Does Parsonnet scoring model predict mortality following adult cardiac surgery in India?
| Autor: | Narmada Padhy, Moningi Srilata, Durga Padmaja, Ramachandran Gopinath |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Multivariate statistics lcsh:Diseases of the circulatory (Cardiovascular) system Valve surgery Bypass grafting heart disease lcsh:RD78.3-87.3 Internal medicine postoperative complications Anesthesia pregnancy pulmonary hypertension Humans Medicine Hospital Mortality Cardiac Surgical Procedures After drop Extravascular lung water Fluid balance Cardiac surgery mortality risk stratification in cardiac surgery Receiver operating characteristic business.industry General Medicine Predictive value Surgery Indian scenario Coronary artery bypass grafting European system for cardiac operative risk evaluation Risk factor Anesthesiology and Pain Medicine Parsonnet score lcsh:Anesthesiology lcsh:RC666-701 Cardiology Original Article Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Annals of Cardiac Anaesthesia, Vol 18, Iss 2, Pp 161-169 (2015) Annals of Cardiac Anaesthesia |
| ISSN: | 0971-9784 |
| Popis: | Aims and Objectives: To validate the Parsonnet scoring model to predict mortality following adult cardiac surgery in Indian scenario. Materials and Methods: A total of 889 consecutive patients undergoing adult cardiac surgery between January 2010 and April 2011 were included in the study. The Parsonnet score was determined for each patient and its predictive ability for in-hospital mortality was evaluated. The validation of Parsonnet score was performed for the total data and separately for the sub-groups coronary artery bypass grafting (CABG), valve surgery and combined procedures (CABG with valve surgery). The model calibration was performed using Hosmer–Lemeshow goodness of fit test and receiver operating characteristics (ROC) analysis for discrimination. Independent predictors of mortality were assessed from the variables used in the Parsonnet score by multivariate regression analysis. Results: The overall mortality was 6.3% (56 patients), 7.1% (34 patients) for CABG, 4.3% (16 patients) for valve surgery and 16.2% (6 patients) for combined procedures. The Hosmer–Lemeshow statistic was |
| Databáze: | OpenAIRE |
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