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Risk Scores in Cardiac Surgery

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Cardiac Surgery

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Abstract

Risk scores in cardiac surgery are applied to sort, for example, patients, diseases, treatments, and hospitals according to criteria such as severity or various outcome expectations. Finding the optimal treatment methods; monitoring, preserving, or improving treatment quality; and discerning better and less good performing hospitals or surgeons belong to the scopes of scor ing.

Originally, scores were a simplified way of counting that was based on group formation. Today, the increasingly available computing power shifted the principal meaning of the word “score” toward far more complex prediction systems that are based frequently on multivariable logistic regression. The chapter gives an overview on various kinds, reasonable, and misleading use of scores and the potential consequences of their utilization. The chapter further describes in detail the most frequently used scores in the field of acquired (STS, EuroSCORE, KCH-SCORE 3.0) and congenital heart surgery (RACHS-1, Aristotle, STAT Mortality Score).

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Authors and Affiliations

  1. Department for Cardiac, Thoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Lower Saxonia, Germany

    Dietmar Boethig MD, PhD, MS

  2. Johns Hopkins All Children’s Heart Surgery, Johns Hopkins All Children’s Heart Institute, Saint Petersburg, FL, USA

    Jeffrey Phillip Jacobs MD, FACS, FACC

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  1. Dietmar Boethig MD, PhD, MS
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  2. Jeffrey Phillip Jacobs MD, FACS, FACC
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Correspondence to Dietmar Boethig MD, PhD, MS .

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Editors and Affiliations

  1. Department of Surgery, The University of Chicago, Chicago, IL, USA

    Gerhard Ziemer

  2. HTTG - Surgery, Medizinische Hochschule Hannover, Hannover, Germany

    Axel Haverich

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Boethig, D., Jacobs, J.P. (2017). Risk Scores in Cardiac Surgery. In: Ziemer, G., Haverich, A. (eds) Cardiac Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-52672-9_2

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  • DOI: https://doi.org/10.1007/978-3-662-52672-9_2

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