caa a22 4500 397495765 CHVBK 20180308164520.0 cr unu---uuuuu 161202e199508 xx s 000 0 eng 10.1016/S1010-7940(05)80076-4 doi (NATIONALLICENCE)oxford-10.1016/S1010-7940(05)80076-4 The Edinburgh Cardiac Surgery Score survival prediction in the long-stay ICU cardiac surgical patient [Elektronische Daten] Predictors of outcome in long-stay patients following cardiac surgeryhave hitherto been ill defined. The aims of this study were to test theParsonnet pre-operative scoring system and to define a scoring system forinhospital mortality applicable post-operatively to strengthen the clinicaldecision-making process. Following case note review of 262 consecutivepatients who stayed 7 days or more in intensive care, a total of 110 pre-,intra- and post-operative factors were documented. In this long-stay groupthe Parsonnet score was confirmed to be predictive of 30 day mortality.Univariate analysis identified significant association between mortality inthe Intensive Care Unit (ICU) and the following: inotrope days, (defined asnumber of inotropes times number of days) ventilation, units of platelets(P = < 0.00001), chest reopening, fresh frozen plasma units (P <0.002), total parenteral nutrition, noradrenaline, Parsonnet score (P =0.005), dopamine, bypass time, vasodilators, intra-aortic ballooncounterpulsation, enteral nutrition and other major surgery (P < 0.05).Stepwise logistic regression on these significant factors was used toproduce the Edinburgh Cardiac Surgery Score (ECS) applicable from Day 10onwards in the intensive care unit: ECS Score = (Inotrope days) +2(Ventilation) + (Platelets) + (Parsonnet) -3. The ECS score may be a usefulpredictor of ICU mortality probability for cardiac surgical patientsrequiring 10 days or more intensive care and is presently undergoingprospective evaluation in our centre. European Journal of Cardio-Thoracic Surgery Elsevier Science B.V. 9/8(1995-08), 419-425 1010-7940 9:8<419 1995 9 ejcts https://doi.org/10.1016/S1010-7940(05)80076-4 text/html Onlinezugriff via DOI 1 abstract jats NATIONALLICENCE 856 40 https://doi.org/10.1016/S1010-7940(05)80076-4 text/html Onlinezugriff via DOI NATIONALLICENCE 773 0- European Journal of Cardio-Thoracic Surgery Elsevier Science B.V 9/8(1995-08), 419-425 1010-7940 9:8<419 1995 9 ejcts Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford