Retrospective study on prediction of mortality outcome Using post cardiac surgery prognostic scale (pocas) Among patient underwent cardiac surgery at Hospital Universiti Sains Malaysia Kelantan

Background: Demand for cardiothoracic surgery is increasing in recent decades from better health service improvement throughout the world resulting in higher life expectancies and better health care coverage. We study association between outcome of 90 days mortality post cardiac surgery in Cardio...

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Main Author:	Arshad, Ahmad Wafi Mohd
Format:	Thesis
Language:	English
Published:	2020
Subjects:	RD Surgery
Online Access:	http://eprints.usm.my/49414/1/Ahmad%20Wafi%20Mohd%20Arshad-24%20pages.pdf
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id	my-usm-ep.49414
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spelling	my-usm-ep.494142021-07-13T02:42:28Z Retrospective study on prediction of mortality outcome Using post cardiac surgery prognostic scale (pocas) Among patient underwent cardiac surgery at Hospital Universiti Sains Malaysia Kelantan 2020 Arshad, Ahmad Wafi Mohd RD Surgery Background: Demand for cardiothoracic surgery is increasing in recent decades from better health service improvement throughout the world resulting in higher life expectancies and better health care coverage. We study association between outcome of 90 days mortality post cardiac surgery in Cardiothoracic Unit, HUSM and prognostic scale; Post- operative Cardiac Surgery Score (POCAS) and EuroSCORE II in order to improve post-operative care of cardiac surgery patient in our center. Methods: This is a retrospective record review study of adult patient who underwent cardiac surgery in Cardiothoracic Unit, Hospital Universiti Sains Malaysia, Kelantan from 1st January 2012 until 31st December 2018. Data was collected from medical records and post-operation registration database. Cardiac surgery included are isolated coronary artery bypass surgery (CABG), valve replacement or repair surgery, combined operation of CABG and valve surgery and congenital heart septal closure surgery. Results: A total of 158 patients who underwent cardiac surgery were included in this study. We found 133 survivors and 25 cases of mortality within 90 days after cardiac surgery throughout the period of study. Based on POCAS score, we found there is association of this scale with mortality cases. By regression analysis, we found that when there is an increase of 1 score of POCAS, there is 1.286 times increment of odds for 90 days post-operative mortality (AOR; 1.286, 95% CI; 1.172 – 1.410, p =<0.001). Furthermore, we study on regression analysis and found there is significant association as well between mortality cases with EuroSCORE II scale. When adjusted for 90 days post-operative mortality, we found that with an increase of 1 score of EuroSCORE II scale, patient has 2.875 times the odds to have mortality 90 days post cardiac surgery in HUSM population (AOR 2.875, 95% CI; 1.923 – 4.298, p =<0.001). Conclusion: There is significant association between POCAS score which is post-operative biochemical and hemodynamics parameters scale with 90 days post-operative mortality. There is significant association between mortality prediction of EuroSCORE II and mortality observed cases as well. Prediction of mortality after cardiac surgery may enlighten clinicians to lay down strategy of intensive care in complex cardiac surgery cases. 2020 Thesis http://eprints.usm.my/49414/ http://eprints.usm.my/49414/1/Ahmad%20Wafi%20Mohd%20Arshad-24%20pages.pdf application/pdf en public masters Pusat Pengajian Sains Perubatan Universiti Sains Malaysia
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RD Surgery
spellingShingle	RD Surgery Arshad, Ahmad Wafi Mohd Retrospective study on prediction of mortality outcome Using post cardiac surgery prognostic scale (pocas) Among patient underwent cardiac surgery at Hospital Universiti Sains Malaysia Kelantan
description	Background: Demand for cardiothoracic surgery is increasing in recent decades from better health service improvement throughout the world resulting in higher life expectancies and better health care coverage. We study association between outcome of 90 days mortality post cardiac surgery in Cardiothoracic Unit, HUSM and prognostic scale; Post- operative Cardiac Surgery Score (POCAS) and EuroSCORE II in order to improve post-operative care of cardiac surgery patient in our center. Methods: This is a retrospective record review study of adult patient who underwent cardiac surgery in Cardiothoracic Unit, Hospital Universiti Sains Malaysia, Kelantan from 1st January 2012 until 31st December 2018. Data was collected from medical records and post-operation registration database. Cardiac surgery included are isolated coronary artery bypass surgery (CABG), valve replacement or repair surgery, combined operation of CABG and valve surgery and congenital heart septal closure surgery. Results: A total of 158 patients who underwent cardiac surgery were included in this study. We found 133 survivors and 25 cases of mortality within 90 days after cardiac surgery throughout the period of study. Based on POCAS score, we found there is association of this scale with mortality cases. By regression analysis, we found that when there is an increase of 1 score of POCAS, there is 1.286 times increment of odds for 90 days post-operative mortality (AOR; 1.286, 95% CI; 1.172 – 1.410, p =<0.001). Furthermore, we study on regression analysis and found there is significant association as well between mortality cases with EuroSCORE II scale. When adjusted for 90 days post-operative mortality, we found that with an increase of 1 score of EuroSCORE II scale, patient has 2.875 times the odds to have mortality 90 days post cardiac surgery in HUSM population (AOR 2.875, 95% CI; 1.923 – 4.298, p =<0.001). Conclusion: There is significant association between POCAS score which is post-operative biochemical and hemodynamics parameters scale with 90 days post-operative mortality. There is significant association between mortality prediction of EuroSCORE II and mortality observed cases as well. Prediction of mortality after cardiac surgery may enlighten clinicians to lay down strategy of intensive care in complex cardiac surgery cases.
format	Thesis
qualification_level	Master's degree
author	Arshad, Ahmad Wafi Mohd
author_facet	Arshad, Ahmad Wafi Mohd
author_sort	Arshad, Ahmad Wafi Mohd
title	Retrospective study on prediction of mortality outcome Using post cardiac surgery prognostic scale (pocas) Among patient underwent cardiac surgery at Hospital Universiti Sains Malaysia Kelantan
title_short	Retrospective study on prediction of mortality outcome Using post cardiac surgery prognostic scale (pocas) Among patient underwent cardiac surgery at Hospital Universiti Sains Malaysia Kelantan
title_full	Retrospective study on prediction of mortality outcome Using post cardiac surgery prognostic scale (pocas) Among patient underwent cardiac surgery at Hospital Universiti Sains Malaysia Kelantan
title_fullStr	Retrospective study on prediction of mortality outcome Using post cardiac surgery prognostic scale (pocas) Among patient underwent cardiac surgery at Hospital Universiti Sains Malaysia Kelantan
title_full_unstemmed	Retrospective study on prediction of mortality outcome Using post cardiac surgery prognostic scale (pocas) Among patient underwent cardiac surgery at Hospital Universiti Sains Malaysia Kelantan
title_sort	retrospective study on prediction of mortality outcome using post cardiac surgery prognostic scale (pocas) among patient underwent cardiac surgery at hospital universiti sains malaysia kelantan
granting_institution	Pusat Pengajian Sains Perubatan
granting_department	Universiti Sains Malaysia
publishDate	2020
url	http://eprints.usm.my/49414/1/Ahmad%20Wafi%20Mohd%20Arshad-24%20pages.pdf
_version_	1747821999115206656

Retrospective study on prediction of mortality outcome Using post cardiac surgery prognostic scale (pocas) Among patient underwent cardiac surgery at Hospital Universiti Sains Malaysia Kelantan

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