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Development of an Open-Heart Intraoperative Risk Scoring Model for Predicting a Prolonged Intensive Care Unit Stay
المؤلفون المشاركون
Lertmemongkolchai, Ganjana
Ngamsangsirisup, Kriangsak
Hurst, Cameron P.
Sathitkarnmanee, Thepakorn
Tribuddharat, Sirirat
Charuluxananan, Somrat
Silarat, Suparit
المصدر
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-04-10
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background.
Based on a pilot study with 34 patients, applying the modified sequential organ failure assessment (SOFA) score intraoperatively could predict a prolonged ICU stay, albeit with only 4 risk factors.
Our objective was to develop a practicable intraoperative model for predicting prolonged ICU stay which included more relevant risk factors.
Methods.
An extensive literature review identified 6 other intraoperative risk factors affecting prolonged ICU stay.
Another 168 patients were then recruited for whom all 10 risk factors were extracted and analyzed by logistic regression to form the new prognostic model.
Results.
The multivariate logistic regression analysis retained only 6 significant risk factors in the model: age ≥ 60 years, PaO2/FiO2 ratio ≤ 200 mmHg, platelet count ≤ 120,000/mm3, requirement for inotrope/vasopressor ≥ 2 drugs, serum potassium ≤ 3.2 mEq/L, and atrial fibrillation grading ≥2.
This model was then simplified into the Open-Heart Intraoperative Risk (OHIR) score, comprising the same 6 risk factors for a total score of 7—a score of ≥3 indicating a likely prolonged ICU stay (AUC for ROC of 0.746).
Conclusions.
We developed a new, easy to calculate OHIR scoring system for predicting prolonged ICU stay as early as 3 hours after CPB.
It comprises 6 risk factors, 5 of which can be manipulated intraoperatively.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Tribuddharat, Sirirat& Sathitkarnmanee, Thepakorn& Ngamsangsirisup, Kriangsak& Charuluxananan, Somrat& Hurst, Cameron P.& Silarat, Suparit…[et al.]. 2014. Development of an Open-Heart Intraoperative Risk Scoring Model for Predicting a Prolonged Intensive Care Unit Stay. BioMed Research International،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-450437
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Tribuddharat, Sirirat…[et al.]. Development of an Open-Heart Intraoperative Risk Scoring Model for Predicting a Prolonged Intensive Care Unit Stay. BioMed Research International No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-450437
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Tribuddharat, Sirirat& Sathitkarnmanee, Thepakorn& Ngamsangsirisup, Kriangsak& Charuluxananan, Somrat& Hurst, Cameron P.& Silarat, Suparit…[et al.]. Development of an Open-Heart Intraoperative Risk Scoring Model for Predicting a Prolonged Intensive Care Unit Stay. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-450437
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-450437
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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