The Mayo Cardiac Intensive Care Unit Admission Risk Score is Associated with Medical Resource Utilization During Hospitalization
| العنوان: | The Mayo Cardiac Intensive Care Unit Admission Risk Score is Associated with Medical Resource Utilization During Hospitalization |
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| المؤلفون: | Thomas J. Breen, Courtney Bennett, Sean van Diepen, Jacob C. Jentzer, Nandan S. Anavekar, Malcolm R. Bell, Joseph G. Murphy, Jason N. Katz, Gregory W. Barsness |
| المصدر: | Mayo Clinic Proceedings: Innovations, Quality & Outcomes, Vol 5, Iss 5, Pp 839-850 (2021) Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
| بيانات النشر: | Elsevier, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Acute coronary syndrome, medicine.medical_specialty, CS, cardiogenic shock, Medicine (General), BUN, blood urea nitrogen, CVC, central venous catheter, medicine.medical_treatment, M-CARS, Mayo Cardiac Intensive Care Unit Admission Risk Score, HF, heart failure, law.invention, PAC, pulmonary arterial catheter, R5-920, law, medicine, CRRT, continuous renal replacement therapy, Dialysis, SOFA, Sequential Organ Failure Assessment, Mechanical ventilation, PCI, percutaneous coronary intervention, Framingham Risk Score, CCI, Charlson Comorbidity Index, business.industry, CCCTN, Critical Care Cardiology Trials Network, RBC, red blood cell, medicine.disease, Triage, Intensive care unit, IABP, intra-aortic balloon pump, ICU, intensive care unit, APACHE, Acute Physiology and Chronic Health Evaluation, CICU, cardiac intensive care unit, CA, cardiac arrest, Emergency medicine, Cohort, Coronary care unit, Original Article, ACS, acute coronary syndrome, VF, ventricular fibrillation, business, ECMO, extracorporeal membrane oxygenation, IMCU, intermediate care unit, human activities, RDW, red blood cell distribution width, LOS, length of stay |
| الوصف: | Objective To determine whether the Mayo Cardiac Intensive Care Unit (CICU) Admission Risk Score (M-CARS) is associated with CICU resource utilization. Patients and Methods Adult patients admitted to our CICU from 2007 to 2018 were retrospectively reviewed, and M-CARS was calculated from admission data. Groups were compared using Wilcoxon test for continuous variables and χ2 test for categorical variables. Results We included 12,428 patients with a mean age of 67±15 years (37% female patients). The mean M-CARS was 2.1±2.1, including 5890 (47.4%) patients with M-CARS less than 2 and 644 (5.2%) patients with M-CARS greater than 6. Critical care restricted therapies were frequently used, including mechanical ventilation in 28.0%, vasoactive medications in 25.5%, and dialysis in 4.8%. A higher M-CARS was associated with greater use of critical-care therapies and longer CICU and hospital length of stay. The low-risk cohort with M-CARS less than 2 was less likely to require critical-care–restricted therapies, including invasive or noninvasive mechanical ventilation (8.0% vs 46.1%), vasoactive medications (10.1% vs 38.8%), or dialysis (1.0% vs 8.2%), compared with patients with M-CARS greater than or equal to 2 (all P Conclusion Patients with M-CARS less than 2 infrequently require critical-care resources and have extremely low mortality, suggesting that the M-CARS could be used to facilitate the triage of critically ill cardiac patients. |
| اللغة: | English |
| تدمد: | 2542-4548 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0f0a4ce7c4d32c54c9f21ceb43bf85eb http://www.sciencedirect.com/science/article/pii/S2542454821001120 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....0f0a4ce7c4d32c54c9f21ceb43bf85eb |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 25424548 |
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