Outcome Prediction After Open Heart Surgery

Elhamshary, Mustafa; Serag, Amro R.; Sabry, Mohab; Elfeky, None Wael Mohamed

doi:10.35810/ects.v1i1.6

Cited by 2 publications

(3 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In contrast, more than half of the patients had scores ranging from 5 to 9, which predicts an 8% death rate after implementation of the educational program. Moreover, there was a highly statistically significant difference between [27] stated that the APACHE II scoring system showed high power in predicting mortality rates after cardiac surgery and is the best tool for risk classification among CABG patients.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Nurses' performance in using the APACHE score: Its effect on outcomes of patients with cardiac surgery

Hany,

Elsenousy,

Abd Elrahman

et al. 2023

JMedLife

View full text Add to dashboard Cite

The Acute Physiology and Chronic Health Evaluation (APACHE) score was developed to assess disease severity. Once organ failure develops, laboratory values and hemodynamic parameters should be monitored to assess the degree of impairment. This study aimed to assess nurses' performance regarding using the APACHE scoring system and its effect on the outcomes of patients with cardiac surgery. A quasi-experimental research design (one group pretest and post-test) was used to achieve the aim of this study. The convenience sample consisted of all available nurses (n=50) working in intensive care units of cardiac surgery at Ain Shams Specialized Hospital and in the Cardiovascular and Thoracic Academy affiliated with Ain Shams University hospitals. Additionally, a purposive sample of 130 patients with cardiac surgery was included in this study. Data was collected using nurses' self-administered questionnaires, observation checklists for nurses, attitude scales of nurses, patient assessment questionnaires, and nursing-sensitive patient outcomes measuring scales. The findings showed a highly statistically significant difference between the mean score of total nurses’ level of knowledge, practice, and attitude before and after the educational program. Also, a highly statistically significant difference was observed in the total score of patient outcomes before and after the implementation of the educational program. Implementing an educational program positively affected nurses’ performance; the APACHE score has an efficient and comparable discriminative ability to predict the outcomes of patients undergoing cardiac surgery. The study recommends conducting periodic training programs for nurses in cardiac surgery intensive care units to equip them with the latest knowledge and skills in using the APACHE scoring system to predict patient outcomes and complications within the first 24 hours.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Also, Elhamshary et al . (2019) [ 27 ] stated that the APACHE II scoring system showed high power in predicting mortality rates after cardiac surgery and is the best tool for risk classification among CABG patients.…”

Section: Discussionmentioning

confidence: 99%

Nurses' performance in using the APACHE score: Its effect on outcomes of patients with cardiac surgery

Hany,

Elsenousy,

Abd Elrahman

et al. 2023

JMedLife

View full text Add to dashboard Cite

show abstract

“…It is essential to validate the scoring system in each region and study the region-specific risk factors that can affect the outcomes. In addition to the cardiac surgery-specific risk score systems, other non-cardiac aortic valve score systems were used to predict the outcome after cardiac surgery such as SOFA and APACHE scores [16].…”

Section: Discussionmentioning

confidence: 99%

Predictors of Early Mortality After Aortic Valve Replacement in Middle-Aged Rheumatic Patients

Hassan

Sersar

2019

Egypt. Cardiothoracic. Surg.

View full text Add to dashboard Cite

Background: Several risk factors, including emergency surgery, predicted early mortality after aortic valve replacement (AVR). Euroscore II is used to predict the mortality after cardiac operations. We aimed to review our experience in AVR and determine the early mortality predictors Methods: We collected the data of 200 rheumatic patients who had standard AVR in two centers. Median sternotomy and cardiopulmonary bypass were used in all patients. Transcatheter and minimally invasive aortic valve replacement patients were excluded. We used 15 types of aortic valve prostheses, either mechanical or biological. Follow-up echocardiography was done in the intensive care unit, on discharge, and one month after discharge. Results: 128 patients (64%) had mechanical AVR, and 130 patients (65%) were males. The mean age was 48.2 ± 19 years, and body mass index was 1.8 ± 0.2 Kg/m2. The mean preoperative ejection fraction was 54 ± 9.4 %, end-diastolic dimension was 5.3 ± 0.8 cm, and end-systolic dimension was 3.5 ± 0.9 cm. Nine patients (4.5%) died in the early postoperative period (6 months). Euroscore II was the only factor significantly associated with early mortality (P value= 0.031). The mean Euroscore II was 1.3 ± 0.9 and 10.1 ± 10.7 for survivors and non-survivors, respectively. Conclusion: Euroscore II score was significantly associated with early mortality after aortic valve replacement in rheumatic patients and can be used for risk stratification in those patients.

show abstract

Outcome Prediction After Open Heart Surgery

Cited by 2 publications

References 17 publications

Nurses' performance in using the APACHE score: Its effect on outcomes of patients with cardiac surgery

Nurses' performance in using the APACHE score: Its effect on outcomes of patients with cardiac surgery

Predictors of Early Mortality After Aortic Valve Replacement in Middle-Aged Rheumatic Patients

Contact Info

Product

Resources

About