Saturday, August 16, 2014

Congenital Heart Surgery Risk Scores

RACHS
RACHS-1
Aristotle Comprehensive Complexity Score (ACC)
STAT score (STS-EACTS)

Paper comparing RACHS-1 and ACC: Ann Thoracic Surgery 2011;92(3):949-56.
The ACC was a better predictor of operative mortality and length of intensive care unit stay than RACHS-1. In order to achieve similar performance, regression models including RACHS-1 need to be further adjusted on age, prematurity, and major extracardiac abnormalities.

Paper using STAT score: JTCVS 2014;147:666-71. Adult congenital heart surgery.

RACHS categories - partial list

Clinical outcome and improved survival in patients with protein-losing enteropathy after Fontan operation

Anitha John, et al.
From Mayo Clinic
JACC 2014;64(1):54-62.

Also see, Editorial JACC 2014;64(1):63-64.

Spectrum and outcome of primary cardiomyopathies diagnosed during fetal life

R Weber, ..., E. Jaeggi.
From Toronto group
JACC Heart Failure 2014;2(4):403-411

Saturday, June 28, 2014