Key result
Adding an age component to the Comprehensive Aristotle Score improved discrimination for 30-day mortality in adult congenital heart surgery, increasing the c-statistic from 0.66 to 0.76.
Why the study?
Does adding an age component to pediatric risk scores improve mortality risk stratification in adult congenital heart surgery patients?
Population
963 adult patients who underwent congenital cardiac surgery between January 1990 and January 2007 in a…
Comparison
Pediatric congenital cardiac surgery risk scores… vs Original pediatric risk scores without the age…
Design
Cohort
Follow-up
1 year
Authors
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May improve adult congenital heart surgery risk stratification; extends the Comprehensive Aristotle Score but leaves open prospective validation.
Cohort (n=963)
No
Does adding an age component to pediatric risk scores improve mortality risk stratification in adult congenital heart surgery patients?
Adding an age component to pediatric risk scores, particularly the Comprehensive Aristotle Score, improves mortality risk stratification in adults undergoing congenital heart surgery.
Gameren et al. (2010) conducted a cohort in Adult congenital heart surgery (n=963). Pediatric risk scores combined with an age component vs. Original pediatric risk scores was evaluated on 30-day mortality. Adding an age component to the Comprehensive Aristotle Score improved discrimination for 30-day mortality in adult congenital heart surgery, increasing the c-statistic from 0.66 to 0.76.
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