Suche senden
Hochladen
Risk Scores in Cardiac Surgery
•
Als PPTX, PDF herunterladen
•
4 gefällt mir
•
1,469 views
Robert Chen
Folgen
Score systems that predict mortality or risk of cardiac surgery
Weniger lesen
Mehr lesen
Gesundheit & Medizin
Melden
Teilen
Melden
Teilen
1 von 28
Jetzt herunterladen
Empfohlen
Percutaneous Pulmonary Valve Interventions
Percutaneous Pulmonary Valve Interventions
Praveen Nagula
ECHOCARDIOGRAPHIC EVALUATION OF AORTIC REGURGITATION
ECHOCARDIOGRAPHIC EVALUATION OF AORTIC REGURGITATION
Praveen Nagula
Aortic Valve Sparring Root Replacement David vs yacoub
Aortic Valve Sparring Root Replacement David vs yacoub
Dicky A Wartono
Rotablation
Rotablation
SR,CARDIOLOGY,JIPMER,PUDUCHERRY
Cath hemodynamics vir
Cath hemodynamics vir
Dr Virbhan Balai
Left ventricular angiogram (1)
Left ventricular angiogram (1)
GOVT MEDICAL COLLEGE TRIVANDRUM
Atrioventricular canal defect, Firas Aljanadi,MD
Atrioventricular canal defect, Firas Aljanadi,MD
FIRAS ALJANADI
CONTRAST ECHOCARDIOGRAPHY
CONTRAST ECHOCARDIOGRAPHY
soumenprasad
Empfohlen
Percutaneous Pulmonary Valve Interventions
Percutaneous Pulmonary Valve Interventions
Praveen Nagula
ECHOCARDIOGRAPHIC EVALUATION OF AORTIC REGURGITATION
ECHOCARDIOGRAPHIC EVALUATION OF AORTIC REGURGITATION
Praveen Nagula
Aortic Valve Sparring Root Replacement David vs yacoub
Aortic Valve Sparring Root Replacement David vs yacoub
Dicky A Wartono
Rotablation
Rotablation
SR,CARDIOLOGY,JIPMER,PUDUCHERRY
Cath hemodynamics vir
Cath hemodynamics vir
Dr Virbhan Balai
Left ventricular angiogram (1)
Left ventricular angiogram (1)
GOVT MEDICAL COLLEGE TRIVANDRUM
Atrioventricular canal defect, Firas Aljanadi,MD
Atrioventricular canal defect, Firas Aljanadi,MD
FIRAS ALJANADI
CONTRAST ECHOCARDIOGRAPHY
CONTRAST ECHOCARDIOGRAPHY
soumenprasad
Aorto pulmonary window may 2021
Aorto pulmonary window may 2021
rajasthan govt
BMV,PTMC,BALLOON MITRAL VALVOTOMY, BAL, VIRBHAN BALAI, DR VIRBHAN
BMV,PTMC,BALLOON MITRAL VALVOTOMY, BAL, VIRBHAN BALAI, DR VIRBHAN
Dr Virbhan Balai
Case presentation ,double chambered right ventricle
Case presentation ,double chambered right ventricle
Aliaa Shaban
CARDIOPULMONARY BYPASS
CARDIOPULMONARY BYPASS
Manu Jacob
Surgery for aortic root pathologies
Surgery for aortic root pathologies
mshihatasite
Aortic stenosis Echo
Aortic stenosis Echo
madhusiva03
Coronary air embolism
Coronary air embolism
Dr Siva subramaniyan
FRACTIONAL FLOW RESERVE
FRACTIONAL FLOW RESERVE
Vishwanath Hesarur
Right heart catheterization
Right heart catheterization
Toufiqur Rahman
Coronary angiography
Coronary angiography
Raja Lahiri
LEFT HEART CATHETERIZATION
LEFT HEART CATHETERIZATION
Praveen Nagula
Shunt Detection And Quantification
Shunt Detection And Quantification
Dang Thanh Tuan
SINUS OF VALSALVA ANEURYSM
SINUS OF VALSALVA ANEURYSM
Jyotindra Singh
cannulation techniques during cpb
cannulation techniques during cpb
Manu Jacob
Aortic SURGERY Intro
Aortic SURGERY Intro
Dicky A Wartono
Diastolic Dysfunction 2016
Diastolic Dysfunction 2016
drabhishekbabbu
Coronary anatomy and angiographic views
Coronary anatomy and angiographic views
thanigai arasu
Looping of heart
Looping of heart
Ramachandra Barik
Cannulation and cardiopulmonary bypass.
