Severity of Disease Score as a Predictor of Mortality after Caval Filter Insertion

• Published in: Journal of vascular and interventional radiology Vol. 6; no. 5; pp. 715 - 719
• Main Authors: McLoughlin, Raymond F., Sirkis, Hartley, So, C. Benjamin, Raber, Earl L., Saliken, John, Gray, Robin R.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.09.1995
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; APACHE; Cost-Benefit Analysis; Embolism, pulmonary, 60.72; Female; Humans; Male; Middle Aged; Postoperative Complications - mortality; Pulmonary Embolism - mortality; Pulmonary Embolism - prevention & control; Retrospective Studies; Sensitivity and Specificity; Vena Cava Filters - economics; Venae cavae, filters, 982.1267; Embolism, pulmonary, 60.72; APACHE; Venae cavae, filters, 982.1267; IVC; ROC
• ISSN: 1051-0443; 1535-7732
• DOI: 10.1016/S1051-0443(95)71173-3

To estimate 30-day mortality after vena caval filter insertion and assess the usefulness of a severity of disease score in predicting postprocedure 30-day survival. Records of 40 consecutive patients undergoing inferior vena caval filter insertion over a 21/£-year period were retrospectively reviewed. A severity of illness score for each patient was calculated based on the weighting system described for the APACHE (Acute Physiology and Chronic Health Evaluation) II system. In addition, 30-day postprocedure survival was determined. Seven patients died within 30 days of the procedure (18%). The use of a severity of disease score of greater than 15 as a predictor of postprocedure 30-day mortality had a sensitivity of 50%, specificity of 97%, positive predictive value of 75%, a negative predictive value of 91.4%, and accuracy of 90%. The 30-day mortality after caval filter insertion is significant. A severity of disease score is a useful predictor of patients likely to survive following caval filter insertion. On this basis it may be possible to establish criteria for more beneficial use of vena caval filters.