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| Format: | Artículo científico |
| Sprache: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2021
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| Online-Zugang: | https://www.redalyc.org/articulo.oa?id=398969709002 https://www.redalyc.org/journal/3989/398969709002/ https://www.redalyc.org/journal/3989/398969709002/html/ https://www.redalyc.org/journal/3989/398969709002/398969709002.epub https://www.redalyc.org/journal/3989/398969709002/movil |
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Inhaltsangabe:
- Translation and Validation of the Boston Technical Performance Score in a Developing Country Leonardo A. Miana Meena Nathan Davi Freitas Tenório Valdano Manuel Gustavo Guerreiro Natália Fernandes Carolina Vieira de Campos Paula V. Gaiolla Renata Sá Cassar Aida Turquetto Luciana Amato Luiz Fernando Canêo Larissa Leitão Daroda Marcelo Biscegli Jatene Fabio B. Jatene Medicina Risk Adjustment Hospital Mortality Reference Standards Postoperative Period Congenital Heart Surgery Introduction: The Technical Performance Score (TPS) was developed and subsequently refined at the Boston Children's Hospital. Our objective was to translate and validate its application in a developing country.Methods: The score was translated into the Portuguese language and approved by the TPS authors. Subsequently, we studied 1,030 surgeries from June 2018 to October 2020. TPS could not be assigned in 58 surgeries, and these were excluded. Surgical risk score was evaluated using Risk Adjustment in Congenital Heart Surgery (or RACHS-1). The impact of TPS on outcomes was studied using multivariable linear and logistic regression adjusting for important perioperative covariates.Results: Median age and weight were 2.2 (interquartile range IQR = 0.5-13) years and 10.8 (IQR = 5.6-40) kilograms, respectively. In-hospital mortality was 6.58% (n=64), and postoperative complications occurred in 19.7% (n=192) of the cases. TPS was categorized as 1 in 359 cases (37%), 2 in 464 (47.7%), and 3 in 149 (15.3%). Multivariable analysis identified TPS class 3 as a predictor of longer hospital stay (coefficient: 6.6; standard error: 2.2; P=0.003), higher number of complications (odds ratio OR: 1.84; 95% confidence interval CI: 1.1-3; P=0.01), and higher mortality (OR: 3.2; 95% CI: 1.4-7; P=0.004).Conclusion: TPS translated into the Portuguese language was validated and showed to be able to predict higher mortality, complication rate, and prolonged postoperative hospital stay in a high-volume Latin-American congenital heart surgery program. TPS is generalizable and can be used as an outcome assessment tool in resource diverse settings. 2021 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398969709002 https://www.redalyc.org/journal/3989/398969709002/ https://www.redalyc.org/journal/3989/398969709002/html/ https://www.redalyc.org/journal/3989/398969709002/398969709002.epub https://www.redalyc.org/journal/3989/398969709002/movil 10.21470/1678-9741-2021-0485 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.5 Vol.36