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EuroSCORE predicts intensive care unit stay and costs of open heart surgery

Nilsson, Johan LU ; Algotsson, Lars LU ; Höglund, Peter LU ; Lührs, Carsten LU and Brandt, Johan LU (2004) In Annals of Thoracic Surgery 78(5). p.1528-1535
Abstract
Background. This study aimed to determine whether the preoperative risk stratification model EuroSCORE predicts the different components of resource utilization in open heart surgery. Methods. Data for all adult patients undergoing heart surgery at the University Hospital of Lund, Sweden, between 1999 and 2002 were prospectively collected. Costs were calculated for the surgery and intensive care and ward stay for each patient (excluding transplant cases and patients who died intraoperatively). Regression analysis was applied to evaluate the correlation between EuroSCCRE and costs. The predictive accuracy for prolonged postoperative intensive care unit (ICU) stay was assessed by the Hosmer-Lemeshow goodness-of-fit test. The discriminatory... (More)
Background. This study aimed to determine whether the preoperative risk stratification model EuroSCORE predicts the different components of resource utilization in open heart surgery. Methods. Data for all adult patients undergoing heart surgery at the University Hospital of Lund, Sweden, between 1999 and 2002 were prospectively collected. Costs were calculated for the surgery and intensive care and ward stay for each patient (excluding transplant cases and patients who died intraoperatively). Regression analysis was applied to evaluate the correlation between EuroSCCRE and costs. The predictive accuracy for prolonged postoperative intensive care unit (ICU) stay was assessed by the Hosmer-Lemeshow goodness-of-fit test. The discriminatory power was evaluated by calculating the areas under receiver operating characteristics curves. Results. The study included 3,404 patients. The mean cost for the surgery was $7,300, in the ICU $3,746, and in the ward $3,500. Total cost was significantly correlated with EuroSCORE, with a correlation coefficient of 0.47 (p < 0.0001); the correlation coefficient was 0.31 for the surgery cost, 0.46 for the ICU cost, and 0.11 for the ward cost. The Hosmer-Lemeshow p value for EuroSCORE prediction of more than 2 days' stay in the ICU was 0.40, indicating good accuracy. The area under the receiver operating characteristics curve was 0.78. The probability of an ICU stay exceeding 2 days was more than 50% at a EuroSCORE of 14 or more. Conclusions. In this single-institution study, the additive EuroSCORE algorithm could be used to predict ICU cost and also an ICU stay of more than 2 days after open heart surgery. (C) 2004 by The Society of Thoracic Surgeons. (Less)
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type
Contribution to journal
publication status
published
subject
in
Annals of Thoracic Surgery
volume
78
issue
5
pages
1528 - 1535
publisher
Elsevier
external identifiers
  • wos:000224950400004
  • pmid:15511424
  • scopus:19644367302
ISSN
1552-6259
DOI
10.1016/j.athoracsur.2004.04.060
language
English
LU publication?
yes
id
82b3266d-8ce2-42ef-a99d-c63a3ee16308 (old id 262232)
alternative location
http://ats.ctsnetjournals.org/cgi/content/abstract/78/5/1528
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15511424&dopt=Abstract
date added to LUP
2007-10-29 09:14:13
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2017-10-01 03:56:19
@article{82b3266d-8ce2-42ef-a99d-c63a3ee16308,
  abstract     = {Background. This study aimed to determine whether the preoperative risk stratification model EuroSCORE predicts the different components of resource utilization in open heart surgery. Methods. Data for all adult patients undergoing heart surgery at the University Hospital of Lund, Sweden, between 1999 and 2002 were prospectively collected. Costs were calculated for the surgery and intensive care and ward stay for each patient (excluding transplant cases and patients who died intraoperatively). Regression analysis was applied to evaluate the correlation between EuroSCCRE and costs. The predictive accuracy for prolonged postoperative intensive care unit (ICU) stay was assessed by the Hosmer-Lemeshow goodness-of-fit test. The discriminatory power was evaluated by calculating the areas under receiver operating characteristics curves. Results. The study included 3,404 patients. The mean cost for the surgery was $7,300, in the ICU $3,746, and in the ward $3,500. Total cost was significantly correlated with EuroSCORE, with a correlation coefficient of 0.47 (p &lt; 0.0001); the correlation coefficient was 0.31 for the surgery cost, 0.46 for the ICU cost, and 0.11 for the ward cost. The Hosmer-Lemeshow p value for EuroSCORE prediction of more than 2 days' stay in the ICU was 0.40, indicating good accuracy. The area under the receiver operating characteristics curve was 0.78. The probability of an ICU stay exceeding 2 days was more than 50% at a EuroSCORE of 14 or more. Conclusions. In this single-institution study, the additive EuroSCORE algorithm could be used to predict ICU cost and also an ICU stay of more than 2 days after open heart surgery. (C) 2004 by The Society of Thoracic Surgeons.},
  author       = {Nilsson, Johan and Algotsson, Lars and Höglund, Peter and Lührs, Carsten and Brandt, Johan},
  issn         = {1552-6259},
  language     = {eng},
  number       = {5},
  pages        = {1528--1535},
  publisher    = {Elsevier},
  series       = {Annals of Thoracic Surgery},
  title        = {EuroSCORE predicts intensive care unit stay and costs of open heart surgery},
  url          = {http://dx.doi.org/10.1016/j.athoracsur.2004.04.060},
  volume       = {78},
  year         = {2004},
}