Cannulation and cardiopulmonary bypass.
Manu Jacob
Mitral valve anatomy
Mitral valve anatomy
DR NIKUNJ SHEKHADA
2013.04.25 Using Digital & Social Media_MSEA_Retired
2013.04.25 Using Digital & Social Media_MSEA_Retired
NEA
Texas S Ta R Chart
Texas S Ta R Chart
purple2shoes
Weitere ähnliche Inhalte
Was ist angesagt?
Aorto pulmonary window may 2021
Aorto pulmonary window may 2021
rajasthan govt
BMV,PTMC,BALLOON MITRAL VALVOTOMY, BAL, VIRBHAN BALAI, DR VIRBHAN
BMV,PTMC,BALLOON MITRAL VALVOTOMY, BAL, VIRBHAN BALAI, DR VIRBHAN
Dr Virbhan Balai
Case presentation ,double chambered right ventricle
Case presentation ,double chambered right ventricle
Aliaa Shaban
CARDIOPULMONARY BYPASS
CARDIOPULMONARY BYPASS
Manu Jacob
Surgery for aortic root pathologies
Surgery for aortic root pathologies
mshihatasite
Aortic stenosis Echo
Aortic stenosis Echo
madhusiva03
Coronary air embolism
Coronary air embolism
Dr Siva subramaniyan
FRACTIONAL FLOW RESERVE
FRACTIONAL FLOW RESERVE
Vishwanath Hesarur
Right heart catheterization
Right heart catheterization
Toufiqur Rahman
Coronary angiography
Coronary angiography
Raja Lahiri
LEFT HEART CATHETERIZATION
LEFT HEART CATHETERIZATION
Praveen Nagula
Shunt Detection And Quantification
Shunt Detection And Quantification
Dang Thanh Tuan
SINUS OF VALSALVA ANEURYSM
SINUS OF VALSALVA ANEURYSM
Jyotindra Singh
cannulation techniques during cpb
cannulation techniques during cpb
Manu Jacob
Aortic SURGERY Intro
Aortic SURGERY Intro
Dicky A Wartono
Diastolic Dysfunction 2016
Diastolic Dysfunction 2016
drabhishekbabbu
Coronary anatomy and angiographic views
Coronary anatomy and angiographic views
thanigai arasu
Looping of heart
Looping of heart
Ramachandra Barik
Cannulation and cardiopulmonary bypass.
Cannulation and cardiopulmonary bypass.
Manu Jacob
Mitral valve anatomy
Mitral valve anatomy
DR NIKUNJ SHEKHADA
Was ist angesagt?
(20)
Aorto pulmonary window may 2021
Aorto pulmonary window may 2021
BMV,PTMC,BALLOON MITRAL VALVOTOMY, BAL, VIRBHAN BALAI, DR VIRBHAN
BMV,PTMC,BALLOON MITRAL VALVOTOMY, BAL, VIRBHAN BALAI, DR VIRBHAN
Case presentation ,double chambered right ventricle
Case presentation ,double chambered right ventricle
CARDIOPULMONARY BYPASS
CARDIOPULMONARY BYPASS
Surgery for aortic root pathologies
Surgery for aortic root pathologies
Aortic stenosis Echo
Aortic stenosis Echo
Coronary air embolism
Coronary air embolism
FRACTIONAL FLOW RESERVE
FRACTIONAL FLOW RESERVE
Right heart catheterization
Right heart catheterization
Coronary angiography
Coronary angiography
LEFT HEART CATHETERIZATION
LEFT HEART CATHETERIZATION
Shunt Detection And Quantification
Shunt Detection And Quantification
SINUS OF VALSALVA ANEURYSM
SINUS OF VALSALVA ANEURYSM
cannulation techniques during cpb
cannulation techniques during cpb
Aortic SURGERY Intro
Aortic SURGERY Intro
Diastolic Dysfunction 2016
Diastolic Dysfunction 2016
Coronary anatomy and angiographic views
Coronary anatomy and angiographic views
Looping of heart
Looping of heart
Cannulation and cardiopulmonary bypass.
Cannulation and cardiopulmonary bypass.
Mitral valve anatomy
Mitral valve anatomy
Andere mochten auch
2013.04.25 Using Digital & Social Media_MSEA_Retired
2013.04.25 Using Digital & Social Media_MSEA_Retired
NEA
Texas S Ta R Chart
Texas S Ta R Chart
purple2shoes
All S Ta R Cardinals
All S Ta R Cardinals
Muzzell
Westafj.Ppt
Westafj.Ppt
Aaron Frey
Audio Connectors
Audio Connectors
James West
Panellets
Panellets
Passeres
YouGO! Magazine 2/2011
YouGO! Magazine 2/2011
YouGO!
