Early prediction of 30-day mortality in patients with surgical wound infections following cardiothoracic surgery: Development and validation of the SWICS-30 score utilizing conventional logistic regression and artificial neural network
From 1713 patients evaluated (mean age of 60 years (18-89), 55 % female), 143 (8.4 %) experienced 30-day mortality. The SWICS-30 logistic regression score comprised the following variables: age over 65 years, undergoing valve heart surgery, combined coronary and valve heart surgery, heart transplantation, time from surgery to infection diagnosis exceeding 21 days, leukocyte count over 13,000/mm3, lymphocyte count below 1000/mm3, platelet count below 150,000/mm3, and creatinine level exceeding 1.5 mg/dL. These patients were stratified into low (2.7 %), moderate (14.2 %), and high (47.1 %) in-hospital mortality risk categories. Artificial intelligence confirmed accuracy at 90 %.
Authors
- Diego Feriani (ORCID: https://orcid.org/0000-0002-3733-6048)
- Cely Saad Abboud (ORCID: https://orcid.org/0000-0002-3663-094X)
- Letícia Rodrigues Goulart de Souza
- Juan D. Cedeno
- Bruno Adler Maccagnan Pinheiro Besen (ORCID: https://orcid.org/0000-0002-3516-9696)
- Rafael de Freitas Souza (ORCID: https://orcid.org/0000-0001-6298-5325)
- Rinaldo Focaccia Siciliano (ORCID: https://orcid.org/0000-0002-5413-7091)
- Samuel Terra Gallafrio
- Tânia Mara Varejão Strabelli
- Denise Blini Sierra
Institutions
- Universidade de Ribeirão Preto (BR)
- Fundace (BR)
- Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (BR)
- Instituto Dante Pazzanese de Cardiologia (BR)
Publication Details
- Journal
- The Brazilian Journal of Infectious Diseases
- Published
- 2025-02-21
- DOI
- https://doi.org/10.1016/j.bjid.2025.104510
- Citations
- 1
- Primary Topic
- Surgical site infection prevention
- Type
- article
- Field-Weighted Citation Impact
- 2.01