Clinical frailty scale and outcome after coronary artery bypass grafting
| Autor: | Vito G. Ruggieri, Magnus Dalén, Marisa De Feo, Wail Nammas, L. Castro, Daniel Reichart, Giuseppe Faggian, Ilaria Franzese, Saverio Nardella, Francesco Nicolini, Marco Zanobini, Eeva-Maija Kinnunen, Antonio Salsano, Juhani Airaksinen, Sorosh Khodabandeh, Andrea Perrotti, Karl Bounader, Stefano Rosato, Matteo Saccocci, Riccardo Gherli, Antonino S. Rubino, Daniele Maselli, Giovanni Mariscalco, Giuseppe Santarpino, Fulvia Seccareccia, Fausto Biancari, Giuseppe Gatti, Francesco Onorati, Tuomas Tauriainen |
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| Přispěvatelé: | Reichart, D, Rosato, S, Nammas, W, Onorati, F, Dalén, M, Castro, L, Gherli, R, Gatti, G, Franzese, I, Faggian, G, De Feo, M, Khodabandeh, S, Santarpino, G, Rubino, A, Maselli, D, Nardella, S, Salsano, A, Nicolini, F, Zanobini, M, Saccocci, M, Bounader, K, Kinnunen, Em, Tauriainen, T, Airaksinen, J, Seccareccia, F, Mariscalco, G, Ruggieri, Vg, Perrotti, A, Biancari, F |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Frailty Clinical Frailty Scale Coronary artery bypass grafting Cardiac surgery Aged Coronary Artery Bypass Female Humans Middle Aged Prospective Studies Severity of Illness Index Treatment Outcome 030204 cardiovascular system & hematology Logistic regression 03 medical and health sciences Coronary artery bypass surgery 0302 clinical medicine Internal medicine Severity of illness medicine Prospective cohort study ta3126 Surgery Cardiology and Cardiovascular Medicine business.industry Hazard ratio General Medicine Odds ratio Confidence interval 030228 respiratory system business |
| Popis: | OBJECTIVES The aim of this study was to assess the impact of frailty on the outcome after coronary artery bypass grafting (CABG) and whether it may improve the predictive ability of European System for Cardiac Operative Risk Evaluation (EuroSCORE II). METHODS The Clinical Frailty Scale (CFS) was assessed preoperatively in patients undergoing isolated CABG from the multicentre E-CABG registry, and patients were stratified into 3 classes: scores 1-2, scores 3-4 and scores 5-7. RESULTS Of the 6156 patients enrolled, 39.2% had CFS scores 1-2, 57.6% scores 3-4, and 3.2% scores 5-7. Logistic regression adjusted for multiple covariates showed that the CFS was an independent predictor of hospital/30-day mortality [CFS scores 3-4, odds ratio (OR) 3.95, 95% confidence interval (CI) 2.19-7.14; CFS scores 5-7, OR 5.90, 95% CI 2.67-13.05] and resulted in an Integrated Improvement Index of 1.3 (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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