Outcomes for endocarditis surgery in North America: A simplified risk scoring system

摘要: Objective Operation for infective endocarditis is associated with the highest mortality of any valve disease, overall rates in-hospital exceeding 20%. The Society Thoracic Surgeons Adult Cardiac Surgery Database was examined to develop a simple risk scoring system and identify areas quality improvement. Methods From 2002 through 2008, 19,543 operations were performed endocarditis. Logistic regression analysis related baseline characteristics both operative composite major morbidity within 30 days. Points assigned each factor, estimated obtained by averaging events all patients having same number points. Results Overall unadjusted 8.2%, complications occurred in 53%. Significant preoperative factors (associated points) as follows: emergency, salvage status, or cardiogenic shock (17), hemodialysis, renal failure, creatinine level less than 2.0 (12), inotropic balloon pump support (10), active (vs treated) multiple involvement (9), insulin-dependent diabetes (8), arrhythmia previous cardiac surgery (7), urgent status without (6), non–insulin-dependent hypertension (5), chronic lung disease C statistic 0.7578 (all P  = .0023). Conclusions Operative surgically treated substantially lower reported described will inform clinical decision-making these complex patients.