Predicting 1-Year Mortality on Admission Using the Mayo Cardiac Intensive Care Unit Admission Risk Score.
Publication/Presentation Date
9-1-2021
Abstract
OBJECTIVE: To determine whether the Mayo Cardiac Intensive Care Unit (CICU) Admission Risk Score (M-CARS) accurately predicts 1-year mortality.
METHODS: We retrospectively reviewed adult CICU patients admitted from January 1, 2007, through April 30, 2018, and calculated M-CARS using admission data. We examined the association between admission M-CARS, as continuous and categorical variables, and 1-year mortality.
RESULTS: This study included 12,428 unique patients with a mean age of 67.6±15.2 years (4686 [37.7%] female). A total of 2839 patients (22.8%) died within 1 year of admission, including 1149 (9.2%) hospital deaths and 1690 (15.0%) of the 11,279 hospital survivors. The 1-year survival decreased incrementally as a function of increasing M-CARS (P
CONCLUSION: M-CARS predicted 1-year mortality among CICU admissions, with a plateau effect at high M-CARS of 3 or more for hospital survivors. Significant added predictors of 1-year mortality among hospital survivors included markers of frailty and chronic illness.
Volume
96
Issue
9
First Page
2354
Last Page
2365
ISSN
1942-5546
Published In/Presented At
Breen, T. J., Padkins, M., Bennett, C. E., Anavekar, N. S., Murphy, J. G., Bell, M. R., Barsness, G. W., & Jentzer, J. C. (2021). Predicting 1-Year Mortality on Admission Using the Mayo Cardiac Intensive Care Unit Admission Risk Score. Mayo Clinic proceedings, 96(9), 2354–2365. https://doi.org/10.1016/j.mayocp.2021.01.031
Disciplines
Medicine and Health Sciences
PubMedID
34366138
Department(s)
Department of Medicine, Cardiology Division
Document Type
Article