Stratification of complexity in congenital heart surgery: comparative study of the Risk Adjustment for Congenital Heart Surgery (RACHS-1) method, Aristotle basic score and Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery (STS-EACTS) mortality score
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| Natura: | Artículo científico |
| Lingua: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2015
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| _version_ | 1876423187098501120 |
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| author | Paulo Ernando Ferraz Cavalcanti |
| author_facet | Paulo Ernando Ferraz Cavalcanti |
| contents | Stratification of complexity in congenital heart surgery: comparative study of the Risk Adjustment for Congenital Heart Surgery (RACHS-1) method, Aristotle basic score and Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery (STS-EACTS) mortality score Paulo Ernando Ferraz Cavalcanti Michel Pompeu Barros de Oliveira Sá Cecília Andrade dos Santos Isaac Melo Esmeraldo Mariana Leal Chaves Ricardo Felipe de Albuquerque Lins Ricardo de Carvalho Lima Medicina ROC Curve Congenital Heart Defects Hospital Mortality Cardiac Surgical Procedures Objective: To determine whether stratification of complexity models in congenital heart surgery (RACHS-1, Aristotle basic score and STS-EACTS mortality score) fit to our center and de - termine the best method of discriminating hospital mortality. Methods: Surgical procedures in congenital heart diseases in patients under 18 years of age were allocated to the categories proposed by the stratification of complexity methods current - ly available. The outcome hospital mortality was calculated for each category from the three models. Statistical analysis was performed to verify whether the categories presented different mortalities. The discriminatory ability of the models was deter - mined by calculating the area under the ROC curve and a com - parison between the curves of the three models was performed. Results: 360 patients were allocated according to the three methods. There was a statistically significant difference between the mortality categories: RACHS-1 (1) - 1.3%, (2) - 11.4%, (3)- 27.3%, (4) - 50 %, ( P <0.001); Aristotle basic score (1) - 1.1%, (2) - 12.2%, (3) - 34%, (4) - 64.7%, ( P <0.001); and STS-EACTS mortality score (1) - 5.5 %, (2) - 13.6%, (3) - 18.7%, (4) - 35.8%, 2015 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941897004 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.2 Vol.30 |
| format | Artículo científico |
| id | redalyc_398941897004 |
| institution | Redalyc |
| language | en |
| publishDate | 2015 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Stratification of complexity in congenital heart surgery: comparative study of the Risk Adjustment for Congenital Heart Surgery (RACHS-1) method, Aristotle basic score and Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery (STS-EACTS) mortality score Paulo Ernando Ferraz Cavalcanti Medicina ROC Curve Congenital Heart Defects Hospital Mortality Cardiac Surgical Procedures Stratification of complexity in congenital heart surgery: comparative study of the Risk Adjustment for Congenital Heart Surgery (RACHS-1) method, Aristotle basic score and Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery (STS-EACTS) mortality score Paulo Ernando Ferraz Cavalcanti Michel Pompeu Barros de Oliveira Sá Cecília Andrade dos Santos Isaac Melo Esmeraldo Mariana Leal Chaves Ricardo Felipe de Albuquerque Lins Ricardo de Carvalho Lima Medicina ROC Curve Congenital Heart Defects Hospital Mortality Cardiac Surgical Procedures Objective: To determine whether stratification of complexity models in congenital heart surgery (RACHS-1, Aristotle basic score and STS-EACTS mortality score) fit to our center and de - termine the best method of discriminating hospital mortality. Methods: Surgical procedures in congenital heart diseases in patients under 18 years of age were allocated to the categories proposed by the stratification of complexity methods current - ly available. The outcome hospital mortality was calculated for each category from the three models. Statistical analysis was performed to verify whether the categories presented different mortalities. The discriminatory ability of the models was deter - mined by calculating the area under the ROC curve and a com - parison between the curves of the three models was performed. Results: 360 patients were allocated according to the three methods. There was a statistically significant difference between the mortality categories: RACHS-1 (1) - 1.3%, (2) - 11.4%, (3)- 27.3%, (4) - 50 %, ( P <0.001); Aristotle basic score (1) - 1.1%, (2) - 12.2%, (3) - 34%, (4) - 64.7%, ( P <0.001); and STS-EACTS mortality score (1) - 5.5 %, (2) - 13.6%, (3) - 18.7%, (4) - 35.8%, 2015 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941897004 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.2 Vol.30 |
| title | Stratification of complexity in congenital heart surgery: comparative study of the Risk Adjustment for Congenital Heart Surgery (RACHS-1) method, Aristotle basic score and Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery (STS-EACTS) mortality score |
| topic | Medicina ROC Curve Congenital Heart Defects Hospital Mortality Cardiac Surgical Procedures |
| url | https://www.redalyc.org/articulo.oa?id=398941897004 |