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Assessing surgical risk for adults with congenital heart disease: Are pediatric scoring systems appropriate?  Brian Kogon, MD, Matthew Oster, MD, MPH 

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Presentation on theme: "Assessing surgical risk for adults with congenital heart disease: Are pediatric scoring systems appropriate?  Brian Kogon, MD, Matthew Oster, MD, MPH "— Presentation transcript:

1 Assessing surgical risk for adults with congenital heart disease: Are pediatric scoring systems appropriate?  Brian Kogon, MD, Matthew Oster, MD, MPH  The Journal of Thoracic and Cardiovascular Surgery  Volume 147, Issue 2, Pages (February 2014) DOI: /j.jtcvs Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 RACHS-1 scoring system distribution. RACHS, Risk Adjustment for Congenital Heart Surgery. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Aristotle scoring system distribution.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 STAT scoring system distribution. STAT, Society of Thoracic Surgery–European Association for Cardio-Thoracic Surgery. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

5 Figure 4 ROC curves. A, Mortality ROC curves for comparison. B, Major adverse event ROC curves for comparison. C, Length of stay (LOS) ROC curves for comparison. ROC, Receiver operator characteristic; MAE, major adverse event; STAT, Society of Thoracic Surgery–European Association for Cardio-Thoracic Surgery; RACHS, Risk Adjustment for Congenital Heart Surgery. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

6 Figure 5 Adult and pediatric case distribution within each scoring system. RACH, Risk Adjustment for Congenital Heart Surgery; STAT, Society of Thoracic Surgery–European Association for Cardio-Thoracic Surgery. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions


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