Cardiothoracic & vascular anesthesia

Impact of Inflammation After Cardiac Surgery on 30-Day Mortality and Machine Learning Risk Prediction

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Main finding · 30-day mortalityResult — go to the resultOdds ratio 2.77 95% CI 1.40–5.47

Authors' conclusion

SIRS is significantly associated with increased 30-day mortality following cardiac surgery. Machine learning models effectively predict SIRS

Study context

Population
Patients undergoing elective or urgent cardiac surgery with cardiopulmonary bypass (CPB), 2016 to 2020
Participants
1,908 patients · 483 matched pairs
Exposure
Systemic inflammatory response syndrome (SIRS)-positive vs SIRS-negative on first postoperative day
Outcome
30-day mortality
Follow-up
30 days
Methodological detailssingle tertiary care hospital, propensity score matched, machine learning risk prediction
  • Single tertiary care hospital
  • Propensity score matched
  • Machine learning risk prediction

Main finding

As reported in the abstract

Odds ratio

2.77

95% CI 1.40–5.47

P = 0.003

By group

SIRS

12.2%

SIRS
OR 2.77 (95% CI 1.40–5.47); P = 0.003

Observational data: associations, not effects.

Further findings

OutcomeBaseline risk modelProcedure-adjusted risk model
Machine learning prediction of SIRS (AUC)
AUC cross-validation0.77 ± 0.040.81 ± 0.02
AUC test set0.73 (95% CI 0.70-0.85)0.82 (95% CI 0.76-0.85)

SIRS incidence · first postoperative day

SIRS incidence
28.7%

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Impact of Inflammation After Cardiac Surgery on 30-Day Mortality and Machine Learning Risk Prediction. J Cardiothorac Vasc Anesth. Published 9 December 2024. doi:10.1053/j.jvca.2024.12.013

Composed by AI from the published abstract and checked against it. How Briefs are made →

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