Autor: |
Yuan-Hang, Zhou, Shuo, Pang, Guang-Rui, Miao, Xiao-Yan, Zhao, Jian-Zeng, Dong |
Rok vydání: |
2023 |
Předmět: |
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Zdroj: |
International Journal of Cardiology. 370:381-387 |
ISSN: |
0167-5273 |
DOI: |
10.1016/j.ijcard.2022.10.175 |
Popis: |
We attempted to determine the predictive ability of the first-day Sequential Organ Failure Assessment (SOFA) score in the cardiac intensive care unit, as well as a new score combining the anion gap (AG) with the SOFA score (SOFA-AG).Information was obtained from the Medical Information Mart for Intensive Care III (MIMIC III 1.4) database. We plotted the relationship between the maximum first-day AG and 90-day mortality after admission to the care unit. Patients were divided into five groups based on the hazard ratio (HR) and assigned scores of 0, 1, 2, 3, or 4 points. We compared the area under the curve (AUC) for the receiver-operating characteristic curve of the SOFA and that of the SOFA-AG.A total of 1316 patients were identified and divided into the following five groups: AG 8 to16 mmol/L; AG 16 to17 mmol/L; AG 17 to19 mmol/L; AG 19 to21 mmol/L; and AG ≥ 21 mmol/L. The SOFA-AG score had a greater AUC than the SOFA score at 7 days (0.770 vs. 0.711; P 0.001), 14 days (0.751 vs. 0.692; P 0.001), 28 days (0.741 vs. 0.684; P 0.001), and 90 days (0.727 vs. 0.667; P 0.001).The SOFA score showed moderate predictive value only for 7-day mortality after admission to the cardiac intensive care unit, but the SOFA-AG score had improved predictive ability for up to 90 days after admission. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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