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Open Access 01-12-2017 | Research article

Sequential organ failure assessment score predicts mortality after coronary artery bypass grafting

Authors: Chih-Hsiang Chang, Shao-Wei Chen, Pei-Chun Fan, Cheng-Chia Lee, Huang-Yu Yang, Su-Wei Chang, Heng-Chih Pan, Feng-Chun Tsai, Chih-Wei Yang, Yung-Chang Chen

Published in: BMC Surgery | Issue 1/2017

Abstract

Background

Mortality after coronary artery bypass grafting (CABG) is generally associated with underlying disease and surgical factors overlooked in preoperative prognostic models. Sequential Organ Failure Assessment (SOFA) and Acute Physiology and Chronic Health Evaluation (APACHE II) scores are widely used in intensive care units for outcome prediction. This study investigated the accuracy of these models in predicting mortality.

Methods

Between January 2010 and April 2013, 483 patients who underwent isolated CABG were enrolled. The clinical characteristics, outcomes, and prognostic model scores of the patients were collected. Discrimination was assessed using the area under the curve approach.

Results

Both SOFA and APACHE II scores were effective for predicting in-hospital mortality. Among the organ systems examined in the SOFA, the cardiac and renal systems were the strongest predictors of CABG mortality. Multivariate analysis identified only the SOFA score as being an independent risk factor for mortality.

Conclusion

In summary, the SOFA score can be used to accurately identify mortality after isolated CABG.

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Title: Sequential organ failure assessment score predicts mortality after coronary artery bypass grafting
Authors: Chih-Hsiang Chang
Shao-Wei Chen
Pei-Chun Fan
Cheng-Chia Lee
Huang-Yu Yang
Su-Wei Chang
Heng-Chih Pan
Feng-Chun Tsai
Chih-Wei Yang
Yung-Chang Chen
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: BMC Surgery / Issue 1/2017
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/s12893-017-0219-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Sequential organ failure assessment score predicts mortality after coronary artery bypass grafting

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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