The Journal of Thoracic and Cardiovascular Surgery
Volume 138, Issue 5 , Pages 1139-1153 , November 2009

An empirically based tool for analyzing mortality associated with congenital heart surgery

  • Sean M. O'Brien, PhD

      Affiliations

    • Duke Clinical Research Institute, Durham, NC
    • Corresponding Author InformationAddress for reprints: Sean M. O'Brien, PhD, Box 17969, Duke Clinical Research Institute, Durham, NC 27715.
    • ,
  • David R. Clarke, MD

      Affiliations

    • Children's Hospital Heart Institute, Denver, Colo
    • ,
  • Jeffrey P. Jacobs, MD

      Affiliations

    • Congenital Heart Institute of Florida (CHIF), Saint Petersburg and Tampa, Fla
    • ,
  • Marshall L. Jacobs, MD

      Affiliations

    • The Cleveland Clinic, Cleveland, Ohio
    • ,
  • Francois G. Lacour-Gayet, MD

      Affiliations

    • Children's Hospital Heart Institute, Denver, Colo
    • ,
  • Christian Pizarro, MD

      Affiliations

    • Nemours Cardiac Center, Alfred I. duPont Hospital for Children, Wilmington, Del
    • ,
  • Karl F. Welke, MD

      Affiliations

    • Oregon Health and Science University, Portland, Ore
    • ,
  • Bohdan Maruszewski, MD

      Affiliations

    • Memorial Hospital Child's Health Centre, Warsaw, Poland
    • ,
  • Zdzislaw Tobota, MD

      Affiliations

    • Children's Memorial Health Institute, Warsaw, Poland
    • ,
  • Weldon J. Miller, MD

      Affiliations

    • Rho, Inc, Chapel Hill, NC
    • ,
  • Leslie Hamilton, MD

      Affiliations

    • Freeman Hospital, Newcastle upon Tyne, United Kingdom
    • ,
  • Eric D. Peterson, MD, MPH

      Affiliations

    • Duke Clinical Research Institute, Durham, NC
    • ,
  • Constantine Mavroudis, MD

      Affiliations

    • The Cleveland Clinic, Cleveland, Ohio
    • ,
  • Fred H. Edwards, MD

      Affiliations

    • University of Florida, Jacksonville, Fla

Received 20 June 2008 ,Revised 18 November 2008 ,Accepted 7 March 2009.

References 

  1. Lacour-Gayet F, Clarke D, Jacobs J, Comas J, Daebritz S, Daenen W, et al. The Aristotle score: a complexity-adjusted method to evaluate surgical results. Eur J Cardiothorac Surg. 2004;25:911–924
  2. Lacour-Gayet F, Clarke D, Jacobs J, Gaynor W, Hamilton L, Jacobs M, et al. The Aristotle score for congenital heart surgery. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2004;7:185–191
  3. Jenkins KJ. Risk adjustment for congenital heart surgery: the RACHS-1 method. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2004;7:180–184
  4. Jenkins KJ, Gauvreau K. Center-specific differences in mortality: preliminary analyses using the Risk Adjustment in Congenital Heart Surgery (RACHS-1) method. J Thorac Cardiovasc Surg. 2002;124:97–104
  5. Al-Radi OO, Harrell FE, Caldarone CA, McCrindle BW, Jacobs JP, Williams MG, et al. Case complexity scores in congenital heart surgery: a comparative study of the Aristotle Basic Complexity score and the Risk Adjustment in Congenital Heart Surgery (RACHS-1) system. J Thorac Cardiovasc Surg. 2007;133:865–875
  6. Kang N, Tsang VT, Elliott MJ, de Leval MR, Cole TJ. Does the Aristotle score predict outcome in congenital heart surgery?. Eur J Cardiothorac Surg. 2006;29:986–988
  7. O'Brien SM, Jacobs JP, Clarke DR, Maruszewski B, Jacobs ML, Walters HL, et al. Accuracy of the Aristotle Basic Complexity score for classifying the mortality and morbidity potential of congenital heart surgery operations. Ann Thorac Surg. 2007;84:2027–2037
  8. Jacobs JP, Jacobs ML, Maruszewski B, Lacour-Gayet FG, Clarke DR, Tchervenkov CI, et al. Current status of the European Association for Cardio-Thoracic Surgery and the Society of Thoracic Surgeons Congenital Heart Surgery Database. Ann Thorac Surg. 2005;80:2278–2284
  9. O'Brien SM. Cutpoint selection for categorizing a continuous predictor. Biometrics. 2004;60:504–509
  10. Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology. 1982;143:29–36
  11. DeLong ER, DeLong DM, Clarke-Pearson DL. Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach. Biometrics. 1988;44:837–845
  12. Jacobs JP, Mavroudis C, Jacobs ML, Maruszewski B, Tchervenkov CI, Lacour-Gayet FG, et al. What is operative mortality? Defining death in a surgical registry database: a report of the STS Congenital Database Taskforce and the Joint EACTS-STS Congenital Database Committee. Ann Thorac Surg. 2006;81:1937–1941

 Read at the Thirty-fourth Annual Meeting of The Western Thoracic Surgical Association, Kona, Hawaii, June 25–28, 2008.

PII: S0022-5223(09)01017-4

doi: 10.1016/j.jtcvs.2009.03.071

The Journal of Thoracic and Cardiovascular Surgery
Volume 138, Issue 5 , Pages 1139-1153 , November 2009

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