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.
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%
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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
