The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Nov 2014
Randomized Controlled Trial Multicenter StudyTechnical performance score is associated with outcomes after the Norwood procedure.
The technical performance score (TPS) has been reported in a single center study to predict the outcomes after congenital cardiac surgery. We sought to determine the association of the TPS with outcomes in patients undergoing the Norwood procedure in the Single Ventricle Reconstruction trial. ⋯ TPS is an independent predictor of important outcomes after Norwood and could serve as a tool for quality improvement.
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J. Thorac. Cardiovasc. Surg. · Nov 2014
Comparative Study Observational StudyInsurance status predicts acuity of thoracic aortic operations.
Nonelective case status is the strongest predictor of mortality for thoracic aortic operations. We hypothesized that underinsured patients were more likely to require nonelective thoracic aortic surgery because of reduced access to preventative cardiovascular care and elective surgical services. ⋯ Underinsured patients were at the greatest risk of requiring nonelective thoracic aortic operation, possibly because of decreased use of lipid-lowering therapies and aortic surveillance. These data imply that greater access to preventative cardiovascular care may reduce the need for nonelective thoracic aortic surgery and lead to improved survival from thoracic aortic disease.
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J. Thorac. Cardiovasc. Surg. · Nov 2014
Multicenter StudyPredictors of 90-day mortality after congenital heart surgery: the first report of risk models from a Japanese database.
The purpose of this study was to develop risk models for congenital heart surgery short-term and midterm outcomes from a nationwide integrated database drawn from hospitals in Japan. ⋯ The proposed risk scores and categories have high discrimination power for predicting mortality, demonstrating improvement relative to existing consensus-based methods. Risk models incorporating these measures may be useful for comparing mortality outcomes cross institutions or countries with mixed cases.