PMID: 11782764Jan 10, 2002

Consensus-based method for risk adjustment for surgery for congenital heart disease

The Journal of Thoracic and Cardiovascular Surgery
Kathy J JenkinsLisa I Iezzoni

Abstract

The aim was to develop a consensus-based method of risk adjustment for in-hospital mortality among children younger than 18 years after surgery for congenital heart disease (designated RACHS-1). An 11-member national panel of pediatric cardiologists and cardiac surgeons used clinical judgment to place surgical procedures into six risk categories. Categories were refined after review of information from the Pediatric Cardiac Care Consortium and three statewide hospital discharge data sets. The effects of including additional clinical variables were explored by comparing areas under receiver-operator characteristic curves. Among 4602 surgical patients in the Pediatric Cardiac Care Consortium data set and 4493 in the hospital discharge data, 3767 (81.9%) and 3832 (85.3%), respectively, had a single cardiac procedure, and 98.5% and 89.2%, respectively, were able to be assigned to one of six risk categories defined by the panel. Mortality rates showed expected trends (P <.001). For the Pediatric Cardiac Care Consortium data, mortality rates were 0.4% in category 1, 3.8% in 2, 8.5% in 3, 19.4% in 4, and 47.7% in 6; rates were similar in the hospital discharge data. There were too few cases in category 5 to estimate mortality rates. I...Continue Reading

