Authors :
Gurpreet Dhillon; Harris Hassan; Cut Aryfa Andra; Zainal Safri; Abdul Halim Raynaldo; Teuku Bob Haykal
Volume/Issue :
Volume 7 - 2022, Issue 3 - March
Google Scholar :
https://bit.ly/3IIfn9N
Scribd :
https://bit.ly/3DpDXLq
DOI :
https://doi.org/10.5281/zenodo.6400157
Abstract :
Coronary heart disease ranks first as the
leading cause of death in the world, an estimated 17.9
million people die every year. Coronary artery bypass
surgery (CABG) is one of the management interventions
for CHD patients, but the high mortality rate after CABG
and other risks is still high. The STS score is one of two
types of scores currently used to predict the incidence of
mortality in patients undergoing cardiac surgery.
Objective: To determine the role of STS scores in
predicting Major Adverse Cardiovascular Events
(MACE) in patients undergone coronary artery bypass
surgery during admission in Haji Adam Malik General
Hospital Medan.
Methods: This study is a retrospective cohort study of 75
CHD patients who undergone CABG at Haji Adam Malik
Hospital Medan from June 2019 to June 2020. Each
patient who undergone CABG was calculated using the
STS calculator to assess the risk of post-CABG outcome.
There are nine risks that are assessed and then the
relationship will be assessed with the incidence of MACE
in CABG patients. Statistical analysis was performed to
assess the role of the STS outcome score in predicting
MACE.
Results: From 75 patients undergoing CABG, 12 patients
(16.0%) experienced major cardiovascular events
(MACE). Acute heart failure was the highest MACE
during hospitalization, around 33,3%. The STS risk score
for prolonged ventilation and risk of major
morbidity/mortality were predictor factors that were
statistically significant, respectively with OR 0.061 and p
value = 0037; and OR 5.667 and p value = 0.017, with
constant being -36.794. The ROC analysis obtained a cutoff point of the STS score for the risk of prolonged
ventilation against the incidence of MACE, namely at a
score of 6,36% (AUC:0,868; sens 83,3%; spes
81,0%;p<0,001) and the cut-off point STS score for the
risk of major morbidity/mortality to the incidence of
MACE at a score of 10.355% (AUC: 0,852; sens 83,3%;
spes;74,6%; p<0,001).
Conclusion: STS score can be used as predictor of MACE
in patients undergoing coronary artery bypass surgery.
Keywords :
STS score, MACE, CABG
Coronary heart disease ranks first as the
leading cause of death in the world, an estimated 17.9
million people die every year. Coronary artery bypass
surgery (CABG) is one of the management interventions
for CHD patients, but the high mortality rate after CABG
and other risks is still high. The STS score is one of two
types of scores currently used to predict the incidence of
mortality in patients undergoing cardiac surgery.
Objective: To determine the role of STS scores in
predicting Major Adverse Cardiovascular Events
(MACE) in patients undergone coronary artery bypass
surgery during admission in Haji Adam Malik General
Hospital Medan.
Methods: This study is a retrospective cohort study of 75
CHD patients who undergone CABG at Haji Adam Malik
Hospital Medan from June 2019 to June 2020. Each
patient who undergone CABG was calculated using the
STS calculator to assess the risk of post-CABG outcome.
There are nine risks that are assessed and then the
relationship will be assessed with the incidence of MACE
in CABG patients. Statistical analysis was performed to
assess the role of the STS outcome score in predicting
MACE.
Results: From 75 patients undergoing CABG, 12 patients
(16.0%) experienced major cardiovascular events
(MACE). Acute heart failure was the highest MACE
during hospitalization, around 33,3%. The STS risk score
for prolonged ventilation and risk of major
morbidity/mortality were predictor factors that were
statistically significant, respectively with OR 0.061 and p
value = 0037; and OR 5.667 and p value = 0.017, with
constant being -36.794. The ROC analysis obtained a cutoff point of the STS score for the risk of prolonged
ventilation against the incidence of MACE, namely at a
score of 6,36% (AUC:0,868; sens 83,3%; spes
81,0%;p<0,001) and the cut-off point STS score for the
risk of major morbidity/mortality to the incidence of
MACE at a score of 10.355% (AUC: 0,852; sens 83,3%;
spes;74,6%; p<0,001).
Conclusion: STS score can be used as predictor of MACE
in patients undergoing coronary artery bypass surgery.
Keywords :
STS score, MACE, CABG