Predictive value of paediatric risk of mortality score and risk adjustment for congenital heart surgery score after paediatric open-heart surgery

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Risk stratification in paediatric open-heart surgery.

OBJECTIVE The aims of this study were to identify independent risk factors for mortality following paediatric open-heart surgery and to develop risk models for use in clinical audit based on identified risk factors. The study also tests the validity of the recently proposed Risk Adjustment in Congenital Heart Surgery (RACHS-1) method of risk stratification as applied to open-heart operations. ...

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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

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 determine 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 stratificat...

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Near-infrared spectroscopy after high-risk congenital heart surgery in the paediatric intensive care unit.

OBJECTIVE To establish whether the use of near-infrared spectroscopy is potentially beneficial in high-risk cardiac infants in United Kingdom paediatric intensive care units. DESIGN A prospective observational pilot study. SETTING An intensive care unit in North West England. PATIENTS A total of 10 infants after congenital heart surgery, five with biventricular repairs and five with singl...

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Risk stratification in heart surgery: comparison of six score systems.

OBJECTIVE Risk scores have become an important tool in patient assessment, as age, severity of heart disease, and comorbidity in patients undergoing heart surgery have considerably increased. Various risk scores have been developed to predict mortality after heart surgery. However, there are significant differences between scores with regard to score design and the initial patient population on...

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ژورنال

عنوان ژورنال: Interactive CardioVascular and Thoracic Surgery

سال: 2007

ISSN: 1569-9293

DOI: 10.1510/icvts.2007.157917