World AIDS Day at University of New Hampshire
World AIDS Day at University of New Hampshire
University of New Hampshire Health Services
P kinaz
P kinaz
farcrys
How To Stay Covered in the Mobile Work Downpour
How To Stay Covered in the Mobile Work Downpour
Citrix Online
排序與收尋
排序與收尋
Lee Meng
Ivy 09
Ivy 09
aahana23
Peripatetic school of_vedanta
Peripatetic school of_vedanta
Jubanashwa Mishra
Driving Growth and Cutting Costs in 2010 with Online Collaboration
Driving Growth and Cutting Costs in 2010 with Online Collaboration
Citrix Online
Teatre Bibliobus
Teatre Bibliobus
Passeres
Presentation1 STaR
Presentation1 STaR
Natasha345zk
Ful-FIG FASHIONISTA MAGAZINE
Ful-FIG FASHIONISTA MAGAZINE
AMINAMACCADONNA
Actionable Strategies for Driving Sales and Increasing ROI
Actionable Strategies for Driving Sales and Increasing ROI
Citrix Online
強恕高中98學年度第1學期第3次段考 計算機概論(進修部)
強恕高中98學年度第1學期第3次段考 計算機概論(進修部)
Qiang-Shu High School, Taiwan
Какво трябва да забравите от учебниците по маркетинг
Какво трябва да забравите от учебниците по маркетинг
ilyancom
Andere mochten auch
(20)
2013.04.25 Using Digital & Social Media_MSEA_Retired
2013.04.25 Using Digital & Social Media_MSEA_Retired
Texas S Ta R Chart
Texas S Ta R Chart
All S Ta R Cardinals
All S Ta R Cardinals
Westafj.Ppt
Westafj.Ppt
Audio Connectors
Audio Connectors
Panellets
Panellets
YouGO! Magazine 2/2011
YouGO! Magazine 2/2011
World AIDS Day at University of New Hampshire
World AIDS Day at University of New Hampshire
P kinaz
P kinaz
How To Stay Covered in the Mobile Work Downpour
How To Stay Covered in the Mobile Work Downpour
排序與收尋
排序與收尋
Ivy 09
Ivy 09
Peripatetic school of_vedanta
Peripatetic school of_vedanta
Driving Growth and Cutting Costs in 2010 with Online Collaboration
Driving Growth and Cutting Costs in 2010 with Online Collaboration
Teatre Bibliobus
Teatre Bibliobus
Presentation1 STaR
Presentation1 STaR
Ful-FIG FASHIONISTA MAGAZINE
Ful-FIG FASHIONISTA MAGAZINE
Actionable Strategies for Driving Sales and Increasing ROI
Actionable Strategies for Driving Sales and Increasing ROI
強恕高中98學年度第1學期第3次段考 計算機概論(進修部)
強恕高中98學年度第1學期第3次段考 計算機概論(進修部)
Какво трябва да забравите от учебниците по маркетинг
Какво трябва да забравите от учебниците по маркетинг
Mehr von Robert Chen
M & M for bowel ischemia after EVAR
M & M for bowel ischemia after EVAR
Robert Chen
M & M for VV-ECMO for ARDS
M & M for VV-ECMO for ARDS
Robert Chen
Aortic dissection--Introduction to OR staff
Aortic dissection--Introduction to OR staff
Robert Chen
Organ donation by death prisoners
Organ donation by death prisoners
Robert Chen
Organ donation by death prisoners
Organ donation by death prisoners
Robert Chen
Research Methdology in Cardiovascular Surgery
Research Methdology in Cardiovascular Surgery
Robert Chen
Clinical Database
Clinical Database
Robert Chen
Influenza-like illness by National Health Insurance databases
Influenza-like illness by National Health Insurance databases
Robert Chen
Data Science in Cardiac Sciences
Data Science in Cardiac Sciences
Robert Chen
Coronary artery bypass grafting (CABG)
Coronary artery bypass grafting (CABG)
Robert Chen
Introduction of Cardiovascular Surgery
Introduction of Cardiovascular Surgery
Robert Chen
Endoscopic Cardiac Surgery in Taiwan
Endoscopic Cardiac Surgery in Taiwan
Robert Chen
Minimally invasive cardiac surgery in Taiwan
Minimally invasive cardiac surgery in Taiwan
Robert Chen
Induced Pluripotent Stem Cells and Somatic Cardiac Regeneration— An Explorato...
