Validation of MagedanzSCORE as a predictor of mediastinitis after coronary artery bypass graft surgery

Autor: Sá,Michel Pompeu Barros de Oliveira, Figueira,Evelyn Soares, Santos,Cecília Andrade, Figueiredo,Omar Jacobina, Lima,Renato Oliveira Albuquerque, Rueda,Fábio Gonçalves de, Escobar,Rodrigo Renda de, Soares,Alexandre Magno Macário Nunes, Lima,Ricardo de Carvalho
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Brazilian Journal of Cardiovascular Surgery v.26 n.3 2011
Brazilian Journal of Cardiovascular Surgery
Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron:SBCCV
Popis: OBJECTIVE: The aim of this study is to evaluate the applicability of a new score for predicting mediastinitis - MagedanzSCORE - in patients undergoing coronary artery bypass graft (CABG) surgery in the Division of Cardiovascular Surgery of Pronto Socorro Cardiológico de Pernambuco - PROCAPE. METHODS: Retrospective study involving 500 patients operated between May/2007 and April/2010. The registers contained all the information used to calculate the MagedanzSCORE. The outcome of interest was mediastinitis. We calculated sensitivity, specificity, positive predictive value, negative predictive value, concordance and accuracy. The accuracy of the model was evaluated by ROC (receiver operating characteristic) curve. RESULTS: The incidence of mediastinitis was 5.6%, with a lethality rate of 32.1%. In univariate analysis, the five variables of the MagedanzSCORE were predictors of postoperative mediastinitis: chronic obstructive pulmonary disease (OR 6.42; 95.0% CI 2.76-14.96; P
Databáze: OpenAIRE