) patients with M-CARS less than 2 and 644 (5.2%) patients with M-CARS greater than 6. Critical care restricted therapies were frequently used, including mechanical ventilation in 28.0%, vasoactive medications in 25.5%, and dialysis in 4.8%. A higher M-CARS was associated with greater use of critical-care therapies and longer CICU and hospital length of stay. The low-risk cohort with M-CARS less than 2 was less likely to require critical-care–restricted therapies, including invasive or noninvasive mechanical ventilation (8.0% vs 46.1%), vasoactive medications (10.1% vs 38.8%), or dialysis (1.0% vs 8.2%), compared with patients with M-CARS greater than or equal to 2 (all P Conclusion Patients with M-CARS less than 2 infrequently require critical-care resources and have extremely low mortality, suggesting that the M-CARS could be used to facilitate the triage of critically ill cardiac patients. |
| Databáze: | OpenAIRE |
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