The Journal of Thoracic and Cardiovascular Surgery
Volume 133, Issue 2 , Pages 325-332.e1 , February 2007

The Thoracic Surgery Scoring System (Thoracoscore): Risk model for in-hospital death in 15,183 patients requiring thoracic surgery

Read at the Eighty-sixth Annual Meeting of The American Association for Thoracic Surgery, Philadelphia, Pa, April 29–May 3, 2006.

  • Pierre Emmanuel Falcoz, MD, PhD

      Affiliations

    • Department of Thoracic and Cardiovascular Surgery, Jean-Minjoz Hospital, Besançon
    • Corresponding Author InformationAddress for reprints: Pierre Emmanuel Falcoz, MD, Department of Thoracic and Cardiovascular Surgery, Hôpital Jean-Minjoz, Boulevard Fleming, 25000 Besançon, France
    • ,
  • Massimo Conti, MD

      Affiliations

    • Department of Thoracic Surgery, Calmette Hospital, Lille
    • ,
  • Laurent Brouchet, MD

      Affiliations

    • Department of Thoracic Surgery, Larrey Hospital, Toulouse
    • ,
  • Sidney Chocron, MD, PhD

      Affiliations

    • Department of Thoracic and Cardiovascular Surgery, Jean-Minjoz Hospital, Besançon
    • ,
  • Marc Puyraveau, BSc

      Affiliations

    • Clinical and Biological Research Center, Saint-Jacques Hospital, Besançon
    • ,
  • Mariette Mercier, MD, PhD

      Affiliations

    • Department of Biostatistics and Epidemiology, Medical School, Besançon, France
    • ,
  • Joseph Philippe Etievent, MD

      Affiliations

    • Department of Thoracic and Cardiovascular Surgery, Jean-Minjoz Hospital, Besançon
    • ,
  • Marcel Dahan, MD

      Affiliations

    • Department of Thoracic Surgery, Larrey Hospital, Toulouse

Received 17 May 2006 ,Revised 27 August 2006 ,Accepted 29 September 2006.

References 

  1. Taversky A, Kahnemann D. Judgement under uncertainty: heuristics and biases. Science. 1974;185:1124–1131
  2. Wasson JH, Sox HC, Neff RK, Goldman L. Clinical predictions rules: application and methodological standards. N Engl J Med. 1985;313:793–799
  3. Brunelli A, Fianchini A, Gesuita R, Carle F. POSSUM scoring system as an instrument of audit in lung resection surgery. Ann Thorac Surg. 1999;67:329–331
  4. Birim O, Maat AP, Kappentein AP, Van Meerbeeck JP, Damhuis RA, Bogers AJ. Validation of the Charlson comorbidity index in patients with operated non-small cell lung cancer. Eur J Cardiothorac Surg. 2003;23:30–34
  5. Epstein SK, Faling SJ, Daly BD, Celli BR. Predicting complications after pulmonary resection (Preoperative exercise testing vs a multifactorial cardiopulmonary risk index). Chest. 1993;104:694–700
  6. Izbicki JR, Knoefel WT, Passlick B, Haberkost M, Karg O, Thetter O. Risk analysis and long-term survival in patients undergoing extended resection of locally advanced lung cancer. J Thorac Cardiovasc Surg. 1995;110:386–395
  7. Pierce RJ, Copland JM, Sharpe K, Barter CE. Preoperative risk evaluation for lung cancer resection: predicted postoperative product as a predictor of surgical mortality. Am J Respir Crit Care Med. 1994;150:947–955
  8. Ferguson MK, Durkin AE. A comparison of three scoring systems for predicting complications after major lung resection. Eur J Cardiothorac Surg. 2003;23:35–42
  9. Melendez JA, Barrera R. Predictive respiratory complication quotient predicts pulmonary complications in thoracic surgical patients. Ann Thorac Surg. 1998;66:220–224
  10. Berrisford R, Brunelli A, Rocco G, Treasure T, Utley M. The European Thoracic Surgery Database project: modeling the risk of in-hospital death following lung resection. Eur J Cardiothorac Surg. 2005;28:306–311
  11. Hosmer DW, Lemeshow S. Applied logistic regression. 2nd ed. New York: Wiley-Interscience; 2000;p. 1-373
  12. Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology. 1982;143:29–36
  13. Hosmer DW, Lemeshow S. A goodness-of-fit test for the multiple regression model. Commun Statistics. 1980;A10:1043–1069
  14. Harpole DH, DeCamp MM, Daley J, Hur K, Oprian CA, Henderson WG, et al. Prognostic models of thirty-day mortality and morbidity after major pulmonary resection. J Thorac Cardiovasc Surg. 1999;117:969–979
  15. Mack MJ, Herbert M, Prince S, Dewey TM, Magee MJ, Edgerton JR. Does reporting of coronary artery bypass grafting from administrative databases accurately reflect actual clinical outcomes?. J Thorac Cardiovasc Surg. 2005;129:1309–1317
  16. Agence Technique de l'Information sur l'Hospitalisation. French official website of the Healthcare Program Information Systems [cited 2006 Mar 27]. Available from: URL:http://www.stats.atih.sante.fr/mco/statone.php.
  17. Herbert MA, Prince SL, Williams JL, Magee MJ, Mack MJ. Are unaudited records from an outcomes registry database accurate?. Ann Thorac Surg. 2004;77:1960–1965
  18. Maruszewski B, Lacour-Gayet F, Monro JL, Keogh BE, Tobota Z, Kansy A. An attempt at data verification in the EACTS Congenital Database. Eur J Cardiothorac Surg. 2005;28:400–406
  19. Fine LG, Keogh BE, Cretin S, Orlando M, Gould MM. How to evaluate and improve the quality and credibility of an outcomes database: validation and feedback study on the UK Cardiac Surgery Experience. BMJ. 2003;326:25–28

PII: S0022-5223(06)01755-7

doi: 10.1016/j.jtcvs.2006.09.020

The Journal of Thoracic and Cardiovascular Surgery
Volume 133, Issue 2 , Pages 325-332.e1 , February 2007

Article Tools