Cardiac surgery risk-stratification models.

Abstract:

: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.

journal_name

Cardiovasc J Afr

authors

Prins C,de Villiers Jonker I,Botes L,Smit FE

doi

10.5830/CVJA-2011-047

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

160-4

issue

3

eissn

1995-1892

issn

1680-0745

journal_volume

23

pub_type

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