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Aug 27, 2014·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·Rodrigo RuanoOluyinka O Olutoye
Jun 30, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Mackenzie A FordRavi R Thiagarajan
Feb 18, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Yoav BolkierGideon Paret
Jul 12, 2017·World Journal for Pediatric & Congenital Heart Surgery·Rebecca A RussellPunkaj Gupta
Sep 24, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Claudia Delgado-CorcoranSusan L Bratton
Aug 12, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Abraham J ValkenburgCormac V Breatnach
Jan 7, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Kalia P UlateJerry Zimmerman
Aug 25, 2017·Cardiology in the Young·Thomas G DayMichael M H Cheung
Dec 22, 2017·Journal for Specialists in Pediatric Nursing : JSPN·Kristine M RuggieroLaura L Hayman
Jun 28, 2018·Interactive Cardiovascular and Thoracic Surgery·Nigel E DruryTimothy J Jones
Feb 10, 2019·Journal of Neurosurgery. Spine·Francis C LovecchioTodd J Albert
Mar 8, 2019·World Journal for Pediatric & Congenital Heart Surgery·Alexis Palacios-MacedoCharles D Fraser
Jun 19, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Patricia A HickeyJean A Connor
Jan 3, 2019·The Journal of Bone and Joint Surgery. American Volume·Jeffrey G StepanBenedict U Nwachukwu
Sep 14, 2019·Cardiology in the Young·Robyn R LottoAttilio A Lotto
Sep 25, 2020·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Judith J StellarMartha A Q Curley
Sep 30, 2020·Journal of Perinatology : Official Journal of the California Perinatal Association·Eli ZettlerCarl H Backes
Oct 12, 2012·Intensive Care Medicine·Constance RippelLara S Shekerdemian
Dec 23, 2006·Cardiology in the Young·Rachel E A van der RijkenGerdine M Hulstijn-Dirkmaat
Aug 26, 2009·Pediatric Cardiology·Catherine M PreissigKevin O Maher
Apr 29, 2005·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Andrew DurwardIan A Murdoch
Jan 10, 2014·World Journal for Pediatric & Congenital Heart Surgery·Rebecca A RussellTom B Rice
Feb 5, 2015·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Alejandro A FlohSteven M Schwartz
Aug 27, 2011·American Journal of Respiratory and Critical Care Medicine·Nazima PathanJane A Mitchell
Feb 15, 2013·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Ivana IvaniševićNikola Kocev
Dec 3, 2015·Revista chilena de pediatría·Macarena Lizama CalvoAndrés Castillo Moya
Jul 14, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Angelo PolitoRavi R Thiagarajan
Jul 14, 2012·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Punkaj GuptaStephen J Roth
Apr 19, 2015·Critical Care : the Official Journal of the Critical Care Forum·Philippe Van der LindenDavid Faraoni
Jul 4, 2017·Pediatrics International : Official Journal of the Japan Pediatric Society·Murat TanyildizSemra Atalay
Mar 23, 2017·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Cindy S BarrettRavi R Thiagarajan
Jun 28, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Jörg MichelFelix Neunhoeffer
Dec 19, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Eleanor A GradidgeNational Emergency Airway Registry for Children (NEAR4KIDS) and Pediatric Acute Lung Injury and Sepsis Investigators (PALISI
Mar 17, 2018·World Journal for Pediatric & Congenital Heart Surgery·Arata TakahashiHiroaki Miyata
Jul 20, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Adil R DingankarGonzalo Garcia Guerra
Jul 28, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Peta M A AlexanderLisa Bergersen
Jul 8, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Xian ZengHaomin Li
May 29, 2008·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Mai T NguyenPrasad Devarajan
Nov 9, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Carsten DoellBeatrice Latal
Sep 15, 2005·Current Opinion in Pediatrics·Jeffrey Phillip JacobsEuropean Association for Cardio-thoracic Surgery--Society of Thoracic Surgeons Joint Congenital Heart Surgery Nomenclature a
Jul 21, 2012·Cardiology in the Young·Monesha Gupta-MalhotraDeborah M Friedman
Jan 5, 2013·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Jill M CholetteNeil Blumberg
Oct 18, 2011·Nursing in Critical Care·Maher EldadahWilliam Decampli
Jan 13, 2018·Intensive Care Medicine Experimental·Alexis ChenouardKarim Asehnoune
Jul 30, 2015·Congenital Heart Disease·Andrew Y ShinXuefeng B Ling
Aug 25, 2020·Critical Care Explorations·Ryan ClossonMarianne E Nellis
Aug 25, 2019·Clinical Journal of the American Society of Nephrology : CJASN·Rahul ChanchlaniRon Wald
Oct 17, 2020·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Muhammad Kamran Younis MemonFariha Shaheen
Jul 9, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Allison H ShevellAnnette Majnemer
Nov 10, 2020·World Journal for Pediatric & Congenital Heart Surgery·Michael A RebolledoChristopher J Knott-Craig
Aug 18, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Shinya MiuraSiva P Namachivayam
Jan 7, 2021·American Journal of Medical Genetics. Part a·Katherine A KosivR Thomas Collins
Jan 8, 2021·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Daniel FredricMichael Zappitelli
Jul 7, 2019·The Journal of Pediatrics·Brooke T DaveyOlga H Toro-Salazar
Aug 10, 2020·The Annals of Thoracic Surgery·Joyce T JohnsonBradley S Marino
Feb 19, 2021·Archives of Disease in Childhood·Gunnar WikHenrik Holmstrøm
Mar 10, 2017·The Journal of Thoracic and Cardiovascular Surgery·John T BergerEunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Resear
Mar 1, 2021·The Journal of Thoracic and Cardiovascular Surgery·Martina A SteurerSatish Rajagopal
Feb 25, 2021·The Thoracic and Cardiovascular Surgeon·Xun E ZhangQingguo Li
Mar 17, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Xianchao JiangQiang Wang
Mar 19, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Tomoyuki KanazawaHiroshi Morimatsu
Dec 22, 2010·The Annals of Thoracic Surgery·Joshua W SalvinRavi R Thiagarajan
Sep 27, 2014·The Annals of Thoracic Surgery·Sean M LangJohn S Giuliano
Mar 29, 2021·The Journal of Pediatrics·Nelangi M PintoRichard Nelson
Oct 6, 2019·The Journal of Thoracic and Cardiovascular Surgery·Emma Lei LeiJane Heggie
Oct 15, 2011·The Journal of Thoracic and Cardiovascular Surgery·Timothy T CornellThomas P Shanley
Dec 20, 2011·The Journal of Thoracic and Cardiovascular Surgery·Aaron H GardnerRichard T Fiser
Jun 28, 2016·The Journal of Thoracic and Cardiovascular Surgery·Candice Torres de Melo Bezerra CavalcanteAlexandre Braga Libório
Dec 3, 2014·The Journal of Thoracic and Cardiovascular Surgery·Hiroaki MiyataShinichi Takamoto
Apr 17, 2013·The Journal of Thoracic and Cardiovascular Surgery·Ryan J ButtsEric M Graham
Jul 23, 2013·The Journal of Thoracic and Cardiovascular Surgery·Maria José SantiagoJose María Bellón
Apr 5, 2021·Cardiology in the Young·Ashish SainiShriprasad R Deshpande
Apr 8, 2021·Journal of Cardiothoracic Surgery·Chunnian RenYonggang Li

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