Thompson et al developed a score for predicting survival in a cardiac surgery patient who have a prolonged stay in intensive care unit (ICU). The authors are from the Royal Infirmary at Edinburgh, Scotland.
Patient selection: cardiac surgery patient who has been i the ICU for >= 10 days
Parameters:
(1) inotrope days
(2) ventilation
(3) platelet transfusions
(4) Parsonnet score
inotrope days =
= (number of inotropes used) * (number of days)
Parameter |
Findings |
Points |
---|---|---|
inotrope days |
< 10 |
0 |
|
>= 10 |
1 |
ventilation |
ventilated < 10 days |
0 |
|
ventilated >= 10 days |
1 |
platelet transfusions |
none in ICU |
0 |
|
given in ICU |
1 |
Parsonnet score |
< 20 |
0 |
|
>= 20 |
1 |
where:
• Inotropes included epinephrine, milrinone and dobutamine (at a dose >= 5 micrograms per kg per minute).
• The number of inotropes used per day could vary. A sum of inotropes by day could be used.
Edinburgh cardiac surgery score =
= (points for days on inotrope days) + (2 * (points for ventilation)) + (points for platelets) + (points for Parsonnet score) - 3
Interpretation:
• minimum score: -3
• maximum score: 2
• The higher the score the higher the mortality rate.
ECS Score |
ICU Mortality |
---|---|
-3 |
6% |
-2 |
15% |
-1 |
26% |
0 |
47% |
1 |
64% |
2 |
83% |
Purpose: To evaluate a patient who has had a prolonged stay in the Intensive Care Unit (ICU) after cardiac surgery based on the Edinburgh Cardiac Surgery score.
Specialty: Critical Care, Emergency Medicine, Surgery, general, Cardiology
Objective: risk factors, severity, prognosis, stage
ICD-10: R57, I97,