PMID: 19142380Jan 15, 2009Paper

Practical use of a risk assessment model for complications after cardiac surgery

Arquivos brasileiros de cardiologia
Tânia Mara Varejão StrabelliDavid Everson Uip

Abstract

The identification of risk factors for postoperative complications in cardiac patients with surgical indication may influence the therapeutic decision. To describe the experience of a Cardiology hospital in the validation and practical use of a preoperative risk score. To validate TUMAN's score, chosen by considering morbidity and mortality, 300 adult patients were prospectively evaluated before elective cardiac surgery with the use of extracorporeal circulation (ECC). Patients with a score of zero to five were considered as being low risk; from six to nine, as moderate risk and a score higher than 10 as high risk for cardiac, infectious, neurological, pulmonary and renal complications, as well as death. The TUMAN classification showed a statistically significant association with the occurrence of infectious complications (p = 0.010), with the other postoperative complications (p = 0.034) and death (p <0.001). Pulmonary infection was the most frequent infectious complication (15.3%) and Infected patients had a longer ICU stay duration (p = 0.001) and more prolonged hospitalization (p = 0001). After routine use, a new review of 154 patients operated in 2005, confirmed the validity of this score in the identification of those wit...Continue Reading

Citations

Aug 11, 2016·Revista latino-americana de enfermagem·Cintia KoerichAlacoque Lorenzini Erdmann
Feb 24, 2012·Revista brasileira de cirurgia cardiovascular : órgão oficial da Sociedade Brasileira de Cirurgia Cardiovascular·Regina Coeli Vasques de MirandaCarolina Rodrigues Bortolatto

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