John M. Karamichalis, MD, Pedro J. del Nido, MD, Ravi R

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Presentation transcript:

Early Postoperative Severity of Illness Predicts Outcomes After the Stage I Norwood Procedure John M. Karamichalis, MD, Pedro J. del Nido, MD, Ravi R. Thiagarajan, MD, MPH, Kathy J. Jenkins, MD, MPH, Hua Liu, MS, Kimberlee Gauvreau, ScD, Frank A. Pigula, MD, Francis E. Fynn-Thompson, MD, Sitaram M. Emani, MD, John E. Mayer, MD, Emile A. Bacha, MD The Annals of Thoracic Surgery Volume 92, Issue 2, Pages 660-665 (August 2011) DOI: 10.1016/j.athoracsur.2011.03.086 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Postoperative day 1 (POD1) Pediatric Risk of Mortality (PRISM) score distribution: median 18 (range, 8 to 39). The Annals of Thoracic Surgery 2011 92, 660-665DOI: (10.1016/j.athoracsur.2011.03.086) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Receiver operating characteristic (ROC) curve analysis of ability of postoperative day 1 (POD1) Pediatric Risk of Mortality (PRISM) score to discriminate inadequate technical performance. Diagonal segments are produced by ties. Area under the ROC curve 0.710 (p = 0.002, 95% confidence interval: 0.574 to 0.847). The Annals of Thoracic Surgery 2011 92, 660-665DOI: (10.1016/j.athoracsur.2011.03.086) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Postoperative day 1 (POD1) pediatric risk of mortality (PRISM) score and outcomes. Mortality: median POD1 PRISM score 17 (range, 8 to 39) for patients who died versus 25 (range, 17 to 36) for patients who lived (p < 0.0001). Complications: median POD1 PRISM score 17 (range, 10 to 31) versus 24 (range, 8 to 39), respectively (p < 0.0001) Reinterventions: median POD1 PRISM score 17 (range, 10 to 29) versus 24 (range, 8 to 39), respectively (p = 0.001). The Annals of Thoracic Surgery 2011 92, 660-665DOI: (10.1016/j.athoracsur.2011.03.086) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions