The Society of Thoracic Surgeons Adult Cardiac Surgery Database Version 2.73: More Is Better

作者: Terry Shih , Gaetano Paone , Patricia F. Theurer , Donna McDonald , David M. Shahian

DOI: 10.1016/J.ATHORACSUR.2015.02.085

关键词:

摘要: Background With the introduction of version 2.73, several new patient risk factors are now captured in The Society Thoracic Surgeons' (STS) Adult Cardiac Surgery Database. We sought to evaluate potential association these with mortality. Methods reviewed all patients an STS predicted mortality our statewide quality collaborative database from July 2011 September 2013 (N = 19,743). Univariate analyses were used determine significant associations between and 2.73. then performed multivariable analysis, incorporating into regression. Results In univariate model, illicit drug use, syncope, unresponsive neurologic state, cancer within last 5 years, current smoking history, other tobacco or sleep apnea had no difference ( p > 0.05). Patients liver disease, elevated Model for End-Stage Liver Disease score, mediastinal radiation, prolonged 5-meter walk test, home oxygen inhaled medications bronchodilator therapy, decreased forced expiratory volume, history recent pneumonia increases operative Conclusions Several data variables significantly associated after cardiac surgery. addition improves understanding evolving demographics comorbid conditions their impact on perioperative risk. This will improve both shared decision making assessments provider performance.

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