Mayo Cardiac Intensive Care Unit Admission Risk Score (M-CARS) validation test to assess mortality during treatment in Cardiovascular Care Unit (CVCU) patients at Haji Adam Malik Hospital
Abstract Background: Approximately 85% of all in-hospital deaths occur in Cardiovascular Care Unit (CVCU) where M-CARS will be an important starting point for development of CVCU-specific mortality risk prediction models. Aim: This research aims to assess M-CARS validation to assess mortality...
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| Format: | Article |
| Language: | English |
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Indonesian Heart Association
2023-11-01
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| Series: | Majalah Kardiologi Indonesia |
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| Online Access: | https://ijconline.id/index.php/ijc/article/view/1261 |
| _version_ | 1797450028131811328 |
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| author | Basten Jeremiah Siahaan |
| author_facet | Basten Jeremiah Siahaan |
| author_sort | Basten Jeremiah Siahaan |
| collection | DOAJ |
| description |
Abstract
Background: Approximately 85% of all in-hospital deaths occur in Cardiovascular Care Unit (CVCU) where M-CARS will be an important starting point for development of CVCU-specific mortality risk prediction models.
Aim: This research aims to assess M-CARS validation to assess mortality during treatment in CVCU patients at Haji Adam Malik (HAM) General Hospital.
Methods: This research is a prospective research that examines M-CARS score validity as a predictor of intra-hospital mortality in patients treated at CVCU HAM General Hospital Medan from September 2021 - January 2022. If correlation test results show a significant relationship, cut-off value M-CARS score will be taken using ROC (Receiver Operating Characteristic) curve analysis, then analysis of M-CARS score diagnostic value will be carried out according to cut-off value obtained to predict mortality during hospitalization. Then Hosmer-Lemeshow test was carried out to assess suitability of logistic regression on risk prediction assessment within population that being assessed.
Results: M-CARS had a very good discriminatory ability (AUC 0.93) to predict intrahospital mortality. The calibration value using Hosmer Lemeshow test (R2 = 0.982; p = 1.516; p>0.05) shows that there is no significant difference between observed and expected mortality rate by two scoring systems therefore considered as accurate.
Conclusion: M-CARS is valid to be used in assessing risk of mortality events during CVCU treatment at H. Adam Malik Hospital Medan.
Keywords: Mortality, Cardiovascular Care Unit, Mayo Cardiac Intensive Care Unit Admission Risk Score, Braden Score.
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| first_indexed | 2024-03-09T14:34:33Z |
| format | Article |
| id | doaj.art-53582bb6de414968810f3a5599e8ba6d |
| institution | Directory Open Access Journal |
| issn | 0126-3773 2620-4762 |
| language | English |
| last_indexed | 2024-03-09T14:34:33Z |
| publishDate | 2023-11-01 |
| publisher | Indonesian Heart Association |
| record_format | Article |
| series | Majalah Kardiologi Indonesia |
| spelling | doaj.art-53582bb6de414968810f3a5599e8ba6d2023-11-27T14:57:32ZengIndonesian Heart AssociationMajalah Kardiologi Indonesia0126-37732620-47622023-11-0143410.30701/ijc.1261Mayo Cardiac Intensive Care Unit Admission Risk Score (M-CARS) validation test to assess mortality during treatment in Cardiovascular Care Unit (CVCU) patients at Haji Adam Malik HospitalBasten Jeremiah Siahaan0Cardiology Department University of North Sumatera Abstract Background: Approximately 85% of all in-hospital deaths occur in Cardiovascular Care Unit (CVCU) where M-CARS will be an important starting point for development of CVCU-specific mortality risk prediction models. Aim: This research aims to assess M-CARS validation to assess mortality during treatment in CVCU patients at Haji Adam Malik (HAM) General Hospital. Methods: This research is a prospective research that examines M-CARS score validity as a predictor of intra-hospital mortality in patients treated at CVCU HAM General Hospital Medan from September 2021 - January 2022. If correlation test results show a significant relationship, cut-off value M-CARS score will be taken using ROC (Receiver Operating Characteristic) curve analysis, then analysis of M-CARS score diagnostic value will be carried out according to cut-off value obtained to predict mortality during hospitalization. Then Hosmer-Lemeshow test was carried out to assess suitability of logistic regression on risk prediction assessment within population that being assessed. Results: M-CARS had a very good discriminatory ability (AUC 0.93) to predict intrahospital mortality. The calibration value using Hosmer Lemeshow test (R2 = 0.982; p = 1.516; p>0.05) shows that there is no significant difference between observed and expected mortality rate by two scoring systems therefore considered as accurate. Conclusion: M-CARS is valid to be used in assessing risk of mortality events during CVCU treatment at H. Adam Malik Hospital Medan. Keywords: Mortality, Cardiovascular Care Unit, Mayo Cardiac Intensive Care Unit Admission Risk Score, Braden Score. https://ijconline.id/index.php/ijc/article/view/1261CVCUICCUM-CARSScoreMortality |
| spellingShingle | Basten Jeremiah Siahaan Mayo Cardiac Intensive Care Unit Admission Risk Score (M-CARS) validation test to assess mortality during treatment in Cardiovascular Care Unit (CVCU) patients at Haji Adam Malik Hospital Majalah Kardiologi Indonesia CVCU ICCU M-CARS Score Mortality |
| title | Mayo Cardiac Intensive Care Unit Admission Risk Score (M-CARS) validation test to assess mortality during treatment in Cardiovascular Care Unit (CVCU) patients at Haji Adam Malik Hospital |
| title_full | Mayo Cardiac Intensive Care Unit Admission Risk Score (M-CARS) validation test to assess mortality during treatment in Cardiovascular Care Unit (CVCU) patients at Haji Adam Malik Hospital |
| title_fullStr | Mayo Cardiac Intensive Care Unit Admission Risk Score (M-CARS) validation test to assess mortality during treatment in Cardiovascular Care Unit (CVCU) patients at Haji Adam Malik Hospital |
| title_full_unstemmed | Mayo Cardiac Intensive Care Unit Admission Risk Score (M-CARS) validation test to assess mortality during treatment in Cardiovascular Care Unit (CVCU) patients at Haji Adam Malik Hospital |
| title_short | Mayo Cardiac Intensive Care Unit Admission Risk Score (M-CARS) validation test to assess mortality during treatment in Cardiovascular Care Unit (CVCU) patients at Haji Adam Malik Hospital |
| title_sort | mayo cardiac intensive care unit admission risk score m cars validation test to assess mortality during treatment in cardiovascular care unit cvcu patients at haji adam malik hospital |
| topic | CVCU ICCU M-CARS Score Mortality |
| url | https://ijconline.id/index.php/ijc/article/view/1261 |
| work_keys_str_mv | AT bastenjeremiahsiahaan mayocardiacintensivecareunitadmissionriskscoremcarsvalidationtesttoassessmortalityduringtreatmentincardiovascularcareunitcvcupatientsathajiadammalikhospital |