The use of APACHE III to evaluate ICU length of stay, resource use, and mortality after coronary artery by-pass surgery.
J Cardiovasc Surg (Torino)
; 36(1): 1-11, 1995 Feb.
Article
em En
| MEDLINE
| ID: mdl-7721919
ABSTRACT
OBJECTIVE:
To identify patient characteristics that are associated with increased ICU length of stay, resource use, and hospital mortality after coronary artery bypass surgery.DESIGN:
Prospective, multicenter study.SETTING:
Six tertiary care hospitals.PARTICIPANTS:
A consecutive sample of 2,435 unselected ICU admissions following coronary artery by-pass surgery. MATERIALS ANDMETHODS:
Demographic, operative characteristics and APACHE III score were collected during the first postoperative day; and APACHE III scores and therapeutic interventions during the first three postoperative days. Hospital survival and ICU length of stay were also recorded. Multivariate equations were derived and cross-validated to predict hospital mortality, ICU length of stay, and ICU resource use.RESULTS:
Unadjusted hospital mortality rate was 3.9% (range 1.0% to 6.0%), mean ICU length of stay was 3.7 days (range 3.2 to 4.7 days), and first 3-day ICU resource use (TISS points) was 99 (range 68 to 116). The range of actual to predicted ICU length of stay varied from 0.86 to 1.26; and resource use from 0.71 to 1.16.CONCLUSIONS:
A limited number of operative characteristics, the post-operative acute physiology score (APS) of APACHE III and patient demographic data can predict hospital death rate, ICU length of stay, and resource use immediately following coronary by-pass surgery. These estimates may compliment assessments based on pre-operative risk factors in order to more precisely evaluate and improve the efficacy and efficiency of cardiovascular surgery.
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Base de dados:
MEDLINE
Assunto principal:
Ponte de Artéria Coronária
/
Avaliação de Resultados em Cuidados de Saúde
/
Mortalidade Hospitalar
/
APACHE
/
Unidades de Terapia Intensiva
/
Tempo de Internação
Tipo de estudo:
Clinical_trials
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
1995
Tipo de documento:
Article