We interestingly read the article by Zarrizi et al.[ entitled “Predictors of Length of Stay in Intensive Care Unit
after Coronary Artery Bypass Grafting”. First, I congratulate the authors for their
invaluable contribution to the literature. On the other hand, I would like to point out
some information about the scores and preoperative estimating in intensive care
stay.The authors in that article developed a scoring system including number of chest tubes,
development of atrial fibrillation, and atelectasis. Accordingly, they showed that this
scoring system was useful in predicting the length of stay in intensive care unit after
coronary artery bypass grafting. Although the results of this study were useful for
clinical practice, they do not provide additional information on the duration of
intensive care unit length of stay before coronary artery bypass grafting. In a previous
article, we showed that the CHA2DS2-VASc - congestive heart failure, hypertension, age
≥ 75 years, diabetes mellitus, stroke or transient ischemic attack, vascular
disease, age 65 to 74 years, sex category - score correlates with coronary care unit
length of stay and new-onset atrial fibrillation in patients with ST elevation
myocardial infarction[. Additionally,
we showed that the CHA2DS2-VASc and anticoagulation and risk factors in atrial
fibrillation (ATRIA) scores were useful in detecting postoperative atrial fibrillation
after coronary artery bypass grafting and that these scores are related to intensive
care unit length of stay[. I believe
that it would be useful if the authors provided data about these easy scoring systems on
intensive care unit length of stay.The CHA2DS2-VASc and ATRIA risk scores are cheap and easy scoring systems that are used
to predict the risk of thromboembolism in non-valvular atrial fibrillation
patients[. It has been showed that these scores
predicted several anatomical and clinical diseases in cardiovascular practice[. Because of that, these scoring systems may be used to assess
risk and estimate length of stay in intensive care in patients undergoing coronary
artery bypass grafting.
Authors: Paulus Kirchhof; Stefano Benussi; Dipak Kotecha; Anders Ahlsson; Dan Atar; Barbara Casadei; Manuel Castella; Hans-Christoph Diener; Hein Heidbuchel; Jeroen Hendriks; Gerhard Hindricks; Antonis S Manolis; Jonas Oldgren; Bogdan Alexandru Popescu; Ulrich Schotten; Bart Van Putte; Panagiotis Vardas; Stefan Agewall; John Camm; Gonzalo Baron Esquivias; Werner Budts; Scipione Carerj; Filip Casselman; Antonio Coca; Raffaele De Caterina; Spiridon Deftereos; Dobromir Dobrev; José M Ferro; Gerasimos Filippatos; Donna Fitzsimons; Bulent Gorenek; Maxine Guenoun; Stefan H Hohnloser; Philippe Kolh; Gregory Y H Lip; Athanasios Manolis; John McMurray; Piotr Ponikowski; Raphael Rosenhek; Frank Ruschitzka; Irina Savelieva; Sanjay Sharma; Piotr Suwalski; Juan Luis Tamargo; Clare J Taylor; Isabelle C Van Gelder; Adriaan A Voors; Stephan Windecker; Jose Luis Zamorano; Katja Zeppenfeld Journal: Eur J Cardiothorac Surg Date: 2016-09-23 Impact factor: 4.191
Authors: Daniel E Singer; Yuchiao Chang; Leila H Borowsky; Margaret C Fang; Niela K Pomernacki; Natalia Udaltsova; Kristi Reynolds; Alan S Go Journal: J Am Heart Assoc Date: 2013-06-21 Impact factor: 5.501
Authors: Fatih Aksoy; Serdar Guler; Fatih Kahraman; Mevlüt Serdar Kuyumcu; Ali Bagcı; Hasan Aydın Bas; Dinçer Uysal; Ercan Varol Journal: Braz J Cardiovasc Surg Date: 2019-12-01