Induced Pluripotent Stem Cells and Somatic Cardiac Regeneration— An Explorato...
Robert Chen
Mehr von Robert Chen
(14)
M & M for bowel ischemia after EVAR
M & M for bowel ischemia after EVAR
M & M for VV-ECMO for ARDS
M & M for VV-ECMO for ARDS
Aortic dissection--Introduction to OR staff
Aortic dissection--Introduction to OR staff
Organ donation by death prisoners
Organ donation by death prisoners
Organ donation by death prisoners
Organ donation by death prisoners
Research Methdology in Cardiovascular Surgery
Research Methdology in Cardiovascular Surgery
Clinical Database
Clinical Database
Influenza-like illness by National Health Insurance databases
Influenza-like illness by National Health Insurance databases
Data Science in Cardiac Sciences
Data Science in Cardiac Sciences
Coronary artery bypass grafting (CABG)
Coronary artery bypass grafting (CABG)
Introduction of Cardiovascular Surgery
Introduction of Cardiovascular Surgery
Endoscopic Cardiac Surgery in Taiwan
Endoscopic Cardiac Surgery in Taiwan
Minimally invasive cardiac surgery in Taiwan
Minimally invasive cardiac surgery in Taiwan
Induced Pluripotent Stem Cells and Somatic Cardiac Regeneration— An Explorato...
Induced Pluripotent Stem Cells and Somatic Cardiac Regeneration— An Explorato...
Risk Scores in Cardiac Surgery
1.
Heart Surgery Risk
Score (s) RJCC
2.
Outlines • EuroScore • EuroScore-II •
SinoScore – CABG – Valve • STS Score: many variables – Mortality – Morbidity
3.
EuroScore European Journal of
Cardio-thoracic Surgery 17 (2000) 400-406
4.
EuroScore European Journal of
Cardio-thoracic Surgery 17 (2000) 400-406
5.
EuroScore European Heart Journal
(2006) 27, 867–874
6.
EuroScore
7.
EuroScore-II European Journal of
Cardio-Thoracic Surgery 41 (2012) 734–745
8.
EuroScore-II http://www.euroscore.org European Journal of
Cardio-Thoracic Surgery 41 (2012) 734–745
9.
http://www.cvs-china.com/
10.
SinoScore • 篇名:SinoSCORE预测瓣膜手术在院死亡风险——第二军医大学长海医院胸心外 科经验 • 作者:王崇;韩林;陆方林;邹良建;徐志云 •
期刊/會議論文集名稱 :中华胸心血管外科杂志 • 卷期:2013年 29卷 4期 • 中文摘要:目的 评价中国冠状动脉旁路移植手术死亡风险评分系统(SinoSCORE) 对成人瓣膜手术患者在院病死率预测的准确性.方法 回顾性收集2009年1月至 2011年12月2098例因瓣膜疾病行外科治疗成人患者(年龄≥16岁)的临床资料,按 SinoSCORE系统评分,分低、中、高3风险组,最后将全组及各风险组患者的实际 病死率与预测病死率进行对比.模型预测的符合程度应用H-L卡方检验,预测的鉴 别效度则通过ROC曲线下面积反映.结果 2098例患者在院死亡63例,实际在院病 死率3.00%.虽然SinoSCORE数据库患者术前各危险因素的分布与本组患者有着 明显差别,但SinoSCORE评分方法对本组患者术后在院死亡的预测仍具有较高的 准确性(H-L检验P=0.783);同时,该评分方法预测的鉴别效度也较高(ROC曲线下 面积0.752).其能够准确预测患者手术后是否发生在院死亡.结论SinoSCORE评分 方法虽为中国冠状动脉旁路移植手术死亡风险评分系统,但其对瓣膜手术患者的 在院死亡风险预测也具有较好的准确性.
11.
