Avtor/Urednik		Barišin, Stjepan; Husedžinović, Ino; Bradić, Nikola; Tonković, Dinko; Barišin, Ana
Naslov		Estimation of the cardiac anaesthesia risk evaluation score in a coronary surgical patient - our experiences
Tip		članek
Vir		In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 10. mednarodni simpozij o urgentni medicini; 2003 jun 11-14; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Leto izdaje		2003
Obseg		str. 85-90
Jezik		eng
Abstrakt		The aim of this prospective study was to show the potential correlation between the CARE score level and the frequency of postoperative morbidity, mortality and length of stay in cardiac anesthesia patients. In this study, 72 patients who underwent a coronary surgery were divided into two groups: off pump cardiopulmonary artery bypass grafting surgery (OPCABG group, n = 27) and conventional cardiopulmonary artery bypass grafting surgery (CABG group, n = 45). Before the surgical procedure was started patients were scored into low (CARE 1), intermediate (CARE 2-4), and high-risk group (CARE 5, 3E-5E). The results were analyzed using a chi-square test. The most of the patients from the OPCABG group were distributed in the ficst three degrees of CARE-score. In the CABG group, the highest number of patients was in second and, especially in third degree. Patients who were in higher degree of score had high incidence of complication, especially perioperative myocardial infarction, kidney failure and neurological dysfunction. Nevertheless on the degree of scoring, our patients had the almost the equal length of stay in intensive care unit (mean value 4.75+-3.2 days for both groups). Accordingly to the hospital length of stay, the CABG group of patients had higher hospital length of stay (19.6+-19.2 days) comparing with the OPCABG group of patients (14.3+-13.8 days). Mortality had 14.8% in the OPCABG group, than only 2.2% of patients in the CABG group were died. Comparing our results with results collected in study of Dupuis, the CABG group patients had the comparable mortality rate related to the scoring system degree. The OPCABG group of patients shows higher mortality rate.
Deskriptorji		CARDIOPULMONARY BYPASS ANESTHESIA POSTOPERATIVE COMPLICATIONS SEVERITY OF ILLNESS INDEX MYOCARDIAL INFARCTION KIDNEY FAILURE RISK ASSESSMENT LENGTH OF STAY PROSPECTIVE STUDIES