o escore de risco ajustado para cirurgia em cardiopatias congênitas (rachs-1) pode ser aplicado em nosso meio? is the rachs-1 (risk adjustment in congenital heart surgery) a useful tool in our scenario?
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Abstract
OBJECTIVE: The aim of this study was to evaluate the applicability of the RACHS-1 (Risk Adjustment in Congenital Heart Surgery) as a predictor of surgical mortality in a pediatric population of a public hospital of the Northeast of Brazil. METHODS: From June 2001 through June 2004, 145 patients undergone surgical treatment of CHD in our institution of whom 62% were female, and the mean age was 5.1 years. The RACHS-1 was used to classify the surgical procedures into categories of risk 1 to 6, and logistic regression analysis was used to identify the risk factors related to surgical death. RESULTS: Age, type of CHD, pulmonary flow, surgical procedure, pump time and cross clamp time were identified as a risk factor for postoperative mortality (p<0.001). There was a linear correlation between the categories of the RACHS-1 and the mortality rate; however, the observed mortality was greater than the predicted figures by that scoring system. CONCLUSION: Although the RACHS-1 is easily applicable, it can not be applicable in our scenario because it takes into account only the surgical procedure as a categorized variable, not considering others factors presented in our scenario that could interfere in the final surgical result.
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nina2007braziliano
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| Authors | ;Rachel Vilela de Abreu Haickel Nina;Mônica Elinor Alves Gama;Alcione Miranda dos Santos;Vinícius José da Silva Nina;José Albuquerque de Figueiredo Neto;Vinícius Giuliano Gonçalves Mendes;Zeni Carvalho Lamy;Luciane Maria de Oliveira Brito |
| Journal | 2017 international conference on information technology systems and innovation, icitsi 2017 - proceedings |
| Year | 2007 |
| DOI |
10.1590/S0102-76382007000400008
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| URL | |
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