Abstract
This study presents our experience on estimating the individual operative risk of patients after heart valve replacement. Although operative mortality has decreased during the last decade as a consequence of improved operative techniques, the early mortality after heart valve replacement still ranges from about 4 to 12%, depending on the position and the number of the implanted valves (1). There are of course subgroups of patients with significantly lower or higher average risk. It is important to separate these subgroups of patients in order to be able to define the conditions associated with minimum risk and also to be able to define and to be aware of the conditions leading to high operative risk.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Rodewald, G., and M.-J. Polonius: Cardiac surgery in the Federal Republic of Germany during 1983. A report by the German Society for Thoracic and Cardiovascular Surgery. Thorac. cardiovasc. Surggeon 32, 395–397 (1984).
Engelman, L.: Stepwise logistic regression. BMDP - Statistical software 1981 edition, Dept. of Biomathematics, Univ. of California. L.A., Univ. of Calif. Press (1981)
Kennedy, J.W., G.C. Kaiser, L.D. Fisher, C. Maynard, J.G. Mudd, T.J. Ryan, and J. Coggin: Multivariate discriminant analysis of the clinical and angiographic predictors of operative mortality from the Colloborative Study in Coronary Artery Surgery (CASS). J. Thorac. Cardiovasc. Surg. 80, 876–887 (1980).
Olthof, H., F.J.L. van Capelle, J. Boville, J.J. Koolen, A.C. Moulijin, K.I. Lie, and N.G. Meijne: Risk of operative mortality in surgery for coronary heart disease (A multiple regression analysis of perioperative hemodynamic and electrocardiographic data) Thorac. cardiovasc. Surgeon 31, 224–229 (1983).
Holper, K., H. Federkiel, D. Hdlzel, F. Sebening: Influence of perfusion pressure during extracorporeal circulation for heart valve replacement on postoperative myocardial and renal failure. In: Thirty years of extracorporeal circulation, S. Hagl, W.P. Kldvekorn, N. Mayr, F. Sebening eds., Deutsches Herzzentrum München (1984).
Büttner, H.: Optimization of laboratory testing. In: Logic and economics of clinical laboratory use, E.S. Benson and M. Rubin eds., Elsevier, New York, 91–102 (1978).
Werner, M.: Will abstract models change the practice of medicine? In: Logic and economics of clinical laboratory use, E.S. Benson and M. Rubin eds., Elsevier, New York, 41–46 (1978).
Galen, R.S.: Beyond normality: An update. In: Logic and economics of clinical laboratory use, E.S. Benson and M. Rubin eds., Elsevier, New York, 103–112 (1978).
Hologgitas, J.V., and H.F. Martin: Assessing clinical utility of specifying reference values by age, sex, and body weight. In: Logic and economics of clinical laboratory use, E.S. Benson and M. Rubin eds., Elsevier, New York, 129–137 (1978).
Weinstein, M.C., H.V. Fineberg: Clinical decision analysis. W.B. Saunders and Co. Philadelphia, London, Toronto (1980).
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1986 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Holper, K., Federkiel, H., Hölzel, D., Balteskonis, S., Sebening, F. (1986). Improved Estimation of Operative Risk After Heart Valve Replacement: Medical Decision-Making Based on Multivariate Logistic Regression Analysis. In: Tsiftsis, D.D. (eds) Objective Medical Decision-Making Systems Approach in Disease. Lecture Notes in Medical Informatics, vol 28. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-93308-0_13
Download citation
DOI: https://doi.org/10.1007/978-3-642-93308-0_13
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-16100-4
Online ISBN: 978-3-642-93308-0
eBook Packages: Springer Book Archive