Mortality Risk After Cardiac Surgery: Application of Inscor in a University Hospital in Brazil's Northeast
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Cardiovascular Surgery (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000500396 |
Resumo: | Abstract Objective: To apply the InsCor in patients undergoing cardiac surgery in a university hospital in Brazil's northeast. Methods: It is a retrospective, quantitative and analytical study, carried out at the University Hospital of the Federal University of Maranhão. InsCor is a remodeling of two risk score models. It evaluates the prediction of mortality through variables such as gender, age, type of surgery or reoperation, exams, and preoperative events. Data from January to December 2015 were collected, using a Physical Therapy Evaluation Form and medical records. Quantitative variables were expressed as mean and standard deviation and qualitative variables as absolute and relative frequencies. Fisher's exact and Kruskal-Wallis tests were applied, considering significant differences when P value was < 0.05. Calibration was performed by Hosmer-Lemeshow test. Results: One hundred and forty-eight patients were included. Thirty-six percent were female, with mean age of 54.7±15.8 years and mean body mass index (BMI) equal to 25.6 kg/m2. The most frequent surgery was coronary artery bypass grafting (51.3%). According to InsCor, 73.6% of the patients had low risk, 20.3% medium risk, and only 6.1% high risk. In this sample, 11 (7.4%) patients died. The percentage of death in patients classified as low, medium and high risk was 6.3, 7.1% and 11.1%, respectively. Conclusion: InsCor presented easy applicability due to the reduced number of variables analyzed and it showed satisfactory prediction of mortality in this sample of cardiac surgery patients. |
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Brazilian Journal of Cardiovascular Surgery (Online) |
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Mortality Risk After Cardiac Surgery: Application of Inscor in a University Hospital in Brazil's NortheastCardiac Surgical ProceduresMortalityRisk FactorsAbstract Objective: To apply the InsCor in patients undergoing cardiac surgery in a university hospital in Brazil's northeast. Methods: It is a retrospective, quantitative and analytical study, carried out at the University Hospital of the Federal University of Maranhão. InsCor is a remodeling of two risk score models. It evaluates the prediction of mortality through variables such as gender, age, type of surgery or reoperation, exams, and preoperative events. Data from January to December 2015 were collected, using a Physical Therapy Evaluation Form and medical records. Quantitative variables were expressed as mean and standard deviation and qualitative variables as absolute and relative frequencies. Fisher's exact and Kruskal-Wallis tests were applied, considering significant differences when P value was < 0.05. Calibration was performed by Hosmer-Lemeshow test. Results: One hundred and forty-eight patients were included. Thirty-six percent were female, with mean age of 54.7±15.8 years and mean body mass index (BMI) equal to 25.6 kg/m2. The most frequent surgery was coronary artery bypass grafting (51.3%). According to InsCor, 73.6% of the patients had low risk, 20.3% medium risk, and only 6.1% high risk. In this sample, 11 (7.4%) patients died. The percentage of death in patients classified as low, medium and high risk was 6.3, 7.1% and 11.1%, respectively. Conclusion: InsCor presented easy applicability due to the reduced number of variables analyzed and it showed satisfactory prediction of mortality in this sample of cardiac surgery patients.Sociedade Brasileira de Cirurgia Cardiovascular2016-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000500396Brazilian Journal of Cardiovascular Surgery v.31 n.5 2016reponame:Brazilian Journal of Cardiovascular Surgery (Online)instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)instacron:SBCCV10.5935/1678-9741.20160080info:eu-repo/semantics/openAccessFortes,João Vyctor SilvaSilva,Mayara Gabrielle Barbosa eBaldez,Thiago Eduardo PereiraCosta,Marina de Albuquerque GonçalvesSilva,Luan Nascimento daPinheiro,Renata SilvaFecks,Zullma SampaioBorges,Daniel Lagoeng2016-12-07T00:00:00Zoai:scielo:S0102-76382016000500396Revistahttp://www.rbccv.org.br/https://old.scielo.br/oai/scielo-oai.php||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br1678-97410102-7638opendoar:2016-12-07T00:00Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)false |
