Translation and Validation of the Boston Technical Performance Score in a Developing Country
Rev. bras. cir. cardiovasc
;
36(5): 589-598, Sept.-Oct. 2021. tab, graf
Article
Dans Anglais
| LILACS
| ID: biblio-1351658
ABSTRACT
Abstract Introduction:
The Technical Performance Score (TPS) was developed and subsequently refined at the Boston Children's Hospital. Our objective was to translate and validate its application in a developing country.Methods:
The score was translated into the Portuguese language and approved by the TPS authors. Subsequently, we studied 1,030 surgeries from June 2018 to October 2020. TPS could not be assigned in 58 surgeries, and these were excluded. Surgical risk score was evaluated using Risk Adjustment in Congenital Heart Surgery (or RACHS-1). The impact of TPS on outcomes was studied using multivariable linear and logistic regression adjusting for important perioperative covariates.Results:
Median age and weight were 2.2 (interquartile range [IQR] = 0.5-13) years and 10.8 (IQR = 5.6-40) kilograms, respectively. In-hospital mortality was 6.58% (n=64), and postoperative complications occurred in 19.7% (n=192) of the cases. TPS was categorized as 1 in 359 cases (37%), 2 in 464 (47.7%), and 3 in 149 (15.3%). Multivariable analysis identified TPS class 3 as a predictor of longer hospital stay (coefficient 6.6; standard error 2.2; P=0.003), higher number of complications (odds ratio [OR] 1.84; 95% confidence interval [CI] 1.1-3; P=0.01), and higher mortality (OR 3.2; 95% CI 1.4-7; P=0.004).Conclusion:
TPS translated into the Portuguese language was validated and showed to be able to predict higher mortality, complication rate, and prolonged postoperative hospital stay in a high-volume Latin-American congenital heart surgery program. TPS is generalizable and can be used as an outcome assessment tool in resource diverse settings.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Cardiopathies congénitales
/
Procédures de chirurgie cardiaque
Type d'étude:
Etude d'étiologie
/
Étude observationnelle
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Adolescent
/
Enfant
/
Enfant d'âge préscolaire
/
Humains
/
Bébé
Pays comme sujet:
Amérique du Nord
langue:
Anglais
Texte intégral:
Rev. bras. cir. cardiovasc
Thème du journal:
Cardiologie
/
Chirurgie générale
Année:
2021
Type:
Article
Pays d'affiliation:
Brésil
/
États-Unis d'Amérique
Institution/Pays d'affiliation:
Harvard Medical School/US
/
Universidade Federal de Juiz de Fora/BR
/
Universidade de São Paulo/BR
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