Does Parsonnet scoring model predict mortality following adult cardiac surgery in India?

Autor: Moningi Srilata, Narmada Padhy, Durga Padmaja, Ramachandran Gopinath
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Annals of Cardiac Anaesthesia, Vol 18, Iss 2, Pp 161-169 (2015)
Druh dokumentu: article
ISSN: 0971-9784
DOI: 10.4103/0971-9784.154468
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
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