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Novel risk scoring ...
Novel risk scoring system with preoperative objective parameters gives a good prediction of 1-year mortality in patients with a left ventricular assist device.
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- Imamura, Teruhiko (author)
- University of Tokyo, Japan
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- Kinugawa, Koichiro (author)
- University of Tokyo, Japan
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- Shiga, Taro (author)
- University of Tokyo, Japan
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- Endo, Miyoko (author)
- University of Tokyo, Japan
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- Kato, Naoko (author)
- University of Tokyo, Japan
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- Inaba, Toshiro (author)
- University of Tokyo, Japan
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- Maki, Hisataka (author)
- University of Tokyo, Japan
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- Hatano, Masaru (author)
- University of Tokyo, Japan
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- Yao, Atsushi (author)
- University of Tokyo, Japan
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- Nishimura, Takashi (author)
- University of Tokyo, Japan
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- Hirata, Yasunobu (author)
- University of Tokyo, Japan
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- Kyo, Shunei (author)
- University of Tokyo, Japan
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- Ono, Minoru (author)
- University of Tokyo, Japan
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- Nagai, Ryozo (author)
- University of Tokyo, Japan
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(creator_code:org_t)
- Japanese Circulation Society, 2012
- 2012
- English.
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In: Circulation Journal. - : Japanese Circulation Society. - 1346-9843 .- 1347-4820. ; 76:8, s. 1895-1903
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
Keyword
- Continuous flow; Heart failure; Prognosis; Right ventricular dysfunction
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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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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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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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
- Articles in the publication
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Circulation Jour ...
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Linköping University