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Novel risk scoring ...
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Imamura, TeruhikoUniversity of Tokyo, Japan
(författare)
Novel risk scoring system with preoperative objective parameters gives a good prediction of 1-year mortality in patients with a left ventricular assist device.
- Artikel/kapitelEngelska2012
Förlag, utgivningsår, omfång ...
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Japanese Circulation Society,2012
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:liu-111195
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-111195URI
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https://doi.org/10.1253/circj.CJ-12-0182DOI
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Språk:engelska
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Sammanfattning på:engelska
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Klassifikation
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Funding Agencies|FUGAKU trust for medicinal research; Japan Society for the Promotion of Science [224943]; Japan Society for the Promotion of Science (JSPS) through its Funding Program for World-Leading Innovative RandD on Science and Technology (FIRST Program)
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BACKGROUND:As we have previously reported, the preoperative profile defined by INTERMACS is a good predictor for the prognosis after left ventricular assist device (LVAD) implantation, but is largely dependent on the physician's decision. Several other risk stratification systems including objective parameters (eg, Leitz-Miller, Columbia, Seattle Heart Failure Model, APACHE II) have been proposed to estimate patient's mortality after LVAD implantation.METHODS AND RESULTS:According to the preoperative data from 59 patients who received LVAD (10 implantable, 49 extracorporeal) since 2002 through 2010, we performed a logistic analysis and constructed a new scoring system (ie, the TODAI VAD score (TVAD score), assigning 8 points to serum albumin <3.2mg/dl (odds ratio [OR] 8.475), 7 points to serum total bilirubin >4.8mg/dl (OR 7.300), 6 points to left ventricular end-diastolic diameter <55mm (OR 5.917), 5 points to central venous pressure >11mmHg (OR 5.128)). The receiver-operating characteristic analysis showed that the area under the curve of our new scoring system (0.864) was significantly larger than any of the abovementioned 5 scoring methods (all P<0.05). With the TVAD score, low (0-8 points), intermediate (9-17 points), and high (18-26 points) risk strata had significantly different 1-year survival rates of 95%, 54%, and 14%, respectively (all P<0.001).CONCLUSIONS:The TVAD score can predict the prognosis after LVAD implantation much better than the previously known methods.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Kinugawa, KoichiroUniversity of Tokyo, Japan
(författare)
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Shiga, TaroUniversity of Tokyo, Japan
(författare)
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Endo, MiyokoUniversity of Tokyo, Japan
(författare)
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Kato, NaokoUniversity of Tokyo, Japan(Swepub:liu)naope77
(författare)
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Inaba, ToshiroUniversity of Tokyo, Japan
(författare)
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Maki, HisatakaUniversity of Tokyo, Japan
(författare)
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Hatano, MasaruUniversity of Tokyo, Japan
(författare)
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Yao, AtsushiUniversity of Tokyo, Japan
(författare)
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Nishimura, TakashiUniversity of Tokyo, Japan
(författare)
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Hirata, YasunobuUniversity of Tokyo, Japan
(författare)
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Kyo, ShuneiUniversity of Tokyo, Japan
(författare)
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Ono, MinoruUniversity of Tokyo, Japan
(författare)
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Nagai, RyozoUniversity of Tokyo, Japan
(författare)
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University of Tokyo, Japan
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Circulation Journal: Japanese Circulation Society76:8, s. 1895-19031346-98431347-4820
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Imamura, Teruhik ...
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Kinugawa, Koichi ...
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Shiga, Taro
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Endo, Miyoko
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Kato, Naoko
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Inaba, Toshiro
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visa fler...
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Maki, Hisataka
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Hatano, Masaru
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Yao, Atsushi
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Nishimura, Takas ...
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Hirata, Yasunobu
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Kyo, Shunei
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Ono, Minoru
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Nagai, Ryozo
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