Comprehensive Aristotle score: implications for the Norwood procedure

The Annals of Thoracic Surgery
Nicodème SinzobahamvyaBoulos Asfour

Abstract

Aristotle score is emerging as a reliable tool to measure surgical performance. We estimated the comprehensive Aristotle score for the Norwood procedure, correlated it with survival, and considered its impact on surgical management of hypoplastic left heart syndrome. Comprehensive Aristotle score was retrospectively calculated for 39 consecutive Norwood procedures performed from 2001 to 2004. Survival was estimated by the Kaplan-Meier method. The Aristotle scores ranged from 14.5 to 23.5 (mean, 19.12 +/- 2.52; median, 19.5). The score was 20 or greater in 44% (17 of 39) of cases. The most frequent patient-adjusted factors were aortic atresia (n = 16), interrupted aortic arch (n = 9), mechanical ventilation to treat cardiorespiratory failure (n = 19) and shock resolved at time of surgery (n = 13). Hospital mortality was 58.8% (10 of 17) in case of score of 20 or more and 9.1% (2 of 22) for score less than 20 (p = 0.0014). From 2003 on, all patients with a score less than 20 survived. Actuarial estimate of survival at 1 year is 56.2% +/- 7.9% and there have been no late deaths after 1 year. One-year survival is much lower (p = 0.001) for patients with scores of 20 or greater (29.4% +/- 11.05%) compared with those whose scores wer...Continue Reading

References

Nov 4, 1998·The Annals of Thoracic Surgery·C I TchervenkovM J Béland
Feb 5, 2004·The Annals of Thoracic Surgery·Paul A ChecchiaLeonard L Bailey
Jul 31, 2004·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Francois Lacour-GayetUNKNOWN Aristotle Committee
Apr 9, 2005·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Christian Pizarro, Kenneth A Murdison
Apr 28, 2005·The Annals of Thoracic Surgery·Jeffrey Phillip JacobsConstantine Mavroudis
May 18, 2005·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Joachim PhotiadisBoulos Asfour
May 28, 2005·The Annals of Thoracic Surgery·Takashi MiyamotoAndreas E Urban
Jun 9, 2005·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Joachim PhotiadisBoulos Asfour
Sep 27, 2005·The Annals of Thoracic Surgery·Boulos AsfourJoachim Photiadis

❮ Previous
Next ❯

Citations

Jun 5, 2012·Pediatric Cardiology·Julia FischbachJoachim Photiadis
Feb 22, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Joachim PhotiadisViktor Hraska
Aug 5, 2014·The Annals of Thoracic Surgery·Nicodème Sinzobahamvya
Mar 24, 2010·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Jeffrey Phillip JacobsJames Anthony Quintessenza
Jun 30, 2009·The Annals of Thoracic Surgery·William M DeCampli, Redmond P Burke
Oct 9, 2007·Advances in Pediatrics·Francois Lacour-GayetConstantine Mavroudis
Apr 3, 2008·Asian Cardiovascular & Thoracic Annals·Takashi MiyamotoBoulos Asfour
Jan 24, 2007·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Christopher D DerbyChristian Pizarro
May 31, 2017·Journal of Paediatrics and Child Health·Miranda CampbellLeanne Sakzewski

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Francois G Lacour-GayetAristotle Committee
© 2022 Meta ULC. All rights reserved