SinoScore • 篇名:SinoSCORE评估冠状动脉旁路移植术后患者死亡风险的价值 • 作者:于泉;王云;顾继伟;郭飞杰;姜博;张玉京 •
期刊/會議論文集名稱 :宁夏医科大学学报 • 卷期:2013年 35卷 4期 • 中文摘要:目的 研究SinoSCORE对冠状动脉旁路移植术患者术后死亡风险的预 测价值.方法 回顾性分析523例冠状动脉旁路移植手术患者的临床资料,用 SinoSCORE评分法则进行评分并预测其死亡人数,采用Homser-Lemeshow拟合优 度检验评价模型的预测能力.据患者术前状况按SinoSCORE评分,可分为低危(≤1 分)、中危(2~5分)、高危(≥6分)三组,运用受试者工作特征(ROC) 曲线下面积检 验模型的区分度.结果 523例病人中19例发生院内死亡,实际死亡率 3.63%,SinoSCORE模型预测的死亡率为1.74%,其中低危、中危组患者采用本模型 计算得到的预期死亡人数与实际死亡人数较吻合.介于本研究样本例数相对中 国心血管外科注册登记系统中统计的病例数(尤其高危病人)较少,患者年龄、手 术方式、人群构成比及围术期影响因素情况分布相对不均衡,因此研究结果中 预测高危组病人死亡率有一定的差异,SinoSCORE模型的Hosmer-Lemeshow拟合 优度检验P=0.438(χ2=4.368),ROC曲线下面积为0.79(95%置信区间0.714~0.831), 其校准度和区分度良好.结论 SinoSCORE评分系统具有良好的评估冠状动脉旁路 移植术患者死亡风险的价值,能够为冠状动脉旁路移植手术风险评估提供指导.
12.
SinoScore • 篇名:7种危险评分系统对CABG术后病死率预测效能的比较 • 作者:白云鹏;刘建实;陈庆良;郭志刚;姜楠;王联群;李培军 •
期刊/會議論文集名稱 :中华胸心血管外科杂志 • 卷期:2012年 3期 • 中文摘要:目的 评价7种危险评分系统对于单中心接受冠状动脉旁路移 植术(CABG)患者术后病死率的预测效能.方法 收集2010年1月至2011年1 月施行CABG患者围手术期资料.应用7种危险评分系统:SinoSCORE、 Additive EuroSCORE、Logistic EuroSCORE、OPR、Cleveland model、 Parsonnet score、QMMI预测每一位患者术后病死率和全部患者的平均预 计病死率.根据预计病死率将全部患者分为6组:Ⅰ组(0~1.99%),Ⅱ组(2.00 % ~ 3.99%),Ⅲ组(4.00%~5.99%),Ⅳ组(6.00%~7.99%),Ⅴ组(8.00%~ 9.99%),Ⅵ组(>10%).比较不同危险程度的实际病死率和预计病死率评价 评分系统的预测能力.运用Hosmer-Lemeshow拟合优度检验评价评分系统 的校准度,运用ROC曲线下面积(AUC)评价评分系统的分辨力.
13.
SinoScore • 结果 全组共1103例患者,平均年龄(62.8±8.8)岁.患者术后22例死亡,实际 病死率1.99%.SinoSCORE、Additive
EuroSCORE、Logistic EuroSCORE、 OPR、Cleveland model、Parsonnet score、QMMI预测平均全组病死率 分别为3.01%、4.38%、3.83%、1.69%、4.42%、6.71%、3.71%,其 中最接近实际病死率的是OPR、SinoSCORE、QMMI.分组比较显 示:Logistic EuroSCORE在各组中全部高估术后病死率.Additive EuroSCORE在Ⅵ组中预测病死率明显低于实际病死率,其他各组均高估 了术后病死率.而SinoSCORE、Cleveland model、Parsonnet score、 QMMI除了在Ⅰ组低估了患者术后病死率,其他各组高估了术后病死 率.OPR低估了Ⅰ组和Ⅳ组患者的病死率,高估了其他组患者的病死率. 利用Hosmer-Lemeshow拟合优度检验评价7种评分系统的校准度,结果 显示7种评分系统校准度尚可,P值全部>0.05.通过ROC检验比较7种评 分系统的分辨力,其中只有SinoSCORE的AUC =0.751( >0.70),证明 SinoSCORE对于本组患者的死亡分辨力良好.结论 通过比较,SinoSCORE 对于本中心接受CABG患者术后病死率预测效能好,可以运用于术前危 险性评估.
14.
SinoScore • http://www.cvs-china.com/sinoSCORE-valve.html
15.
SinoScore • http://www.cvs-china.com/sinoSCORE-CABG.html
16.
STS Score • http://riskcalc.sts.org
17.
STS Score • Mortality
and morbidity – Risk of Mortality – Morbidity or Mortality – Long Length of Stay – Short Length of Stay – Permanent Stroke – Prolonged Ventilation – DSW Infection – Renal Failure – Reoperation
18.
EuroScore-II
19.
SinoScore
20.
STS Score
Jetzt herunterladen