Stratification of Morbidity and Mortality Outcome by Preoperative Risk Factors in Coronary Artery Bypass Patients: A Clinical Severity Score

JAMA: The Journal of the American Medical Association

Volumn 267, Issue 17, 1992, Pages 2344-2348

  Higgins, Thomas L ^a   Estafanous, Fawzy G ^a   Loop, Floyd D ^a   Beck, Gerald J ^a   Blum, James M ^a   Paranandi, Lata ^a  

^a LERNER RESEARCH INSTITUTE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CREATININE;

AGE; AGED; AORTA STENOSIS; ARTICLE; BODY WEIGHT; CEREBROVASCULAR DISEASE; CHRONIC LUNG DISEASE; CORONARY ARTERY BYPASS SURGERY; DIABETES MELLITUS; FEMALE; HEART INFARCTION; HEART LEFT VENTRICLE FAILURE; HEMATOCRIT; HUMAN; INFECTION; KIDNEY FAILURE; MAJOR CLINICAL STUDY; MALE; MITRAL VALVE REGURGITATION; MORBIDITY; MORTALITY; NEUROLOGIC DISEASE; PREOPERATIVE PERIOD; PRIORITY JOURNAL; REOPERATION; RISK FACTOR;

AGED; CORONARY ARTERY BYPASS; FEMALE; HOSPITALS; HUMAN; LOGISTIC MODELS; MALE; MORBIDITY; OUTCOME ASSESSMENT (HEALTH CARE); REGRESSION ANALYSIS; RETROSPECTIVE STUDIES; RISK FACTORS; SEVERITY OF ILLNESS INDEX; TREATMENT OUTCOME; UNITED STATES;

EID: 0026519435     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.1992.03480170070031     Document Type: Article

References (35)

