Evaluation of the NNECDSG Score in a Brazilian public hospital.
OBJECTIVE
To compare the observed incidence of mediastinitis and strokes versus the expected incidence according to the NNECDSG score (Northern New England Cardiovascular Disease Study Group) in a population submitted to coronary artery bypass graft surgery.


METHODS
A retrospective consultation was made of medical records of all patients submitted to isolated CABG from January 1st, 2000 to December 31st, 2004, at the Cardiac Surgery Service of the Triângulo Mineiro Federal University (UFTM). Data regarding the incidences of observed mediastinitis and strokes and those estimated by the NNECDSG score were submitted to the Kolmogorov-Smirnov normality test. A comparison was achieved using the paired Student t test, with the level of significance determined as p=0.05.


RESULTS
A group of 230 patients were analyzed, including 144 (62.60%) men and 86 (37.39%) women. Sixty-one (26.52%) presented with diabetes, 30 (13.04%) with chronic obstructive pulmonary disease (COPD) and 23 (10%) had peripheral vascular disease (PVD). Emergency surgery occurred in 34 (14.78 %) cases. In 37 (16.08%) patients an ejection fraction (EF) of less than 40% was identified. Mediastinitis occurred in 12 (5.21%) patients and despite the greater general incidence in the sample studied, no statistical significance was found. Strokes occurred in 12 patients (5.21%) and in spite of the higher mean percentage incidence of observed strokes for all scores, a level of statistical significance was not found.


CONCLUSIONS
Although the incidences of mediastinitis and strokes were greater in the population studied, these values showed no statistical significance, confirming the score recommended by the NNECDSG as a safe and efficient method for predicting postoperative mediastinitis and strokes in patients submitted to myocardial revascularization surgery in the UFTM.
Barbosa
Tatiana Maia Jorge de Ulhôa
TM
Federal University of the Triângulo Mineiro. maiajorge@uol.com.br
Sgarbieri
Ricardo Nilsson
RN
Moreira Neto
Francisco F
FF
Vieira
Fabiano Ferreira
FF
Pereira
Gilberto de Araújo
Gde A
de Rezende Filho
Altino Vieira
AV
Capuci
Herbert Henrique
HH
Meirelles
Rafael
R
D000368:Aged; D001938:Brazil / Q000453:epidemiology; D001026:Coronary Artery Bypass / Q000401:mortality; D005260:Female; D017052:Hospital Mortality; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000453:epidemiology* / Q000209:etiology / Q000401:mortality; D012107:Research Design; D012189:Retrospective Studies; D018570:Risk Assessment; D020521:Stroke / Q000453:epidemiology* / Q000209:etiology / Q000401:mortality; D015996:Survival Rate