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October 20, 2005European Journal of Cardio-Thoracic Surgery

The RACHS-1 risk categories reflect mortality and length of stay in a Danish population of children operated for congenital heart disease☆

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Key result

The RACHS-1 classification accurately predicted in-hospital mortality (AUC 0.741; 95% CI 0.690-0.791) and was positively associated with ICU length of stay in a small volume center.

Why the study?

Does the RACHS-1 classification predict in-hospital mortality and length of stay in children undergoing congenital heart surgery in a small volume center?

Population

957 operations in children undergoing surgery for congenital heart disease between January 1996 and December…

Design

Cohort

Follow-up

In-hospital

Authors

SLSigne Holm LarsenJPJens PedersenJJJacob Jacobsen

Discussion

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Overview

Supports RACHS-1 for mortality prediction in small-volume centers; extends validation data but leaves open prospective confirmation.

Study Design

Type

Observational (n=957)

Multicenter

No

Structured PICO

Does the RACHS-1 classification predict in-hospital mortality and length of stay in children undergoing congenital heart surgery in a small volume center?

P
Population
957 operations in children undergoing surgery for congenital heart disease at a single Danish center between 1996 and 2002.
E
Exposure
Risk Adjusted classification for Congenital Heart Surgery (RACHS-1) categorization
O
Outcome
In-hospital mortality and length of stay in the Intensive Care Unithard clinical

Main Result

Effect estimate: AUC 0.741 (95% CI 0.690-0.791)

The RACHS-1 classification is a valid tool for predicting in-hospital mortality and ICU length of stay for children undergoing congenital heart surgery, even in small volume centers.

Cite This Study

Larsen et al. (2005) conducted an observational in Congenital heart disease (n=957). RACHS-1 classification was evaluated on In-hospital mortality (AUC 0.741, 95% CI 0.690-0.791). The RACHS-1 classification accurately predicted in-hospital mortality (AUC 0.741; 95% CI 0.690-0.791) and was positively associated with ICU length of stay in a small volume center.

synapsesocial.com/papers/6a954dffdd1b902261fa5dcahttps://doi.org/10.1016/j.ejcts.2005.09.008
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Quality evaluation in congenital heart surgery2004 · 7 citations
  2. 2In-Hospital Mortality for Surgical Repair of Congenital Heart Defects: Preliminary Observations of Variation by Hospital Caseload1995 · 293 citations
  3. 3Paediatric cardiac surgical mortality in England after Bristol: descriptive analysis of hospital episode statistics 1991-20022004 · 61 citations
  4. 4Pediatric Cardiac Surgery: The Effect of Hospital and Surgeon Volume on In-hospital Mortality1998 · 337 citations
  5. 5Consensus-based method for risk adjustment for surgery for congenital heart disease2002 · 1,393 citations