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September 30, 2008Circulation

Risk Model of Thoracic Aortic Surgery in 4707 Cases From a Nationwide Single-Race Population Through a Web-Based Data Entry System

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Key result

A web-based national risk model for thoracic aortic surgery demonstrated good discrimination for 30-day operative mortality (C-index 0.78), with an overall 30-day operative mortality rate of 8.6%.

Population

4,707 patients undergoing thoracic aortic surgery from 97 hospitals in Japan between January 1, 2000, and…

Design

Cohort

Follow-up

30-day

Authors

NMNoboru MotomuraCross-Cutting CardiologyHMHiroaki MiyataCardiac SurgeryHTHiroyuki TsukiharaShinshu University

Discussion

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Implication

May aid risk stratification for thoracic aortic surgery in Japan; leaves open external validation and outcome improvement.

Study Design

Type

Observational (n=4,707)

Multicenter

Yes

Structured PICO

P
Population
4,707 patients undergoing thoracic aortic surgery across 97 hospitals in Japan between 2000 and 2005.
E
Exposure
Thoracic aortic surgery (risk model development)
O
Outcome
30-day and 30-day operative mortalityhard clinical

A nationwide Japanese database analysis successfully developed a robust risk model for thoracic aortic surgery, demonstrating excellent outcomes despite high patient acuity.

Cite This Study

Motomura et al. (2008) conducted an observational in Thoracic aortic surgery (n=4,707). Risk factors for thoracic aortic surgery was evaluated on 30-day operative mortality. A web-based national risk model for thoracic aortic surgery demonstrated good discrimination for 30-day operative mortality (C-index 0.78), with an overall 30-day operative mortality rate of 8.6%.

synapsesocial.com/papers/6a428c47c97252f2d147be3ahttps://doi.org/10.1161/circulationaha.107.756684
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