1. Green J, Wintfeld N, Sharkey P, Passman LJ. The importance of severity of illness in assessing hospital mortality. JAMA. 1990;263:241-246.
2. Jencks SF, Williams DK, Kay TL. Assessing hospital-associated deaths from discharge data: the role of length of stay and comorbidities. JAMA. 1988;260:2240-2246.
3. Greenfield S, Aronow HU, Elashoff RM, Watanabe D. Flaws in mortality data: the hazards of ignoring comorbid disease. JAMA. 1988;260:2253-2255.
4. Jencks SF, Daley J, Draper D, Thomas N, Lenhart G, Walker J. Interpreting hospital mortality data: the role of clinical risk adjustment. JAMA. 1988;260:3611-3616.
5. Loop FD, Berrettoni JN, Pichard A, Siegel W, Razavi M, Effler DB. Selection of the candidate for myocardial revascularization: a profile of high risk based on multivariate analysis. J Thorac Cardiovasc Surg. 1975;69:40-51.
6. Kouchoukos NT, Oberman A, Kirklin JW, et al. Coronary bypass surgery: analysis of factors affecting hospital mortality. Circulation. 1980;62:84-89.
7. Kennedy JW, Kaiser GC, Fisher LD, et al. Multivariate discriminant analysis of the clinical and angiographic predictors of operative mortality from the Collaborative Study in Coronary Artery Surgery (CASS). J Thorac Cardiovasc Surg. 1980;80: 876-887.
8. Paiement B, Pelletier C, Dyrda I, et al. A simple classification of the risk in cardiac surgery. Can J Anaesth. 1983;30:61-68.
9. Parsonnet V, Dean D, Bernstein AD. A method of uniform stratification of risk for evaluating the results of surgery in acquired adult heart disease. Circulation. 1989;79(suppl I):I-3-I-12.
10. Lytle BW, Loop FD, Cosgrove DM, et al. Fifteen hundred coronary reoperations: results and determinants of early and late survival. J Thorac Cardiovasc Surg. 1987;93:847-859.
11. Foster ED, Fisher LD, Kaiser GC, Myers WO, Principal Investigators of CASS and Their Associates. Comparison of operative mortality and morbidity for initial and repeat coronary artery bypass grafting: the Coronary Artery Surgery Study (CASS) registry experience. Ann Thorac Surg. 1984; 38:563-570.
12. Cosgrove DM, Loop FD, Lytle BW, et al. Primary myocardial revascularization: trends in surgical mortality. J Thorac Cardiovasc Surg. 1984; 88:673-684.
13. Dixon WJ, Brown MB, Engelman L, Hill MA, Jennrich RI, eds. BMDP Statistical Software Manuals, II. Los Angeles: University of California Press; 1988:941-970.
14. Hosmer DW, Lemeshow S. Goodness-of-fit tests for the multiple logistic regression model. Commun Stat. 1980;A10:1043-1069.
15. Metz CE. Basic principles of ROC analysis. Semin Nucl Med. 1978;8:283-293.
16. Metz CE, Wang FL, Kronman MS. A new approach for testing the significance of differences between ROC curves for correlated data. In: Decornick F, ed. Information Processing in Medical Imaging. Dordrecht, the Netherlands: Martinus Nijhoff Publishers; 1984.
17. Higgins TL, Paganini EP, Noor FA, Blum J. Elevated preoperative creatinine: importance as a risk factor for morbidity and mortality after coronary artery bypass surgery (CABG). In: Program and abstracts of the annual meeting of the Society of Cardiovascular Anesthesiologists; May 13-16, 1990; Orlando, Fla. Abstract 120.
18. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Crit Care Med. 1985;13:818-829.
19. Lemeshow S, Teres D, Pastides H, Avrunin JS, Steingrub JS. A method for predicting survival and mortality of ICU patients using objectively derived weights. Crit Care Med. 1985;13:519-525.
20. Goldman L, Caldera DL, Nussbaum SR, et al. Multifactorial index of cardiac risk in noncardiac surgical procedures. N Engl J Med. 1977;297:845-850.
21. Higgins TL, Starr NJ. Risk stratification and outcome assessment of the adult cardiac surgical patient. Semin Thorac Cardiovasc Surg. 1991;3:111-119.
22. Hannan EL, Kilburn H Jr, O’Donnell JF, Lukacik G, Shields EP. Adult open-heart surgery in New York State: an analysis of risk factors and hospital mortality rates. JAMA. 1990;264:2768-2774.
23. Parsonnet V, Fisch D, Gielchinsky I, et al. Emergency operation after failed angioplasty. J Thorac Cardiovasc Surg. 1988;96:198-203.
24. Peper WA, Taylor PC, Paganini EP, Svensson LG, Ghattas MA, Loop FD. Mortality and results after cardiac surgery in patients with end-stage renal disease. Cleve Clin J Med. 1988;55:63-67.
25. Passmani E, Davis KB, Gillespie MJ, Killip T, CASS Principal Investigators and Their Associates. A randomized trial of coronary artery bypass surgery: survival of patients with a low ejection fraction. N Engl J Med. 1985;312:1665-1671.
26. Lytle BW. Combined surgery for valve and coronary artery disease. Cleve Clin J Med. 1988; 55:79-87.
27. Loop FD, Lytle BW, Cosgrove DM, et al. Coronary artery bypass graft surgery in the elderly: indications and outcome. Cleve Clin J Med. 1988; 55:23-34.
28. Edmunds LH Jr, Stephenson LW, Edie RN, Ratcliffe MB. Open-heart surgery in octogenarians N Engl J Med. 1988;319:131-136.
29. Hertzer NR, Beven EG, Young JR, et al. Coronary artery disease in peripheral vascular patients. Ann Surg. 1984;2:223-233.
30. Loop ED, Golding IR, MacMillian JP, Cosgrove DM, Lytle BW, Sheldon WC. Coronary artery surgery in women compared with men: analyses of risks and long-term results. J Am Coll Cardiol. 1983;1:383-390.
31. Matsuda H, Hirose H, Nakano S, et al. Results of open-heart surgery in patients with impaired renal function as creatinine clearance below 30 mL/ min: the effects of pulsatile perfusion. J Cardiovasc Surg. 1986;27:595-599.
32. Rao TLK, Jacobs KH, El-Etr AA. Reinfarction following anesthesia in patients with myocardial infarction. Anesthesiology. 1983;59:499-505.
33. Slogoff S, Keats AS. Does perioperative myocardial ischemia lead to postoperative myocardial infarction? Anesthesiology. 1985;62:107-114.
34. Higgins TL, Yared JP, Paranandi L, Baldyga A, Starr NJ. Risk factors for respiratory complications after cardiac surgery. Anesthesiology. 1991; 75. Abstract 258.
35. Hood AB, Scott WR, Ewy W. Does practice make perfect? I: the relation between hospital volume and outcomes for selected diagnostic categories. Med Care. 1984;22:98-114.