Predictors of Xin et al for Postoperative Septic Cardiomyopathy in a Patient with Perioperative Sepsis

Patient selection: perioperative sepsis in a surgical patient

Outcome: postoperative septic cardiomyopathy

Septic cardiomyopathy is sepsis-associated acute cardiac dysfunction unrelated to ischemia with one of the following: (1) left ventricular dilatation with normal or low-filling pressures; (2) reduced ventricular contractility, (3) right or left ventricular dysfunction with reduced response to volume infusion.

Predictors of postoperative septic cardiomyopathy:

(1) SOFA score on admission >= 7 (aOR 34 in multiple-factor analysis; 1.345 per unit in multivariate LR))

(2) endoscopic procedure (vs open; aOR 3.5)

If a septic patient requires surgery, then the study indicates that open surgery may lower the risk of septic cardiomyopathy.

If a patient has a SOFA score on admission to the ICU, then the patient should be monitored for septic cardiomyopathy.