The Role of the Comprehensive Complication Index in Predicting Mortality in Patients Admitted to the Intensive Care Unit After Orthopedic Surgery

Aim ICU mortality after orthopaedic surgery is predicted by CCI. In this case, we evaluated the accuracy of the CCI's mortality prediction. The research investigated if CCI, a composite assessment of circumstances, outperform existing methods in predicting death rates. Methods From January 1, 2020, to August 1, 2024, patients undergoing orthopedic surgery in intensive care units were the focus of this study. The trial was open to anyone aged 18 and older who underwent orthopedic surgery and were admitted to the critical care unit. Participants in the study did not have cancer. Ages, sexes, BMIs, co-morbidities, length of surgery, intensive care unit stay, and need for blood transfusions were recorded for each patient. While Clavien-Dindo evaluated severity, the Charlson Comorbidity Index (CCI) calculated a cumulative risk score for each patient depending on their problems. Results Mortality, Clavien-Dindo, and CCI scores were all connected in the research. Mortality rose with higher Clavien-Dindo and CCI scores. According to the Receiver Operating Characteristic (ROC) study, a mortality risk prediction with a 28.60 CCI score has 100% sensitivity and 99.59% specificity. This research found that CCI predicts patient mortality rates. Conclusion According to the research, orthopedic surgery mortality is predicted by Clavien-Dindo and CCI ratings. The Commodity Channel Index (CCI), a forecasting tool, helps identify high-risk patients and improve post-operative treatment.