Development of an Open-Heart Intraoperative Risk Scoring Model for Predicting a Prolonged Intensive Care Unit Stay
Joint Authors
Lertmemongkolchai, Ganjana
Ngamsangsirisup, Kriangsak
Hurst, Cameron P.
Sathitkarnmanee, Thepakorn
Tribuddharat, Sirirat
Charuluxananan, Somrat
Silarat, Suparit
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-04-10
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-450437