Hastanemizde Kalp Cerrahisi Geçiren Hastalarda Postoperatif Mortalite ve Morbiditenin EuroSCORE ile Değerlendirilmesi

The Evaluation of Postoperative Mortality and Morbidity with EuroSCORE in Patients who Underwent Cardiac Surgery in Our HospitalObjective: The aim of our study was to evaluate the effect of preoperative patient characteristics, concomitant comorbidities and extubation time on postoperative mortality and morbidity; and the corelation with EuroSCORE. Material and Methods: After Local Scientific Comnittee approval, 668 patients, ages between 17-82 who were scheduled for cardiac surgery were included in this prospective study in 2012-1013 years in Siyami Ersek Thoracic and Cardiovasculary Center Hospital. Patient characteristic, concomitant comorbidities, type of surgery, cross-clemp and cardiopulmonary bypass times, the use of inotropic agents and insertion of intraaortic baloon pump, the number of coronary anastomosis, extubation time, time of intensive care and hospital stay and the EuroSCORE scores were recorded and compared. Results: There were observed to difference significantly between actual mortality rates (3.1 %) and predicted mortality by EuroSCORE (1.73±1.26) (p<0.01).The predicted mortality rates by EuroSCORE were significantly elevated (3.71±3.01) in patients who died. In patients with preoperative scores over 1.75, the sensitivity of EuroSCORE in predicted mortality was 80.95 %; positive cut-off value was 8.54 % and negative cut-off value was 99.15 %. The measured area under the Receiver Operating Characteristic (ROC) curve was 78.8 % and standart deviation was % 4.7.Conclusion: A throughout analysis of risk factors and possible complications of surgery may help to reduce postoperative mortality and morbidity. We observed the factors related to mortality and morbidity in our patient population are similar to the literature the EuroSCORE risk scoring system can be applied. Also the management of intraoperative anesthesia and postoperative intensive care are important factors in this issue.