March 1, 2011Journal of Cardiothoracic SurgeryOpen Access

A comparative study of four intensive care outcome prediction models in cardiac surgery patients

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Why the study?

Do CASUS and SOFA provide better ICU mortality risk stratification than SAPS II and APACHE II in cardiac surgery patients?

Population

2,801 consecutive adult patients who underwent open heart surgery and were admitted to the intensive care…

Design

Cohort

Follow-up

Until ICU discharge (mean ICU length of stay 4.3 days)

Authors

FDFabian DoerrRuhrlandklinik ABAkmal M.A. BadreldinKlinikum Kassel MHMatthias HeldweinUniversity of Cologne

Discussion

Member takes

Implication

May support CASUS/SOFA for ICU mortality prediction after cardiac surgery; leaves open need for prospective validation before practice change.

Structured PICO

Do CASUS and SOFA provide better ICU mortality risk stratification than SAPS II and APACHE II in cardiac surgery patients?

Population

2,801 consecutive adult patients who underwent open heart surgery and were admitted to the intensive care unit (ICU), mean age 66.9, 29.6% female, single-center in Germany.

Intervention

Application of four intensive care outcome prediction scoring systems (CASUS, SOFA, SAPS II, and APACHE II) calculated daily from ICU admission until discharge.

Outcome

ICU mortalityhard clinical

CASUS and SOFA are reliable ICU mortality risk stratification models for cardiac surgery patients, whereas the general SAPS II and APACHE II scores perform poorly in this specific population.

Limitations

Single-center study
Severe decrease in study population by the third day due to transfer of uncomplicated cases
Lack of external multicenter validation for CASUS

Cite This Study

Doerr et al. (2011) studied this question.

synapsesocial.com/papers/6a9591042273404a50fa6ea7 https://doi.org/10.1186/1749-8090-6-21

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March 1, 2011Journal of Cardiothoracic SurgeryOpen Access

A comparative study of four intensive care outcome prediction models in cardiac surgery patients

View Full Paper

Ask AI

Bookmark

Why the study?

Do CASUS and SOFA provide better ICU mortality risk stratification than SAPS II and APACHE II in cardiac surgery patients?

Population

2,801 consecutive adult patients who underwent open heart surgery and were admitted to the intensive care…

Design

Cohort

Follow-up

Until ICU discharge (mean ICU length of stay 4.3 days)

Authors

FDFabian DoerrRuhrlandklinik ABAkmal M.A. BadreldinKlinikum Kassel MHMatthias HeldweinUniversity of Cologne

Discussion

Member takes

Implication

May support CASUS/SOFA for ICU mortality prediction after cardiac surgery; leaves open need for prospective validation before practice change.

Structured PICO

Do CASUS and SOFA provide better ICU mortality risk stratification than SAPS II and APACHE II in cardiac surgery patients?

Population

2,801 consecutive adult patients who underwent open heart surgery and were admitted to the intensive care unit (ICU), mean age 66.9, 29.6% female, single-center in Germany.

Intervention

Application of four intensive care outcome prediction scoring systems (CASUS, SOFA, SAPS II, and APACHE II) calculated daily from ICU admission until discharge.

Outcome

ICU mortalityhard clinical

CASUS and SOFA are reliable ICU mortality risk stratification models for cardiac surgery patients, whereas the general SAPS II and APACHE II scores perform poorly in this specific population.

Limitations

Single-center study
Severe decrease in study population by the third day due to transfer of uncomplicated cases
Lack of external multicenter validation for CASUS

Cite This Study

Doerr et al. (2011) studied this question.

synapsesocial.com/papers/6a9591042273404a50fa6ea7 https://doi.org/10.1186/1749-8090-6-21

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

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