Table 3.
Cleveland Clinic Score | Mehta Score | Simplified Renal Index | |||
---|---|---|---|---|---|
Derivation Cohort: 15,838 cardiac surgery patients, Single US Center, 1993–2002 | Derivation Cohort: 449,524 cardiac surgery patients, Database of > 600 centers, 2002–2004 | Derivation Cohort Details: 10,751 cardiac surgery patients, Single Canadian Center, 1999–2004 | |||
Validation Cohort: 17,379 cardiac surgery patients from the same center and time period | Validation Cohort: 86,009 cardiac surgery patients from the same database, 2005 | Validation Cohort: 9,380 cardiac surgery patients, Two Canadian Centers, 1999–2003 | |||
Variable | Points | Variable | Points | Variable | Points |
Female Gender | 1 | Age ≥ 55 | 0–10 | Pre-operative GFR | 1–2 |
CHF | 1 | Nonwhite race | 2 | Diabetes requiring medications | 1 |
LV EF < 35% | 1 | Pre-operative Serum Creatinine | 5–40 | LV EF ≤ 40% | 1 |
Pre-operative IABP | 2 | NYHA Class IV Heart Failure | 3 | Previous cardiac surgery | 1 |
COPD | 1 | Diabetes treated with oral medications | 2 | Pre-operative IABP | 1 |
Insulin-dependent Diabetes | 1 | Insulin-dependent Diabetes | 5 | Non-elective surgery | 1 |
Previous cardiac surgery | 1 | COPD | 3 | Type of Surgery | 0–1 |
Emergency surgery | 2 | Recent Myocardial Infarction | 3 | ||
Type of Surgery | 0–2 | Previous cardiac surgery | 3 | ||
Pre-operative Serum Creatinine | 0–5 | Cardiogenic shock | 7 | ||
Type of Surgery | 0–7 | ||||
Score Range | 0–17 | Score Range | 0–85 | Score Range | 0–8 |