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Predictive outcomes of APACHE II and expanded SAPS II mortality scoring systems in coronary care unit

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dc.creator Kahraman, Fatih
dc.creator ORHAN, Hikmet
dc.creator YILMAZ, AHMET SEYDA
dc.creator Ersoy, İbrahim
dc.creator Demir, Mevlüt
dc.date 2023-01-15T00:00:00Z
dc.date.accessioned 2025-02-25T10:21:20Z
dc.date.available 2025-02-25T10:21:20Z
dc.identifier 49a43cfd-1c77-4d70-8b46-5c6d132450ba
dc.identifier 10.1016/j.ijcard.2022.09.065
dc.identifier https://avesis.sdu.edu.tr/publication/details/49a43cfd-1c77-4d70-8b46-5c6d132450ba/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/99583
dc.description © 2022 Elsevier B.V.Objective: We investigated the predictive values of the expanded Simplified Acute Physiology Score (SAPS) II and Acute Physiologic Score and Chronic Health Evaluation (APACHE) II score in predicting in-hospital mortality in coronary care unit (CCU) patients. Methods: In this study, expanded SAPS II and APACHE II scores were calculated in the CCU of a single-center tertiary hospital. Patients admitted to CCU with any cardivascular indication were included in the study. Both scores were calculated according to previously determined criteria. Calibration and discrimination abilities of the scores in predicting in-hospital mortality were tested with Hosmer-Lemeshow goodness-of-fit C chi-square and receiver operating characteristics (ROC) curve analyses. Results: A total of 871 patients were included in the analysis. The goodness-of-fit C chi-square test showed that both scores have a good performance in predicting survivors and nonsurvivors in CCU. Expanded SAPS II score has a sensitivity of 80% and a specificity of 91.8% with the cut-off value of 5.55, while APACHE II has a sensitivity of 75.9% and a specificity of 87.4% with the cut-off value of 16.5 in predicting mortality. Conclusion: Expanded SAPS II and APACHE II scores have good ability to predict in-hospital mortality in CCU patients. Therefore, they can be used as a tool to predict short-term mortality in cardiovascular emergencies.
dc.language eng
dc.rights info:eu-repo/semantics/closedAccess
dc.title Predictive outcomes of APACHE II and expanded SAPS II mortality scoring systems in coronary care unit
dc.type info:eu-repo/semantics/article


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