دورية أكاديمية
POBS-Card, a new score of severe bleeding after cardiac surgery: Construction and external validationCentral MessagePerspective
| العنوان: | POBS-Card, a new score of severe bleeding after cardiac surgery: Construction and external validationCentral MessagePerspective |
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| المؤلفون: | Emmanuel Besnier, MD, PhD, Pierre Schmidely, MD, Guillaume Dubois, MD, Prisca Lemonne, MD, Lucie Todesco, MD, Chadi Aludaat, MD, Thierry Caus, MD, PHD, Jean Selim, MD, PhD, Emmanuel Lorne, MD, PhD, Osama Abou-Arab, MD, PhD |
| المصدر: | JTCVS Open, Vol 19, Iss , Pp 183-199 (2024) |
| بيانات النشر: | Elsevier, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Diseases of the circulatory (Cardiovascular) system LCC:Surgery |
| مصطلحات موضوعية: | cardiac surgical procedures, hemorrhage, risk assessment, risk factors, Diseases of the circulatory (Cardiovascular) system, RC666-701, Surgery, RD1-811 |
| الوصف: | Objective: Bleeding after cardiac surgery leads to poor outcomes. The objective of the study was to build the PeriOperative Bleeding Score in Cardiac surgery (POBS-Card) to predict bleeding after cardiac surgery. Methods: We conducted a retrospective cohort study in 2 academic hospitals (2016-2019). Inclusion criteria were adult patients after cardiac surgery under cardiopulmonary bypass. Exclusion criteria were heart transplantation, assistance, aortic dissection, and preoperative hemostasis diseases. Bleeding was defined by the universal definition for perioperative bleeding score ≥2. POBS-Card score was built using multivariate regression (derivation cohort, one center). The performance diagnosis was assessed using the area under the curve in a validation cohort (2 centers) and compared with other scores. Results: In total, 1704 patients were included in the derivation cohort, 344 (20%) with bleeding. Preoperative factors were body mass index 1.2 (OR, 1.44 [1.03-1.99]), prothrombin ratio 14 predicted bleeding with a sensitivity of 50% and a specificity of 73%. Conclusions: POBS-Card score was superior to other scores in predicting severe bleeding after cardiac surgery. Performances remained modest, questioning the place of these scores in the perioperative strategy of bleeding-sparing. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2666-2736 |
| العلاقة: | http://www.sciencedirect.com/science/article/pii/S2666273624001104Test; https://doaj.org/toc/2666-2736Test |
| DOI: | 10.1016/j.xjon.2024.04.008 |
| الوصول الحر: | https://doaj.org/article/af8fc21871974a3c835baa6cbb92220dTest |
| رقم الانضمام: | edsdoj.f8fc21871974a3c835baa6cbb92220d |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 26662736 |
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| DOI: | 10.1016/j.xjon.2024.04.008 |