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Quantifying risk and assessing outcome in cardiac surgery.

Abstract：

:Quality improvement, research, and reporting of outcome results can be stratified by preoperative risk by using a logistic regression equation or scores to correct for multiple risk factors. The more than 30-fold mortality differences between lowest and highest risk patients make it critical to stratify outcome results by patient severity. Probabilities are not predictions, however, and caution must be exercised when applying scores to individuals. Outcome assessment will grow in its importance to professionals, initially in the guise of quality reporting and improvement, but increasingly as a tool for risk assessment, patient counseling, and directing therapeutic decisions based on more complete information about patient subgroups. Physicians may be called on for recommendations in choosing systems for their hospitals and communities. Therefore, it is important to have an understanding of how such systems are developed, what factors indicate adequate performance of a system, and how such systems of risk stratification should be applied in practice.

journal_name

J Cardiothorac Vasc Anesth

journal_title

Journal of cardiothoracic and vascular anesthesia

authors

Higgins TL

doi

10.1016/s1053-0770(98)90018-0

subject

Has Abstract

pub_date

1998-06-01 00:00:00

pages

330-40

issue

3

eissn

1053-0770

issn

1532-8422

pii

S1053-0770(98)90018-0

journal_volume

12

pub_type

杂志文章,评审

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