Technical Performance Scores are strongly associated with early mortality, postoperative adverse events, and intensive care unit length of stay—analysis.

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Technical Performance Scores are strongly associated with early mortality, postoperative adverse events, and intensive care unit length of stay—analysis of consecutive discharges for 2 years Meena Nathan, MD, John Karamichalis, MD, Hua Liu, MS, Kimberley Gauvreau, ScD, Steven Colan, MD, Matthew Saia, BS, Frank Pigula, MD, Francis Fynn-Thompson, MD, Sitaram Emani, MD, Christopher Baird, MD, John E. Mayer, MD, Pedro J. del Nido, MD The Journal of Thoracic and Cardiovascular Surgery Volume 147, Issue 1, Pages 389-396.e3 (January 2014) DOI: 10.1016/j.jtcvs.2013.07.044 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Area under the receiver operator characteristics (ROC) curve (AUC) for mortality and adverse events. Top, ROC curves for mortality, with (left), the entire model and (right), curve for Technical Performance Score. Bottom, ROC curves for adverse events, with (left), the entire model and (right), the ROC curve for Technical Performance Score. RACHS-1, Risk adjustment in congenital heart surgery; CI, confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 389-396.e3DOI: (10.1016/j.jtcvs.2013.07.044) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure E1 Mortality and adverse events according to Technical Performance Score (TPS). The number of events and total number of patients in each group is presented above each bar. NA, Technical performance score could not be assigned. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 389-396.e3DOI: (10.1016/j.jtcvs.2013.07.044) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure E2 Postoperative intensive care unit (ICU) length of stay according to Technical Performance Score (TPS). The postoperative intensive care unit length of stay for each TPS class is represented as a box plot. The outliers are represented by asterisks and open circles. The median is represented by the line in the center of each box, and the whiskers represent the 25th and 75th percentile. Class 3 (inadequate) TPS had a significantly greater median length of stay (LOS). NA, No TPS score could be assigned; RACHS, Risk Adjustment in Congenital Heart Surgery. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 389-396.e3DOI: (10.1016/j.jtcvs.2013.07.044) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure E3 Mortality and adverse events across Risk Adjustment for Congenital Heart Surgery (RACHS-1) category according to the Technical Performance Score (TPS). The percentage of early mortality and adverse events in each TPS class using the RACHS-1 category. Class 3 (inadequate) TPS was significantly associated with greater rates of mortality and adverse events across RACHS-1 categories 2 and more, with the higher RACHS-1 categories having greater events rates. NA &<18 years, Patients aged <18 years who could not be assigned a RACHS-1 category. ICU, Intensive care unit; LOS, length of stay. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 389-396.e3DOI: (10.1016/j.jtcvs.2013.07.044) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions