Severity-Adjusted Mortality Rates: The Case of CABG Surgery / 예방의학회지
Korean Journal of Preventive Medicine
;
: 21-27, 2001.
Artigo
em Coreano
| WPRIM
| ID: wpr-100852
ABSTRACT
OBJECTIVES:
To develop a model that will predict the mortality of patients undergoing Coronary Artery Bypass Graft (CABG) and evaluate the performance of hospitals.METHODS:
Data from 564 CABGs performed in six general hospitals were collected through medical record abstraction by registered nurses. Variables studied involved risk factors determined by severity measures. Risk modeling was performed through logistic regression and validated with cross-validation. The statistical performance of the developed model was evaluated using c-statistic, R2, and Hosmer-Lemeshow statistic. Hospital performance was assessed by severity-adjusted mortalities.RESULTS:
The developed model included age, sex, BUN, EKG rhythm, Congestive Heart Failure at admission, acute mental change within 24 hours, and previous angina pectoris history. The c-statistic and R2 were 0.791 and 0.101, respectively. Hosmer-Lemeshow statistic was 10.3(p value=0.2415). One hospital had a significantly higher mortality rate than the average mortality rate, while others were not significantly different.CONCLUSION:
Comparing the quality of service by severity adjusted mortality rates, there were significant differences in hospital performance. The severity adjusted mortality rate of CABG surgery may be an indicator for evaluating hospital performance in Korea.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Modelos Logísticos
/
Prontuários Médicos
/
Ponte de Artéria Coronária
/
Fatores de Risco
/
Mortalidade
/
Mortalidade Hospitalar
/
Transplantes
/
Risco Ajustado
/
Eletrocardiografia
/
Insuficiência Cardíaca
Tipo de estudo:
Estudo de etiologia
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Korean Journal of Preventive Medicine
Ano de publicação:
2001
Tipo de documento:
Artigo
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