Akademik Veri Yönetim Sistemi
Anestezi Dergisi, cilt.21, sa.3, ss.160-168, 2013 (Scopus)
Objective: Risk models that predict postoperative mortality and morbidities in CABG patients gain more importance in clinical practice. In this study we aimed to compare the efficacy and predictive powers of EuroSCORE and CARE models in a group of patients who have undergone CABG. Method: 200 patients were included in the study. Data regarding length of intensive care and hospital stay, hospital mortality, stroke, transmural myocardial infarction, surgical site infection, reoperation, sepsis/endocarditis, acute renal failure, respiratory failure was collected retrospectively. Risk stratifications were performed according to routine EuroSCORE and CARE questionnaire forms. Results: Median EuroSCORE value was 2 (0-11) while 109 patients were in low risk, 60 patients were in medium risk and 31 patients were in high risk groups. CARE risk group distribution was as follows; 104 patients in group 1, 65 patients in group 2, 24 patients in group 3, 5 patients in group 4, 2 patients in group 5. Distribution of patients in EuroSCORE and CARE risk groups were correlated with each other (p: 0.0001). Increased CARE risk was associated with increased stroke, transmural myocardial infarction, surgical site infection, sepsis, acute renal failure, respiratory failure, increased intensive care and hospital stay rates (p: 0.001 - 0.0001). Increased EuroSCORE risk was associated with increased surgical site infection, acute renal failure, respiratory failure, increased intensive care and hospital stay rates (p: 0.024 - 0.0001). Conclusion: According to our study both EuroSCORE and CARE risk models were both effective predictors for mortality, increased hospital and intensive care stay and occurence of any defined morbidity in Turkish population.