Konjenital Kalp Cerrahisinde Risk Skorlama Sistemlerinin Karşılaştırılması

Abstract

Between 01.01.2011-30.10.2012, 467 patient?s information who underwent congenital heart surgery under 18 years old, in Hacettepe University, School of Medicine, Department of Cardiovascular Surgery enrolled retrospectively and evaluated with the risk adjustment systems ?RACHS-1 (Risk Adjustment in Congenital Heart Surgery)? ?ABS (Aristotle Basic Complexity Score)? and ?ACS (Aristotle Comprehensive Complexity Score)? in congenital heart surgery. Healthy data aqcuired from 413 files out of 467 and 54 patient excluded from study. Data acquired from these systems compared with Mann-Whitney U method, to understand how these systems effective on state of the mortality and morbidity risk and advantages of each one, to one another. As the result of the study, each of these systems showed success to evaluate mortality and morbidity; among these systems, ACS was the better predictor of mortality and morbidity, RACHS followed this system, and the ABS system is the less effective scoring system to evaluate mortality and morbidity. Time-dependent changes in the oreder of the tests for detection of long-term mortality, RACHS-1 system was evaluated as the best. Moreover, RACHS-1 system found as a predictor of morbity, which never evaluated before.