Cardiac surgery risk-stratification models
| Autor: | Carla Prins, Lizelle Botes, Francis E. Smit, I. De Villiers Jonker |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Specific risk Review Article surgical outcomes Risk Assessment medicine Postoperative results Humans In patient Intensive care medicine open-heart surgery Africa South of the Sahara Models Statistical intra- and postoperative variables business.industry Operative mortality Thoracic Surgery General Medicine medicine.disease Cardiac surgery Cardiothoracic surgery Risk stratification Medical emergency Cardiology and Cardiovascular Medicine business Risk assessment risk-stratification models |
| Zdroj: | Cardiovascular Journal of Africa |
| ISSN: | 1680-0745 |
| Popis: | Risk models are widely used to predict outcomes after cardiac surgery. Not only is risk modelling applied in the assessment of the relative impact of specific risk factors on surgical outcomes, but also in patient counselling, the selection of treatment options, comparison of postoperative results, and quality-improvement programmes. At least 19 risk-stratification models exist for open-heart surgery. The focus of risk models was originally on pre-operative prediction of mortality. However, major morbidity is in general more common than mortality and the ability to predict only operative mortality is not an adequate method of determining surgical outcome. Multiple intra- and postoperative variables have been excluded in the majority of models and the possible effect of their future inclusion remains to be seen. The unique patient population of sub-Saharan Africa requires a unique risk model that reflects the patient population and levels of care. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|