title: [Scoring system for early detection of critical illness can fail].
abstract: A 57-year old male underwent elective aortic valve replacement. The immediate post-operative course was uneventful and the patient was discharged with the lowest possible score on a newly implemented scale for early detection of critical illness. The following day he was readmitted with dyspnoea. The critical illness score was still low despite ultrasonic demonstration of a large pericardial effusion requiring drainage. We are concerned that the widely adopted critical illness scale is not sufficiently sensitive for cardiac surgery patients and advocate the use of point-of-care ultrasound.
authors: Anæstesiologisk-intensiv Afdeling, Aarhus Universitetshospital, Brendstrupgaardsvej 100, 8200 Aarhus N, Denmark.
authors: Lærke
authors: L
authors: Kamstrup Christiansen
authors: Jo Bønding
authors: JB
authors: Andreasen
authors: Christian Alcaraz
authors: CA
authors: Frederiksen
authors: Peter
authors: P
authors: Juhl-Olsen
authors: Erik
authors: E
authors: Sloth
mesh_terms: D000465:Algorithms; D016638:Critical Illness / Q000145:classification; D003661:Decision Support Techniques; D006801:Humans; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D020519:Pericardiocentesis; D011183:Postoperative Complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D012720:Severity of Illness Index; D014463:Ultrasonography