Cardiac Surgery ICU Score

BC Cardiac Surgical Intensive Care Score

This scoring system is designed to help clinicians assess patients recovering from cardiac surgical procedures and determine their predicted 30-day mortality when entering the cardiac surgical intensive care unit.

It was built using all patients from all hospitals performing cardiac surgery in British Columbia, Canada, in a public system over a 10-year period.

Reference:
Lamarche Y, Elmi-Sarabi M, Ding L, Abel JG, Sirounis D, Denault AY. A score to estimate 30-day mortality after intensive care admission after cardiac surgery. J Thorac Cardiovasc Surg. 2016 Nov 23. pii: S0022-5223(16)31634-8.

Predicted 30-day mortality: --%

Procedure
Age	year old
Female Gender	yes	no
Emergency
Left Main Stenosis / 3-Vessel Disease	yes	no
Pulmonary Hypertension [ ? ] Mean PAP > 25 mmHg	yes	no
Peripheral Vascular Disease	yes	no
Renal Function
Diabetes	yes	no

Peptic Ulcer, GI Bleed History	yes	no
Alcohol Abuse	yes	no
Refusal of Blood Products	yes	no
Intra Aortic Balloon Pump [ ? ] Procedure performed or assistant device leaving operating room	yes	no
Ventricular Assist Device/ Extra Corporeal Membrane Oxygenation [ ? ] Procedure performed or assistant device leaving operating room	yes	no
Intraoperative Complication [ ? ] Any intraoperative complicative reported by surgeon	yes	no
Inotrope [ ? ] Adrenaline, dobutamine, milrinone or high dose dopamine leaving the operating room	yes	no
High Dose Vasopressors [ ? ] Two or more vasopressors leaving the operating room	yes	no
Packed cells [ ? ] Any PRBC transfusion	yes	no
CP Bypass Time (in minutes) [ ? ] Complete cardiopulmonary bypass pump per minutes, off pump = 0	min