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A risk score for pr...
A risk score for predicting 30-day mortality in heart failure patients undergoing non-cardiac surgery
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Andersson, Charlotte (författare)
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Gislason, Gunnar H. (författare)
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Hlatky, Mark (författare)
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Sondergaard, Kathrine Bach (författare)
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Pallisgaard, Jannik (författare)
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- Smith, Gustav (författare)
- Lund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine
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Vasan, Ramachandran S. (författare)
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Larson, Martin G. (författare)
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Jensen, Per Foge (författare)
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Kober, Lars (författare)
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Torp-Pedersen, Christian (författare)
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(creator_code:org_t)
- 2014-10-31
- 2014
- Engelska.
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Ingår i: European Journal of Heart Failure. - : Wiley. - 1879-0844 .- 1388-9842. ; 16:12, s. 1310-1316
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Abstract
Ämnesord
Stäng
- BackgroundHeart failure is an established risk factor for poor outcomes in patients undergoing non-cardiac surgery, yet risk stratification remains a clinical challenge. We developed an index for 30-day mortality risk prediction in this particular group. Methods and resultsAll individuals with heart failure undergoing non-cardiac surgery between October 23 2004 and October 31 2011 were included from Danish administrative registers (n=16827). In total, 1787 (10.6%) died within 30days. In a simple risk score based on the variables from the revised cardiac risk index, plus age, gender, acute surgery, and body mass index category the following variables predicted mortality (points): male gender (1), age 56-65years (2), age 66-75years (4), age 76-85years (5), or age >85years (7), being underweight (4), normal weight (3), or overweight (1), undergoing acute surgery (5), undergoing high-risk procedures (intra-thoracic, intra-abdominal, or suprainguinal aortic) (3), having renal disease (1), cerebrovascular disease (1), and use of insulin (1). The c-statistic was 0.79 and calibration was good. Mortality risk ranged from <2% for a score <5 to >50% for a score 20. Internal validation by bootstrapping (1000 re-samples) provided c-statistic of 0.79. A more complex risk score based on stepwise logistic regression including 24 variables at P<0.05 performed only slightly better, c-statistic=0.81, but was limited in use by its complexity. ConclusionsFor patients with heart failure, this simple index can accurately identify those at low risk for perioperative mortality.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Heart failure
- Mortality
- Non-cardiac surgery
- Risk factors
- Risk
- prediction
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- art (ämneskategori)
- ref (ämneskategori)
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Andersson, Charl ...
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Gislason, Gunnar ...
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Hlatky, Mark
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Sondergaard, Kat ...
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Pallisgaard, Jan ...
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Smith, Gustav
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visa fler...
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Vasan, Ramachand ...
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Larson, Martin G ...
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Jensen, Per Foge
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Kober, Lars
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Torp-Pedersen, C ...
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visa färre...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kardiologi
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European Journal ...
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Lunds universitet