Predictive value of the TRI-SCORE for in-hospital mortality after redo isolated tricuspid valve surgery.

Autor:	Dreyfus J; Cardiology Department, Centre Cardiologique du Nord, Saint Denis, France dreyfusjulien@yahoo.fr., Bohbot Y; Cardiology Department, University Hospital Centre Amiens-Picardie South Site, Amiens, France., Coisne A; Department of Echocardiography and Cardiovascular Explorations, Centre Hospitalier Regional Universitaire de Lille, Lille, France., Lavie-Badie Y; Cardiology Department, University Hospital Centre Toulouse, Toulouse, France., Flagiello M; Department of Cardiovascular Surgery and Transplantation, Hopital Cardio-Vasculaire et Pneumologique Louis Pradel, Lyon, France., Bazire B; Cardiology Department, Bichat - Claude-Bernard Hospital Cardiology Service, Paris, France., Eggenspieler F; Cardiology Department, University Hospital Centre Nancy, Nancy, France., Viau F; Cardiology Department, Hôpital de la Timone, Marseille, France., Riant E; Cardiology Department, Centre Cardiologique du Nord, Saint Denis, France.; Cardiology Department, Hospital Henri Mondor, Creteil, France., Mbaki Y; Cardiology Department, University Hospital Centre Rennes, Rennes, France., Eyharts D; Cardiology Department, University Hospital Centre Toulouse, Toulouse, France., Sénage T; Cardiac Surgery Department, University Hospital Centre Nantes, Nantes, France., Modine T; Cardiac Surgery Department, Centre Hospitalier Regional Universitaire de Lille, Lille, France., Nicol M; Cardiology Department, Centre Cardiologique du Nord, Saint Denis, France., Doguet F; Cardiac Surgery Department, University Hospital Centre Rouen, Rouen, France., Le Tourneau T; Cardiology Department, University Hospital Centre Nantes, Nantes, France., Tribouilloy C; Cardiology Department, University Hospital Centre Amiens-Picardie South Site, Amiens, France., Donal E; Cardiology Department, University Hospital Centre Rennes, Rennes, France., Tomasi J; Cardiac Surgery Department, University Hospital Centre Rennes, Rennes, France., Habib G; Cardiology Department, Hôpital de la Timone, Marseille, France., Selton-Suty C; Cardiology Department, University Hospital Centre Nancy, Nancy, France., Radu C; Cardiology Department, Hospital Henri Mondor, Creteil, France., Lim P; Cardiology Department, Hospital Henri Mondor, Creteil, France., Raffoul R; Cardiology Department, Bichat - Claude-Bernard Hospital Cardiology Service, Paris, France., Iung B; Cardiology Department, Bichat - Claude-Bernard Hospital Cardiology Service, Paris, France., Obadia JF; Department of Cardiovascular Surgery and Transplantation, Hopital Cardio-Vasculaire et Pneumologique Louis Pradel, Lyon, France., Audureau E; Cardiology Department, Hospital Henri Mondor, Creteil, France., Messika-Zeitoun D; Cardiology Department, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Jazyk:	angličtina
Zdroj:	Heart (British Cardiac Society) [Heart] 2023 May 26; Vol. 109 (12), pp. 951-958. Date of Electronic Publication: 2023 May 26.
DOI:	10.1136/heartjnl-2022-322167
Abstrakt:	Objectives: The TRI-SCORE reliably predicts in-hospital mortality after isolated tricuspid valve surgery (ITVS) on native valve but has not been tested in the setting of redo interventions. We aimed to evaluate the predictive value of the TRI-SCORE for in-hospital mortality in patients with redo ITVS and to compare its accuracy with conventional surgical risk scores. Methods: Using a mandatory administrative database, we identified all consecutive adult patients who underwent a redo ITVS at 12 French tertiary centres between 2007 and 2017. Baseline characteristics and outcomes were collected from chart review and surgical scores were calculated. Results: We identified 70 patients who underwent a redo ITVS (54±15 years, 63% female). Prior intervention was a tricuspid valve repair in 51% and a replacement in 49%, and was combined with another surgery in 41%. A tricuspid valve replacement was performed in all patients for the redo surgery. Overall, in-hospital mortality and major postoperative complication rates were 10% and 34%, respectively. The TRI-SCORE was the only surgical risk score associated with in-hospital mortality (p=0.005). The area under the receiver operating characteristic curve for the TRI-SCORE was 0.83, much higher than for the logistic EuroSCORE (0.58) or EuroSCORE II (0.61). The TRI-SCORE was also associated with major postoperative complication rates and survival free of readmissions for heart failure. Conclusion: Redo ITVS was rarely performed and was associated with an overall high in-hospital mortality and morbidity, but hiding important individual disparities. The TRI-SCORE accurately predicted in-hospital mortality after redo ITVS and may guide clinical decision-making process (www.tri-score.com). Competing Interests: Competing interests: TM received consultant fees from Abbott, Edwards and Medtronic. BI received consultant fees from Edwards. J-FO received consultant fees from Abbott, Carmat, Delacroix-Chevalier, Landanger, Medtronic and Sorin. DM-Z received consultant fees and research grants from Edwards. Other authors have no relationship to declare. (© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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