Tang et al reported the Vascular Biochemistry and Haematology Outcome Model (VBHOM) to predict the outcome following open abdominal aortic aneurysm surgery. The authors are from the Audit Research Committee of the Vascular Society of Great Britain and Ireland.
Patient selection: open abdominal aortic aneurysm repair
Parameters:
(1) gender
(2) mode of admission
(3) age on admission in years
(4) blood urea in mmol/L
(5) serum sodium in mmol/L
(6) serum potassium in mmol/L
(7) hemoglobin in g/dL
(8) white blood cell (WBC) count in 10^9/L
Parameter |
Finding |
Points |
gender |
female |
0 |
|
male |
1 |
mode of admission |
elective |
0 |
|
nonelective |
1 |
X =
= (0.1511 * (points for gender)) + (0.994 * (points for mode of admission)) + (0.05923 * (age)) + (0.001401 * (urea)) - (0.01303 * (sodium)) - (0.03585 * (potassium)) - (0.2278 * (hemoglobin)) + (0.02059 * (WBC count) - 2.257
risk of death =
= 1 / (1 + EXP((-1) * X))
Purpose: To determine the mortality risk for a patient following open abdominal aortic aneurysm repair using the VBHOM of Tang et al.
Specialty: Cardiology
Objective: severity, prognosis, stage, surgery
ICD-10: I71,