Congenital heart surgery outcome analysis: Indian experience

Abstract

The study shows that the Aristotle Basic Complexity score, the Risk Adjustment for Congenital Heart Surgery category, and the Society of Thoracic Surgeons and European Association for Cardiothoracic Surgery mortality category are tools of case mix stratification to analyze congenital heart surgery outcomes in a subset of the Indian population.

Predicting mortality after congenital heart surgeries: Evaluation of the Aristotle and Risk Adjustement in Congenital Heart surgery-1 risk prediction scoring systems: A retrospective single center analysis of 1150 patients

“…[18,19] The unique problems encountered by the pediatric surgical teams in developing countries [17,20,21] could explain this higher mortality. Vasdev et al [22] analyzed 1312 CHS at a single Indian center for predictive abilities of ABC, RACHS and STS-EACTS MS scoring systems. They observed 6.85% mortality with RACHS-1 and STS-EACTS MS having better c-indices (0.76 and 0.75 respectively) compared to ABC (0.66).…”

“…They observed 6.85% mortality with RACHS-1 and STS-EACTS MS having better c-indices (0.76 and 0.75 respectively) compared to ABC (0.66). [22] They applied ROC-AUC analysis for the comparison. ROC-AUC fails to segregate subjects in terms of occurrence of the event.…”

Preoperative thyroid hormone levels predict ICU mortality after cardiopulmonary bypass in congenital heart disease patients younger than 3 months old

“…Previous studies [16] have reported that a low T3 level was an independent predictor of ICU mortality, which is consistent with our finding. However, for CHD patients, especially children, RACHS-1 scores could predict ICU mortality, length of ICU stay and duration of MV [17][18][19][20]. In our study, compared with survivors, non-survivors had higher RACHS-1 scores.…”

Thyroid Hormones Predict ICU Mortality After Cardiopulmonary Bypass in Congenital Heart Disease Patients Under 3 Months Old

“…Previous studies 16 have reported that low T3 was an independent predictor of ICU mortality, which is consistent with our nding. However, for CHD patients, especially children, RACHS-1 scores could predict ICU mortality, length of ICU stay and duration of MV [17][18][19][20] . In our study, compared with survivors, non-survivors had a higher RACHS-1 score.…”