Universität zu Köln

Doerr, F., Heldwein, M. B., Bayer, O., Wahlers, T. and Hekmat, K. (2015). Risk classification systems for cardiac surgery intensive care units. Z. Herz Thorax Gefasschir., 29 (2). S. 83 - 90. CHAM: SPRINGER INTERNATIONAL PUBLISHING AG. ISSN 1435-1277

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Abstract

Background. Scoring systems are part of the daily routine in intensive care units (ICU). Various aspects lead to a special position of cardiac surgery patients; therefore, some established systems, such as the acute physiology and chronic health evaluation (APACHE), multiple organ dysfunction score (MODS), simplified acute physiology score (SAPS) and sequential organ failure assessment (SOFA) can only be applied with reservation in this population. In recent years specific models were developed, including the cardiac surgery score (CASUS) that are tailored to the cardiac surgery patient population. Aim. This article gives an overview of conventional scoring systems in intensive care medicine and describes the advantages and disadvantages in comparison to specialized models for cardiac surgery. Material and methods. A total of seven scoring systems are presented and discussed based on a randomly selected patient of a prospective, cardiac surgery database, cardiac surgery database with over 5200 patients. Results. The two new versions of CASUS capture the severity of organ dysfunction in a time based context. Both models allow an accurate prediction of mortality as a percentage; however, the severity of a disease cannot be precisely represented by the established scoring systems. Conclusion. Besides the evaluation of the postoperative period in the ICU, the severity of a disease can be measured by scoring systems. In addition, decision-making at the bedside, prognosis for survival, resource management and quality assurance can be facilitated.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Doerr, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Heldwein, M. B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bayer, O. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wahlers, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hekmat, K. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-409401
DOI:	10.1007/s00398-014-1132-5
Journal or Publication Title:	Z. Herz Thorax Gefasschir.
Volume:	29
Number:	2
Page Range:	S. 83 - 90
Date:	2015
Publisher:	SPRINGER INTERNATIONAL PUBLISHING AG
Place of Publication:	CHAM
ISSN:	1435-1277
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Cardiac & Cardiovascular Systems Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/40940