dc.title.none.fl_str_mv |
Mortality Risk After Cardiac Surgery: Application of Inscor in a University Hospital in Brazil's Northeast |
title |
Mortality Risk After Cardiac Surgery: Application of Inscor in a University Hospital in Brazil's Northeast |
spellingShingle |
Mortality Risk After Cardiac Surgery: Application of Inscor in a University Hospital in Brazil's Northeast Fortes,João Vyctor Silva Cardiac Surgical Procedures Mortality Risk Factors |
title_short |
Mortality Risk After Cardiac Surgery: Application of Inscor in a University Hospital in Brazil's Northeast |
title_full |
Mortality Risk After Cardiac Surgery: Application of Inscor in a University Hospital in Brazil's Northeast |
title_fullStr |
Mortality Risk After Cardiac Surgery: Application of Inscor in a University Hospital in Brazil's Northeast |
title_full_unstemmed |
Mortality Risk After Cardiac Surgery: Application of Inscor in a University Hospital in Brazil's Northeast |
title_sort |
Mortality Risk After Cardiac Surgery: Application of Inscor in a University Hospital in Brazil's Northeast |
author |
Fortes,João Vyctor Silva |
author_facet |
Fortes,João Vyctor Silva Silva,Mayara Gabrielle Barbosa e Baldez,Thiago Eduardo Pereira Costa,Marina de Albuquerque Gonçalves Silva,Luan Nascimento da Pinheiro,Renata Silva Fecks,Zullma Sampaio Borges,Daniel Lago |
author_role |
author |
author2 |
Silva,Mayara Gabrielle Barbosa e Baldez,Thiago Eduardo Pereira Costa,Marina de Albuquerque Gonçalves Silva,Luan Nascimento da Pinheiro,Renata Silva Fecks,Zullma Sampaio Borges,Daniel Lago |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Fortes,João Vyctor Silva Silva,Mayara Gabrielle Barbosa e Baldez,Thiago Eduardo Pereira Costa,Marina de Albuquerque Gonçalves Silva,Luan Nascimento da Pinheiro,Renata Silva Fecks,Zullma Sampaio Borges,Daniel Lago |
dc.subject.por.fl_str_mv |
Cardiac Surgical Procedures Mortality Risk Factors |
topic |
Cardiac Surgical Procedures Mortality Risk Factors |
description |
Abstract Objective: To apply the InsCor in patients undergoing cardiac surgery in a university hospital in Brazil's northeast. Methods: It is a retrospective, quantitative and analytical study, carried out at the University Hospital of the Federal University of Maranhão. InsCor is a remodeling of two risk score models. It evaluates the prediction of mortality through variables such as gender, age, type of surgery or reoperation, exams, and preoperative events. Data from January to December 2015 were collected, using a Physical Therapy Evaluation Form and medical records. Quantitative variables were expressed as mean and standard deviation and qualitative variables as absolute and relative frequencies. Fisher's exact and Kruskal-Wallis tests were applied, considering significant differences when P value was < 0.05. Calibration was performed by Hosmer-Lemeshow test. Results: One hundred and forty-eight patients were included. Thirty-six percent were female, with mean age of 54.7±15.8 years and mean body mass index (BMI) equal to 25.6 kg/m2. The most frequent surgery was coronary artery bypass grafting (51.3%). According to InsCor, 73.6% of the patients had low risk, 20.3% medium risk, and only 6.1% high risk. In this sample, 11 (7.4%) patients died. The percentage of death in patients classified as low, medium and high risk was 6.3, 7.1% and 11.1%, respectively. Conclusion: InsCor presented easy applicability due to the reduced number of variables analyzed and it showed satisfactory prediction of mortality in this sample of cardiac surgery patients. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000500396 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000500396 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/1678-9741.20160080 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Cardiovascular |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Cardiovascular |
dc.source.none.fl_str_mv |
Brazilian Journal of Cardiovascular Surgery v.31 n.5 2016 reponame:Brazilian Journal of Cardiovascular Surgery (Online) instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV |
instname_str |
Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) |
instacron_str |
SBCCV |
institution |
SBCCV |
reponame_str |
Brazilian Journal of Cardiovascular Surgery (Online) |
collection |
Brazilian Journal of Cardiovascular Surgery (Online) |
repository.name.fl_str_mv |
Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) |
repository.mail.fl_str_mv |
||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br |
_version_ |
1752126599436697600 |